Pub Date : 2022-02-04DOI: 10.1080/15381501.2022.2029660
Gesiane Cavalcante Nascimento, Maria José Labis da Costa, Thannuse Silva Athie, Juliana de Sales Silva, E. Reis, C. Almeida-Brasil, B. Godman, I. Godói
Abstract The Human Immunodeficiency Virus (HIV) is considered one of the greatest public health challenges given its impact on morbidity and mortality, and there is currently no vaccine available. The costs for any vaccine have to be weighed against current preventative measures as well as its impact in reducing future infections. This was the rationale behind conducting a willingness to pay (WTP) study to guide future funding decisions. A cross-sectional study was conducted involving residents of Northern Brazil regarding their WTP for a hypothetical vaccine against HIV with 70% effectiveness. 634 individuals were interviewed and 94% accepted to use this hypothetical vaccine. The WTP was US$47.54 (200.00BRL). We believe these findings can contribute to decision-making about pricing once a HIV vaccine becomes available in Brazil and in discussions with its acceptability.
{"title":"Acceptability and Consumer Willingness to pay for a hypothetical HIV vaccine in Northern Brazil: A cross-sectional study and the implications","authors":"Gesiane Cavalcante Nascimento, Maria José Labis da Costa, Thannuse Silva Athie, Juliana de Sales Silva, E. Reis, C. Almeida-Brasil, B. Godman, I. Godói","doi":"10.1080/15381501.2022.2029660","DOIUrl":"https://doi.org/10.1080/15381501.2022.2029660","url":null,"abstract":"Abstract The Human Immunodeficiency Virus (HIV) is considered one of the greatest public health challenges given its impact on morbidity and mortality, and there is currently no vaccine available. The costs for any vaccine have to be weighed against current preventative measures as well as its impact in reducing future infections. This was the rationale behind conducting a willingness to pay (WTP) study to guide future funding decisions. A cross-sectional study was conducted involving residents of Northern Brazil regarding their WTP for a hypothetical vaccine against HIV with 70% effectiveness. 634 individuals were interviewed and 94% accepted to use this hypothetical vaccine. The WTP was US$47.54 (200.00BRL). We believe these findings can contribute to decision-making about pricing once a HIV vaccine becomes available in Brazil and in discussions with its acceptability.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"145 - 166"},"PeriodicalIF":0.7,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47905827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/15381501.2021.2002751
F. C. Malindi, M. Maputle, L. Nemathaga
Abstract Despite enormous interventions aimed at preventing mother-to-child transmission of HIV; traditional, cultural practices and mixed infant feeding remain prevalent. This study aimed to determine the influence of grandmothers when continuing with the prevention of mother-to-child transmission interventions within 6 weeks after delivery. Qualitative, explorative, descriptive, and contextual designs were used. The population comprised of fifteen grandmothers of HIV-exposed babies. Data were collected through unstructured face-to-face interviews and analyzed through the open coding method. Three themes emerged showing knowledge deficit related to MTCT risks when using traditional practices; cultural and religious practices influencers to traditional diagnoses and management and mixed feeding practices predispose babies. Total elimination of MTCT of HIV in rural context calls for targeted education for grandmothers. Knowledge of traditional and cultural practices that perpetuate MTCT could assist in developing the contextual health education content to change grandmothers’ beliefs on infant feeding, prevention, and management of childhood illnesses.
