دورية أكاديمية
Pre-exposure prophylaxis for transgender women and men who have sex with men: qualitative insights from healthcare providers, community organization-based leadership and end users in coastal Kenya.
| العنوان: | Pre-exposure prophylaxis for transgender women and men who have sex with men: qualitative insights from healthcare providers, community organization-based leadership and end users in coastal Kenya. |
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| المؤلفون: | Kimani M; KEMRI-Wellcome Trust Research Program, Kilifi, Kenya., Sanders EJ; KEMRI-Wellcome Trust Research Program, Kilifi, Kenya.; Nuffield Department of Medicine, Oxford University, Oxford, UK., Chirro O; KEMRI-Wellcome Trust Research Program, Kilifi, Kenya., Mukuria N; KEMRI-Wellcome Trust Research Program, Kilifi, Kenya., Mahmoud S; KEMRI-Wellcome Trust Research Program, Kilifi, Kenya., Rinke de Wit TF; Amsterdam Institute for Global Health and Development, Department of Global Health, University of Amsterdam, Amsterdam, The Netherlands., Graham SM; University of Washington, Seattle, WA, USA., Operario D; Brown University, Providence, RI, USA., van der Elst EM; KEMRI-Wellcome Trust Research Program, Kilifi, Kenya. |
| المصدر: | International health [Int Health] 2022 May 02; Vol. 14 (3), pp. 288-294. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101517095 Publication Model: Print Cited Medium: Internet ISSN: 1876-3405 (Electronic) Linking ISSN: 18763405 NLM ISO Abbreviation: Int Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2013- : Oxford : Oxford University Press Original Publication: -2012: Kidlington, Oxford : Elsevier |
| مواضيع طبية MeSH: | Anti-HIV Agents*/therapeutic use , HIV Infections*/drug therapy , HIV Infections*/prevention & control , Pre-Exposure Prophylaxis* , Sexual and Gender Minorities* , Transgender Persons*, Female ; Gender Identity ; Health Personnel ; Homosexuality, Male ; Humans ; Kenya ; Leadership ; Male |
| مستخلص: | Transgender women (TW) and men who have sex with men (MSM) in Kenya are disproportionately affected by human immunodeficiency virus (HIV) and would benefit substantially from pre-exposure prophylaxis (PrEP). We conducted focus group discussions (FGDs) with healthcare providers (HCPs) and TW/MSM leadership and in-depth interviews (IDIs) with PrEP-experienced MSM and TW to learn about perceived and actual barriers to PrEP programming. Eleven HCP and 10 TW/MSM leaders participated in FGDs before PrEP roll-out (January 2018) and 12 months later. Nineteen PrEP end-users (11 MSM and 8 TW) participated in IDIs. Topic guides explored PrEP knowledge, HIV acquisition risk, gender identity, motivation for PrEP uptake and adherence and PrEP-dispensing venue preferences. Braun and Clarke thematic analysis was applied. Four themes emerged: limited preparedness of HCPs to provide PrEP to TW and MSM, varied motivation for PrEP uptake and persistence among end users, lack of recognition of TW by HCPs and suggestions for PrEP programming improvement from all stakeholders. Providers' reluctance to prescribe PrEP to TW and distrust of TW towards providers calls for interventions to improve the capacity of service environments and staff HIV preventive care. Alternative locations for PrEP provision, including community-based sites, may be developed with TW/MSM leaders. (© The Author(s) 2021. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.) |
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| معلومات مُعتمدة: | 107752 United Kingdom WT_ Wellcome Trust; United Kingdom WT_ Wellcome Trust |
| فهرسة مساهمة: | Keywords: Kenya; MSM; pre-exposure prophylaxis; transgender women |
| المشرفين على المادة: | 0 (Anti-HIV Agents) |
| تواريخ الأحداث: | Date Created: 20210729 Date Completed: 20220509 Latest Revision: 20220716 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9070506 |
| DOI: | 10.1093/inthealth/ihab043 |
| PMID: | 34325469 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1876-3405 |
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| DOI: | 10.1093/inthealth/ihab043 |