Understanding Gender-Based Violence Service Delivery in CDC-Supported Health Facilities: 15 Sub-Saharan African Countries, 2017-2021.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Aids Education and Prevention Pub Date : 2023-07-01 DOI:10.1521/aeap.2023.35.suppA.39

Udhayashankar Kanagasabai, Christopher Valleau, Meagan Cain, Michelle S Chevalier, Jennifer Hegle, Pragna Patel, Regina Benevides, Joseph B Trika, Carrine Angumua, Minlangu Mpingulu, Kamanga Ferdinand, Fikirte Sida, Katelyn Galloway, Caroline Kambona, Patricia Oluoch, Wezi Msungama, Hans Katengeza, Della Correia, Meghan Duffy, Raquel Maria Violeta Cossa, Rachel Coomer, Adeola Ayo, Chioma Ukanwa, Elysee Tuyishime, Sibongile Dladla, Jennifer Drummond, Daniel Magesa, Jane Kitalile, Rose Apondi, Jackson Okuku, Tina Chisenga, Haddi J Cham

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Abstract

Gender-based violence (GBV) is a complex issue deeply rooted in social structures, making its eradication challenging. GBV increases the risk of HIV transmission and is a barrier to HIV testing, care, and treatment. Quality clinical services for GBV, which includes the provision of HIV postexposure prophylaxis (PEP), vary, and service delivery data are lacking. We describe GBV clinical service delivery in 15 countries supported by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention. Through a descriptive statistical analysis of PEPFAR Monitoring, Evaluation, and Reporting (MER) data, we found a 252% increase in individuals receiving GBV clinical services, from 158,691 in 2017 to 558,251 in 2021. PEP completion was lowest (15%) among 15-19-year-olds. Understanding GBV service delivery is important for policy makers, program managers, and providers to guide interventions to improve the quality of service delivery and contribute to HIV epidemic control.

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了解疾病预防控制中心支持的卫生机构中基于性别暴力的服务提供:15个撒哈拉以南非洲国家，2017-2021年。

基于性别的暴力是一个深深植根于社会结构的复杂问题，使其根除具有挑战性。性别暴力增加了艾滋病毒传播的风险，是艾滋病毒检测、护理和治疗的障碍。针对性别暴力的高质量临床服务，包括提供艾滋病毒暴露后预防(PEP)，各不相同，而且缺乏服务提供数据。我们描述了通过美国疾病控制与预防中心在总统艾滋病紧急救援计划(PEPFAR)的支持下，在15个国家提供的性别暴力临床服务。通过对PEPFAR监测、评估和报告(MER)数据的描述性统计分析，我们发现接受GBV临床服务的个人增加了252%，从2017年的158,691人增加到2021年的558,251人。15-19岁人群的PEP完成率最低(15%)。了解性别暴力服务的提供对政策制定者、方案管理人员和提供者指导干预措施以提高服务质量和促进艾滋病毒流行控制具有重要意义。

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来源期刊

Aids Education and Prevention Multiple-

CiteScore

2.20

自引率

5.60%

发文量

期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.