دورية أكاديمية
أعرض في EDS

Applying the Effective Programme Coverage framework to assess gaps in HIV prevention programmes for female sex workers and men who have sex with men in Nairobi, Kenya: findings from an expanded Polling Booth Survey.

التفاصيل البيبلوغرافية
العنوان: Applying the Effective Programme Coverage framework to assess gaps in HIV prevention programmes for female sex workers and men who have sex with men in Nairobi, Kenya: findings from an expanded Polling Booth Survey.
المؤلفون: Bhattacharjee P; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada.; Partners for Health and Development in Africa, Nairobi, Kenya., McClarty L; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada., Isac S; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada., Kimani J; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada.; Partners for Health and Development in Africa, Nairobi, Kenya., Emmanuel F; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada., Kabuti R; Partners for Health and Development in Africa, Nairobi, Kenya., Kinyua A; Partners for Health and Development in Africa, Nairobi, Kenya., Kombo BK; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada., Owek C; Partners for Health and Development in Africa, Nairobi, Kenya., Musyoki H; The Global Fund, Geneva, Switzerland., Kiplagat A; Ministry of Health, Nairobi County, Kenya., Arimi P; Partners for Health and Development in Africa, Nairobi, Kenya., Shaw SY; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada., Gandhi M; University of California, San Francisco, California, USA., Malone S; Bill and Melinda Gates Foundation, Seattle, Washington, USA., Blanchard J; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada., Garnett G; Bill and Melinda Gates Foundation, Seattle, Washington, USA., Becker ML; Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada.
المصدر: Journal of the International AIDS Society [J Int AIDS Soc] 2024 Jul; Vol. 27 Suppl 2, pp. e26240.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Inc Country of Publication: Switzerland NLM ID: 101478566 Publication Model: Print Cited Medium: Internet ISSN: 1758-2652 (Electronic) Linking ISSN: 17582652 NLM ISO Abbreviation: J Int AIDS Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Hoboken, NJ : John Wiley & Sons, Inc
Original Publication: [London] : BioMed Central
مواضيع طبية MeSH: HIV Infections*/prevention & control , Sex Workers*/statistics & numerical data , Sex Workers*/psychology , Homosexuality, Male*/psychology , Homosexuality, Male*/statistics & numerical data, Humans ; Kenya ; Male ; Adult ; Female ; Young Adult ; Surveys and Questionnaires ; Adolescent ; Middle Aged ; Program Evaluation
مستخلص: Introduction: Measuring the coverage of HIV prevention services for key populations (KPs) has consistently been a challenge for national HIV programmes. The current frameworks and measurement methods lack emphasis on effective coverage, occur infrequently, lack timeliness and limit the participation of KPs. The Effective Programme Coverage framework, which utilizes a programme science approach, provides an opportunity to assess gaps in various coverage domains and explore the underlying reasons for these gaps, in order to develop targeted solutions. We have demonstrated the application of this framework in partnership with the KP community in Nairobi, Kenya, using an expanded Polling Booth Survey (ePBS) method.
Methods: Data were collected between April and May 2023 among female sex workers (FSWs) and men who have sex with men (MSM) using (a) PBS, (b) bio-behavioural survey and (c) focus group discussions. Data collection and analysis involved both KP community and non-community researchers. Descriptive analysis was performed, and proportions were used to assess the programme coverage gaps. The data were weighted to account for the sampling design and unequal selection probabilities. Thematic analysis was conducted on the qualitative data.
Results: The condom programme for FSW and MSM had low availability (60.2% and 50.9%), contact (68.8% and 65.9%) and utilization (52.1% and 43.9%) coverages. The pre-exposure prophylaxis (PrEP) programme had very low utilization coverage for FSW and MSM (4.4% and 2.8%), while antiretroviral therapy utilization coverage was higher (86.6% and 87.7%). Reasons for coverage gaps included a low peer educator-to-peer ratio, longer distance to the clinics, shortage of free condoms supplied by the government, experienced and anticipated side effects related to PrEP, and stigma and discrimination experienced in the facilities.
Conclusions: The Effective Programme Coverage framework allows programmes to assess coverage gaps and develop solutions and a research agenda targeted at specific domains of coverage with large gaps. The ePBS method works well in collecting data to understand coverage gaps rapidly and allows for the engagement of the KP community.
(© 2024 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of International AIDS Society.)
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معلومات مُعتمدة: INV-50927 Bill and Melinda Gates Foundation
فهرسة مساهمة: Keywords: HIV; Kenya; effective programme coverage; female sex workers; measurement methods; men who have sex with men
تواريخ الأحداث: Date Created: 20240710 Date Completed: 20240710 Latest Revision: 20240712
رمز التحديث: 20240712
مُعرف محوري في PubMed: PMC11233849
DOI: 10.1002/jia2.26240
PMID: 38982888
قاعدة البيانات: MEDLINE
الوصف
تدمد:1758-2652
DOI:10.1002/jia2.26240