Etowa Josephine, Massaquoi Notisha, Omorodion Francisca, Brown-Shreves Danielle, Hyman Ilene, Gebremeskel Akalewold, Loemba Hugues, Ghose Bishwajit, Etowa Egbe, Rayner Jennifer, Dabone Charles, Brown O'Sullivan Lounanjio, Sule Azeeza, Kiirya Joseph, Yaya Sanni, Tharao Wangari, Inoua Haoua, Kaida Angela, Odhiambo Apondi, Beckford Clinton
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
School of International Development and Global Studies, University of Ottawa, Ottawa, Canada.
Glob Public Health. 2025 Dec;20(1):2436425. doi: 10.1080/17441692.2024.2436425. Epub 2025 Jan 27.
African, Caribbean, and Black (ACB) women are overrepresented among new HIV diagnoses due to social and structural factors. This study seeks to create, implement, and evaluate a community-based peer-led intervention to improve access to HIV prevention and care for ACB women in Canada. This multisite, five-year project, using community-based participatory research, implementation science and evaluation frameworks, will be implemented in five non-iterative phases. Phase 1: Community and partner engagement; Phase 2: Critical health and racial literacy training curriculum and HIV resource development; Phase 3: Implementation research with first cohort of trained HIV Peer Equity Navigators [PENs] in three sites; Phase 4: Training of second cohort of HIV PENs and program implementation of HIV PEN intervention across Ontario; and Phase 5: Evaluation, knowledge sharing and plans for national scale up. We will use a mixed methods approach, including quantitative and qualitative data, such as surveys and qualitative interviews, to analyze and identify implementation scenarios, changes in improving access, and ensuring equity to HIV prevention and care for ACB women in Ontario, Canada. Evidence on the effectiveness of this innovative, peer-led intervention will be used to inform policies and practice related to HIV prevention and care for ACB women in Canada.
由于社会和结构因素，非洲、加勒比和黑人（ACB）女性在新确诊的艾滋病毒感染者中占比过高。本研究旨在创建、实施并评估一项基于社区的同伴主导干预措施，以改善加拿大ACB女性获得艾滋病毒预防和护理的机会。这个多地点、为期五年的项目将采用基于社区的参与性研究、实施科学和评估框架，分五个非迭代阶段实施。第一阶段：社区和合作伙伴参与；第二阶段：关键健康和种族素养培训课程及艾滋病毒资源开发；第三阶段：在三个地点对首批经过培训的艾滋病毒同伴公平导航员（PENs）进行实施研究；第四阶段：培训第二批艾滋病毒PENs，并在安大略省全面实施艾滋病毒PEN干预措施；第五阶段：评估、知识共享以及扩大到全国范围的计划。我们将采用混合方法，包括定量和定性数据，如调查和定性访谈，以分析和确定实施情况、改善获得机会方面的变化，以及确保加拿大安大略省ACB女性在艾滋病毒预防和护理方面的公平性。这一创新的同伴主导干预措施的有效性证据将用于为加拿大ACB女性艾滋病毒预防和护理相关政策及实践提供参考。