{"title":"Grandmothers’ influence on the implementation of PMTCT interventions within 6 weeks at rural areas in Limpopo province: A qualitative study","authors":"F. C. Malindi, M. Maputle, L. Nemathaga","doi":"10.1080/15381501.2021.2002751","DOIUrl":"https://doi.org/10.1080/15381501.2021.2002751","url":null,"abstract":"Abstract Despite enormous interventions aimed at preventing mother-to-child transmission of HIV; traditional, cultural practices and mixed infant feeding remain prevalent. This study aimed to determine the influence of grandmothers when continuing with the prevention of mother-to-child transmission interventions within 6 weeks after delivery. Qualitative, explorative, descriptive, and contextual designs were used. The population comprised of fifteen grandmothers of HIV-exposed babies. Data were collected through unstructured face-to-face interviews and analyzed through the open coding method. Three themes emerged showing knowledge deficit related to MTCT risks when using traditional practices; cultural and religious practices influencers to traditional diagnoses and management and mixed feeding practices predispose babies. Total elimination of MTCT of HIV in rural context calls for targeted education for grandmothers. Knowledge of traditional and cultural practices that perpetuate MTCT could assist in developing the contextual health education content to change grandmothers’ beliefs on infant feeding, prevention, and management of childhood illnesses.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"1 - 16"},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46430682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/15381501.2021.2006104
I. A. Ogueji, A. Adejumo
Abstract HIV-positive women are at risk of cervical cancer, but many barriers hinder them from adopting cervical screening. Therefore, focus group discussions and in-depth interviews were conducted to explore perceived HIV stigmatization and association with cervical screening adoption in a sample of HIV-positive women who never screened for cervical cancer. It was found that participants who had not disclosed their HIV status to others did not experience perceived HIV stigmatization. Further, perceived HIV stigmatization did not hinder cervical screening adoption due to assertiveness among participants. Those who had not experienced perceived HIV stigmatization due to non-status disclosure were unaware of their susceptibility to cervical cancer. Some participants who had not experienced perceived HIV stigmatization were aware of cervical cancer but were reluctant to screen due to religion-related denial. Some participants who experienced perceived HIV stigmatization perceived that the experience hindered cervical screening adoption. Our findings will inform psychological interventions that may strengthen cervical screening adoption in this patient group.
{"title":"Perceived HIV stigmatization and association with cervical screening adoption among HIV-positive women in a Nigerian Secondary Health Facility: Implications for psychological interventions","authors":"I. A. Ogueji, A. Adejumo","doi":"10.1080/15381501.2021.2006104","DOIUrl":"https://doi.org/10.1080/15381501.2021.2006104","url":null,"abstract":"Abstract HIV-positive women are at risk of cervical cancer, but many barriers hinder them from adopting cervical screening. Therefore, focus group discussions and in-depth interviews were conducted to explore perceived HIV stigmatization and association with cervical screening adoption in a sample of HIV-positive women who never screened for cervical cancer. It was found that participants who had not disclosed their HIV status to others did not experience perceived HIV stigmatization. Further, perceived HIV stigmatization did not hinder cervical screening adoption due to assertiveness among participants. Those who had not experienced perceived HIV stigmatization due to non-status disclosure were unaware of their susceptibility to cervical cancer. Some participants who had not experienced perceived HIV stigmatization were aware of cervical cancer but were reluctant to screen due to religion-related denial. Some participants who experienced perceived HIV stigmatization perceived that the experience hindered cervical screening adoption. Our findings will inform psychological interventions that may strengthen cervical screening adoption in this patient group.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"17 - 26"},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42363702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/15381501.2021.2016538
Jessica E. Mandell, Kathryn H. Howell, Lauren M. Schaefer, Robin N. Hardin, I. Thurston
Abstract Mothers Living with HIV (MLH) are vulnerable to stressors associated with motherhood and chronic illness. Strong familial support is related to decreased risk for developing mental and physical health problems. While support systems of MLH are disproportionately comprised of their children, research on social support of MLH has primarily focused on HIV status disclosure to supportive networks, with limited work exploring other aspects of family social support. The current pilot study explored associations between familial social support and personal (spirituality, depressive symptoms), relational (parenting practices), and environmental (friend support, community cohesion) factors among 55 MLH. A three-step hierarchical regression model was examined and showed that greater positive parenting, less negative parenting, and greater community cohesion were significantly associated with higher familial social support. Findings highlight the importance of relational and environmental determinants of social support and suggest potential avenues for prevention and intervention among MLH.
