Lauren S Tailor, Jonathan Angell, Syeda Hasan, Sharon Low, Nicola Willis, Abigail Mutsinze, Vivian Chitiyo, Peggy Kuchocha, Carmen H Logie
{"title":"促进津巴布韦感染艾滋病毒的年轻母亲获得与艾滋病毒相关的医疗服务:从 Zvandiri 的年轻母亲指导计划中汲取的 HIV 健康促进经验。","authors":"Lauren S Tailor, Jonathan Angell, Syeda Hasan, Sharon Low, Nicola Willis, Abigail Mutsinze, Vivian Chitiyo, Peggy Kuchocha, Carmen H Logie","doi":"10.1177/15248399241278974","DOIUrl":null,"url":null,"abstract":"<p><p>HIV disproportionately affects adolescent girls and young women living in Southern Africa. Rates of perinatal HIV transmission are high in this population, emphasizing the need for targeted health promotion and public health programming to improve the health of young mothers living with HIV. Zvandiri, a non-profit organization in Zimbabwe, created the Young Mentor Mother (YMM) program in response to this issue. This health promotion program uses peer-led service delivery conducted by trained young mothers living with HIV, called YMMs. We conducted semi-structured virtual interviews (N = 29) among Zvandiri staff and YMMs to identify benefits and challenges, and to inform future program scaling. We applied thematic analyses to the transcriptions. Participant narratives revealed several themes, including three key benefits from the YMM program: (1) peer support, (2) holistic care, and (3) women's empowerment. Participants also shared barriers to the success of the program, reflecting two overarching dimensions: (1) barriers related to scaling up the YMM program and (2) challenges related to addressing socio-structural factors. Barriers to scale-up included limited funds and resources, and food insecurity. Socio-structural challenges included HIV-related stigma, cultural and geographic differences, and intimate partner violence (IPV). These challenges align with the social-ecological model, whereby structural factors (lack of funding, food insecurity), community factors (HIV-related stigma, socio-cultural differences in accepting HIV care), and interpersonal factors (IPV) affect the implementation and scale-up of the program. We recommend future adopters of the YMM program to tailor the model for their community, prioritize peer supporter's well-being, foster women's empowerment, and adopt a holistic care approach.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Bolstering Access to HIV-Related Health care in Zimbabwe Among Young Mothers Living With HIV: Lessons Learned on HIV Health Promotion From Zvandiri's Young Mentor Mother Program.\",\"authors\":\"Lauren S Tailor, Jonathan Angell, Syeda Hasan, Sharon Low, Nicola Willis, Abigail Mutsinze, Vivian Chitiyo, Peggy Kuchocha, Carmen H Logie\",\"doi\":\"10.1177/15248399241278974\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>HIV disproportionately affects adolescent girls and young women living in Southern Africa. Rates of perinatal HIV transmission are high in this population, emphasizing the need for targeted health promotion and public health programming to improve the health of young mothers living with HIV. Zvandiri, a non-profit organization in Zimbabwe, created the Young Mentor Mother (YMM) program in response to this issue. This health promotion program uses peer-led service delivery conducted by trained young mothers living with HIV, called YMMs. We conducted semi-structured virtual interviews (N = 29) among Zvandiri staff and YMMs to identify benefits and challenges, and to inform future program scaling. We applied thematic analyses to the transcriptions. Participant narratives revealed several themes, including three key benefits from the YMM program: (1) peer support, (2) holistic care, and (3) women's empowerment. Participants also shared barriers to the success of the program, reflecting two overarching dimensions: (1) barriers related to scaling up the YMM program and (2) challenges related to addressing socio-structural factors. Barriers to scale-up included limited funds and resources, and food insecurity. Socio-structural challenges included HIV-related stigma, cultural and geographic differences, and intimate partner violence (IPV). These challenges align with the social-ecological model, whereby structural factors (lack of funding, food insecurity), community factors (HIV-related stigma, socio-cultural differences in accepting HIV care), and interpersonal factors (IPV) affect the implementation and scale-up of the program. We recommend future adopters of the YMM program to tailor the model for their community, prioritize peer supporter's well-being, foster women's empowerment, and adopt a holistic care approach.</p>\",\"PeriodicalId\":47956,\"journal\":{\"name\":\"Health Promotion Practice\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Promotion Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/15248399241278974\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Promotion Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/15248399241278974","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
艾滋病毒对生活在南部非洲的少女和年轻妇女的影响尤为严重。在这一人群中,围产期艾滋病毒传播率很高,这就强调了有必要制定有针对性的健康促进和公共卫生计划,以改善感染艾滋病毒的年轻母亲的健康状况。津巴布韦的一家非营利组织 Zvandiri 针对这一问题创建了年轻导师母亲 (YMM) 计划。这项健康促进计划由经过培训的感染艾滋病病毒的年轻母亲(称为 YMMs)提供同伴指导服务。我们对 Zvandiri 员工和 YMM 进行了半结构化虚拟访谈(N = 29),以确定项目的益处和挑战,并为未来的项目推广提供参考。我们对访谈记录进行了主题分析。参与者的叙述揭示了几个主题,包括 YMM 计划的三个主要益处:(1) 同伴支持,(2) 整体护理,(3) 妇女赋权。参与者还分享了该计划取得成功的障碍,反映了两个主要方面:(1)与扩大 YMM 计划规模有关的障碍;(2)与解决社会结构因素有关的挑战。扩大规模的障碍包括资金和资源有限以及粮食不安全。社会结构方面的挑战包括与 HIV 相关的污名化、文化和地域差异以及亲密伴侣暴力 (IPV)。这些挑战符合社会生态模式,即结构性因素(缺乏资金、粮食不安全)、社区因素(与 HIV 相关的污名化、接受 HIV 护理的社会文化差异)和人际因素(IPV)会影响计划的实施和推广。我们建议未来采用 YMM 计划的机构为其社区量身定制模式,优先考虑同伴支持者的福利,促进妇女赋权,并采用整体护理方法。
Bolstering Access to HIV-Related Health care in Zimbabwe Among Young Mothers Living With HIV: Lessons Learned on HIV Health Promotion From Zvandiri's Young Mentor Mother Program.
HIV disproportionately affects adolescent girls and young women living in Southern Africa. Rates of perinatal HIV transmission are high in this population, emphasizing the need for targeted health promotion and public health programming to improve the health of young mothers living with HIV. Zvandiri, a non-profit organization in Zimbabwe, created the Young Mentor Mother (YMM) program in response to this issue. This health promotion program uses peer-led service delivery conducted by trained young mothers living with HIV, called YMMs. We conducted semi-structured virtual interviews (N = 29) among Zvandiri staff and YMMs to identify benefits and challenges, and to inform future program scaling. We applied thematic analyses to the transcriptions. Participant narratives revealed several themes, including three key benefits from the YMM program: (1) peer support, (2) holistic care, and (3) women's empowerment. Participants also shared barriers to the success of the program, reflecting two overarching dimensions: (1) barriers related to scaling up the YMM program and (2) challenges related to addressing socio-structural factors. Barriers to scale-up included limited funds and resources, and food insecurity. Socio-structural challenges included HIV-related stigma, cultural and geographic differences, and intimate partner violence (IPV). These challenges align with the social-ecological model, whereby structural factors (lack of funding, food insecurity), community factors (HIV-related stigma, socio-cultural differences in accepting HIV care), and interpersonal factors (IPV) affect the implementation and scale-up of the program. We recommend future adopters of the YMM program to tailor the model for their community, prioritize peer supporter's well-being, foster women's empowerment, and adopt a holistic care approach.
期刊介绍:
Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.