Moyo Idah, Tshivhase Livhuwani
Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria.
Curationis. 2025 Apr 30;48(1):e1-e8. doi: 10.4102/curationis.v48i1.2633.
Key populations are disproportionately affected by HIV despite the significant decrease in new HIV infections in Africa. They experience challenges like stigma and discrimination as they interface with the healthcare system. This results in reduced access to HIV care services for key populations. Therefore, the attainment of HIV epidemic control may not be easily realised if these gaps are not addressed.
To explore and synthesise factors associated with accessing HIV care services by key populations, as well as make a reflection of this process using Ubuntu philosophy.
An integrative literature review was conducted on studies published between 2014 and 2024. An electronic search was performed on several databases. Examples of key phrases that were utilised for the search included Africa, HIV care services, key populations and Ubuntu. The studies included were qualitative and quantitative from peer-reviewed journals and restricted to Africa.
The following themes emerged: non-inclusive healthcare environment, attitudes of healthcare workers and stigma and discrimination. These findings illustrate the challenges and barriers affecting access to HIV care services for key populations.
The insights from this review call for a paradigm shift in the training programmes of healthcare providers in Southern Africa.Contribution: Given the challenges that affect key populations as they access HIV care services, in-service and pre-service training of healthcare providers should incorporate the humane values of Ubuntu.
尽管非洲新感染艾滋病毒的人数大幅下降，但重点人群受艾滋病毒影响的比例仍然过高。他们在与医疗保健系统接触时面临耻辱和歧视等挑战。这导致重点人群获得艾滋病毒护理服务的机会减少。因此，如果这些差距得不到解决，就可能难以实现艾滋病毒疫情的控制。
探讨和综合与重点人群获得艾滋病毒护理服务相关的因素，并运用乌班图哲学对这一过程进行反思。
对2014年至2024年期间发表的研究进行综合文献综述。在几个数据库中进行了电子检索。用于检索的关键短语示例包括非洲、艾滋病毒护理服务、重点人群和乌班图。纳入的研究来自同行评审期刊，包括定性和定量研究，且仅限于非洲。
出现了以下主题：非包容性的医疗环境、医护人员的态度以及耻辱和歧视。这些发现说明了影响重点人群获得艾滋病毒护理服务的挑战和障碍。
本次综述的见解呼吁南部非洲医疗服务提供者的培训计划进行范式转变。贡献：鉴于重点人群在获得艾滋病毒护理服务时面临的挑战，医疗服务提供者的在职培训和岗前培训应纳入乌班图的人文价值观。