{"title":"Social support for mothers living with HIV: A pilot investigation of the beneficial roles of positive parenting and community cohesion","authors":"Jessica E. Mandell, Kathryn H. Howell, Lauren M. Schaefer, Robin N. Hardin, I. Thurston","doi":"10.1080/15381501.2021.2016538","DOIUrl":"https://doi.org/10.1080/15381501.2021.2016538","url":null,"abstract":"Abstract Mothers Living with HIV (MLH) are vulnerable to stressors associated with motherhood and chronic illness. Strong familial support is related to decreased risk for developing mental and physical health problems. While support systems of MLH are disproportionately comprised of their children, research on social support of MLH has primarily focused on HIV status disclosure to supportive networks, with limited work exploring other aspects of family social support. The current pilot study explored associations between familial social support and personal (spirituality, depressive symptoms), relational (parenting practices), and environmental (friend support, community cohesion) factors among 55 MLH. A three-step hierarchical regression model was examined and showed that greater positive parenting, less negative parenting, and greater community cohesion were significantly associated with higher familial social support. Findings highlight the importance of relational and environmental determinants of social support and suggest potential avenues for prevention and intervention among MLH.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"90 - 105"},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42963595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1080/15381501.2021.2015503
D. Dave, Ainembabazi Provia, N. Nakiddu, Erin Sodawasser, Katrina Harper, J. Ssenkusu, S. Kitaka, M. Nicol, J. Musaazi, C. Sekaggya
Abstract We performed a cross-sectional study to describe the nutritional status among HIV positive adolescents on Atazanavir-based regimen attending Pediatric Infectious Diseases Clinic (PIDC), in which 132 adolescents were included. Undernutrition was defined as a binary composite outcome (thinness or stunting): 28% were undernourished, 7.25% were thin, and 25% were stunted. Adolescents with no parent were more likely to be undernourished (APR: 2.50, 95% CI: 1.15–5.39, p-value = .020). Adolescents who had attained at least secondary education were less likely to be undernourished (APR: 0.54, CI:0.32–0.92, p-value = .024). Prevalence of undernutrition observed among HIV positive adolescents was lower compared to other studies. However, this is still high for an urban center, and this is concerning with increasing rates of drug resistance in an era of increased ART accessibility. This calls for more support and appropriate interventions for further optimizing nutrition care among adolescents on HIV treatment to mitigate the rise of resistance to second line regimens.
{"title":"Nutritional status and its associated factors among HIV adolescents on second line regimen at Pediatric Infectious Diseases Clinic in Uganda","authors":"D. Dave, Ainembabazi Provia, N. Nakiddu, Erin Sodawasser, Katrina Harper, J. Ssenkusu, S. Kitaka, M. Nicol, J. Musaazi, C. Sekaggya","doi":"10.1080/15381501.2021.2015503","DOIUrl":"https://doi.org/10.1080/15381501.2021.2015503","url":null,"abstract":"Abstract We performed a cross-sectional study to describe the nutritional status among HIV positive adolescents on Atazanavir-based regimen attending Pediatric Infectious Diseases Clinic (PIDC), in which 132 adolescents were included. Undernutrition was defined as a binary composite outcome (thinness or stunting): 28% were undernourished, 7.25% were thin, and 25% were stunted. Adolescents with no parent were more likely to be undernourished (APR: 2.50, 95% CI: 1.15–5.39, p-value = .020). Adolescents who had attained at least secondary education were less likely to be undernourished (APR: 0.54, CI:0.32–0.92, p-value = .024). Prevalence of undernutrition observed among HIV positive adolescents was lower compared to other studies. However, this is still high for an urban center, and this is concerning with increasing rates of drug resistance in an era of increased ART accessibility. This calls for more support and appropriate interventions for further optimizing nutrition care among adolescents on HIV treatment to mitigate the rise of resistance to second line regimens.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"63 - 75"},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45318181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1080/15381501.2021.2015504
Jincong Q Freeman, Lindsay Trujillo, Amy R Baugher
Sexuality disclosure among men who have sex with men (MSM) is key in access to HIV prevention services. We used weighted 2017 data from National HIV Behavioral Surveillance to investigate prevalence of, and racial/ethnic differences in, sexuality disclosure among MSM. Of 10,753 MSM, 89.4% (95% CI: 88.5-90.3%) had disclosed their sexuality to any non-lesbian, gay, or bisexual (LGB) friends, 85.9% (95% CI: 84.8-87.0%) had disclosed their sexuality to any family members, and 82.8% (95% CI: 81.6-83.9%) had disclosed their sexuality to any health care providers. Although most MSM had disclosed, 23.8% (95% CI: 22.4-25.1%) had not disclosed to at least one of the three groups. Black, Hispanic/Latino, or Asian MSM were less likely than White MSM to have disclosed their sexuality to any non-LGB friends, any family members, or any health care providers, after adjusting for age and region. We found high prevalence of sexuality disclosure among MSM, but racial/ethnic differences persist. Strategies and interventions to promote sexuality disclosure among MSM are needed.
{"title":"Prevalence of and racial/ethnic differences in sexuality disclosure among men who have sex with men in 23 U.S. cities-National HIV Behavioral Surveillance, 2017.","authors":"Jincong Q Freeman, Lindsay Trujillo, Amy R Baugher","doi":"10.1080/15381501.2021.2015504","DOIUrl":"10.1080/15381501.2021.2015504","url":null,"abstract":"<p><p>Sexuality disclosure among men who have sex with men (MSM) is key in access to HIV prevention services. We used weighted 2017 data from National HIV Behavioral Surveillance to investigate prevalence of, and racial/ethnic differences in, sexuality disclosure among MSM. Of 10,753 MSM, 89.4% (95% CI: 88.5-90.3%) had disclosed their sexuality to any non-lesbian, gay, or bisexual (LGB) friends, 85.9% (95% CI: 84.8-87.0%) had disclosed their sexuality to any family members, and 82.8% (95% CI: 81.6-83.9%) had disclosed their sexuality to any health care providers. Although most MSM had disclosed, 23.8% (95% CI: 22.4-25.1%) had not disclosed to at least one of the three groups. Black, Hispanic/Latino, or Asian MSM were less likely than White MSM to have disclosed their sexuality to any non-LGB friends, any family members, or any health care providers, after adjusting for age and region. We found high prevalence of sexuality disclosure among MSM, but racial/ethnic differences persist. Strategies and interventions to promote sexuality disclosure among MSM are needed.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"76-89"},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425776/pdf/nihms-1921924.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10022055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-10DOI: 10.1080/15381501.2021.2007197
Titus Bediako-Puni Anokye, Veronica O. Charles-Unadike, Judith A. Anaman-Torgbor, E. Tarkang
Abstract Background Sexual behavior among youths has been a focus of health programmes worldwide. Risky sexual behaviors among youth in sub-Saharan Africa (SSA) predispose them to HIV infection. The current study determined the predictors of risky sexual behavior among students aged 15–24 years in the Suhum Municipality, Ghana guided by the Health Belief Model (HBM). Methods The study employed a cross-sectional design, collecting data using a structured pretested questionnaire and analyzing them using SPSS version 20 software program at the level 0.05. Results The overall prevalence of risky sexual behavior was 59.1% among the participants. None of the constructs of the HBM was statistically associated with risky sexual behavior. However, participants who perceived that they were at risk of contracting HIV and who perceived HIV/AIDS to have severe consequences were more likely to practice safe sexual behavior. Conclusion Health promotion programmes should aim at increasing youths’ perception of the threat posed by HIV/AIDS.
{"title":"Predictors of risky sexual behavior among students aged 15 to 24 years in the Suhum municipality, Eastern region of Ghana","authors":"Titus Bediako-Puni Anokye, Veronica O. Charles-Unadike, Judith A. Anaman-Torgbor, E. Tarkang","doi":"10.1080/15381501.2021.2007197","DOIUrl":"https://doi.org/10.1080/15381501.2021.2007197","url":null,"abstract":"Abstract Background Sexual behavior among youths has been a focus of health programmes worldwide. Risky sexual behaviors among youth in sub-Saharan Africa (SSA) predispose them to HIV infection. The current study determined the predictors of risky sexual behavior among students aged 15–24 years in the Suhum Municipality, Ghana guided by the Health Belief Model (HBM). Methods The study employed a cross-sectional design, collecting data using a structured pretested questionnaire and analyzing them using SPSS version 20 software program at the level 0.05. Results The overall prevalence of risky sexual behavior was 59.1% among the participants. None of the constructs of the HBM was statistically associated with risky sexual behavior. However, participants who perceived that they were at risk of contracting HIV and who perceived HIV/AIDS to have severe consequences were more likely to practice safe sexual behavior. Conclusion Health promotion programmes should aim at increasing youths’ perception of the threat posed by HIV/AIDS.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"27 - 47"},"PeriodicalIF":0.7,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41744715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/15381501.2021.1988026
N. Olii, H. Arifin, Y. Kurniawati, Puspita Sukmawaty Rasyid, Bun Yamin M. Badjuka, Bih-O Lee
Abstract Utilization of health facilities for HIV testing is an important indicator to record and track the spread and infection of HIV in Indonesia. This study aimed to determine the description of the utilization of places for HIV test in Indonesia nationwide. An analytical descriptive study was undertaken. Data from Indonesia Demographic Health Survey was used with total of 22,193 respondents aged 15–54 years. We used Descriptive and logistic regression to analyze the data with p < .05. The most respondents were taken for HIV testing in government hospital (72.87%) and other places were very low. We found that respondents aged 50–54 years were more likely to be with a doctor as a place for HIV testing (AOR: 1.76, 95%CI:1.06–2.93). Planning for comprehensive and reaching remote areas with culture-based strategy in Indonesia needs attention and health education about the HIV testing for screening, prevention, and management needs to be optimized.
{"title":"The utilization profile of place for HIV testing in Indonesia: A nationwide study","authors":"N. Olii, H. Arifin, Y. Kurniawati, Puspita Sukmawaty Rasyid, Bun Yamin M. Badjuka, Bih-O Lee","doi":"10.1080/15381501.2021.1988026","DOIUrl":"https://doi.org/10.1080/15381501.2021.1988026","url":null,"abstract":"Abstract Utilization of health facilities for HIV testing is an important indicator to record and track the spread and infection of HIV in Indonesia. This study aimed to determine the description of the utilization of places for HIV test in Indonesia nationwide. An analytical descriptive study was undertaken. Data from Indonesia Demographic Health Survey was used with total of 22,193 respondents aged 15–54 years. We used Descriptive and logistic regression to analyze the data with p < .05. The most respondents were taken for HIV testing in government hospital (72.87%) and other places were very low. We found that respondents aged 50–54 years were more likely to be with a doctor as a place for HIV testing (AOR: 1.76, 95%CI:1.06–2.93). Planning for comprehensive and reaching remote areas with culture-based strategy in Indonesia needs attention and health education about the HIV testing for screening, prevention, and management needs to be optimized.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"319 - 329"},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48084589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/15381501.2021.1994085
S. Greene, Apondi J. Odhiambo, M. Muchenje, V. Nicholson, K. Shore, Renata Hall, Sheila A. Nyman, A. Ion, Jasmine Cotnam, Peggy Frank, K. Dunn, Shelly Glum, A. Symington, Rebecca Gormley, A. Kaida
Abstract In Canada, sexual assault laws have been used to criminalize people who do not disclose their HIV status to partners prior to sex that presents a “realistic possibility of transmission.” Women, ART, and the Criminalization of HIV (WATCH) is a community arts-based study focusing on the impacts of criminalization of HIV non-disclosure, including access of familial, community, and social service support. Seven Body Mapping workshops were held with 48 women from Ontario, Manitoba, Saskatchewan, and British Columbia. Participants were guided through visual art exercises to create a Body Map, and connected images to personal stories through Sharing Circles. In feminist participatory analysis, connections between personal well-being, resilience, and resistance surfaced as dominant themes. Culturally relevant approaches to care that recognize and build on narratives of resilience and resistance in the lives of women living with HIV is of particular significance to social work and allied social service professionals.
{"title":"“I shall conquer and prevail” – art and stories of resilience and resistance of the women, ART and criminalization of HIV (WATCH) study","authors":"S. Greene, Apondi J. Odhiambo, M. Muchenje, V. Nicholson, K. Shore, Renata Hall, Sheila A. Nyman, A. Ion, Jasmine Cotnam, Peggy Frank, K. Dunn, Shelly Glum, A. Symington, Rebecca Gormley, A. Kaida","doi":"10.1080/15381501.2021.1994085","DOIUrl":"https://doi.org/10.1080/15381501.2021.1994085","url":null,"abstract":"Abstract In Canada, sexual assault laws have been used to criminalize people who do not disclose their HIV status to partners prior to sex that presents a “realistic possibility of transmission.” Women, ART, and the Criminalization of HIV (WATCH) is a community arts-based study focusing on the impacts of criminalization of HIV non-disclosure, including access of familial, community, and social service support. Seven Body Mapping workshops were held with 48 women from Ontario, Manitoba, Saskatchewan, and British Columbia. Participants were guided through visual art exercises to create a Body Map, and connected images to personal stories through Sharing Circles. In feminist participatory analysis, connections between personal well-being, resilience, and resistance surfaced as dominant themes. Culturally relevant approaches to care that recognize and build on narratives of resilience and resistance in the lives of women living with HIV is of particular significance to social work and allied social service professionals.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"330 - 353"},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46343240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/15381501.2021.1986188
N. Pudpong, Shaheda Viriyathorn, Y. Wanwong, W. Witthayapipopsakul, Waritta Wangbanjongkun, W. Patcharanarumol, V. Tangcharoensathien
Abstract Civil Society organisations (CSOs) play a vital role in supporting HIV/AIDS prevention as they have an advantage over public providers in reaching out and maintaining relationships with key populations (KPs). We assessed the National Health Security Office (NHSO)’s contractual arrangement with CSOs for Reach-Recruit-Test-Treat-Retain (RRTTR) services, identifies gaps and recommends strategies for improvement. Document reviews, in-depth interviews with 31 key informants, and inductive thematic analysis were performed. Stakeholder consultation was convened to validate and improve recommendations. Effective contracting is characterized by (1) engagement with partners in identifying annual targets of KPs in regard to the CSO capacity, budget allocation, term and conditions and clear role of each stakeholder; (2) clear and transparent CSO selection process; (3) pre-award assessment of CSOs’ capacity; (4) effective and timely payments; (5) monitoring and evaluation of CSOs’ performances and support capacity building; and (6) a national project manager designated to manage contracting and performance assessment.
{"title":"Public contracting with civil society organizations for HIV/AIDS service provisions: A key strategy to ending AIDS in Thailand","authors":"N. Pudpong, Shaheda Viriyathorn, Y. Wanwong, W. Witthayapipopsakul, Waritta Wangbanjongkun, W. Patcharanarumol, V. Tangcharoensathien","doi":"10.1080/15381501.2021.1986188","DOIUrl":"https://doi.org/10.1080/15381501.2021.1986188","url":null,"abstract":"Abstract Civil Society organisations (CSOs) play a vital role in supporting HIV/AIDS prevention as they have an advantage over public providers in reaching out and maintaining relationships with key populations (KPs). We assessed the National Health Security Office (NHSO)’s contractual arrangement with CSOs for Reach-Recruit-Test-Treat-Retain (RRTTR) services, identifies gaps and recommends strategies for improvement. Document reviews, in-depth interviews with 31 key informants, and inductive thematic analysis were performed. Stakeholder consultation was convened to validate and improve recommendations. Effective contracting is characterized by (1) engagement with partners in identifying annual targets of KPs in regard to the CSO capacity, budget allocation, term and conditions and clear role of each stakeholder; (2) clear and transparent CSO selection process; (3) pre-award assessment of CSOs’ capacity; (4) effective and timely payments; (5) monitoring and evaluation of CSOs’ performances and support capacity building; and (6) a national project manager designated to manage contracting and performance assessment.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"285 - 301"},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45046995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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