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1.
BMC Public Health ; 18(1): 866, 2018 07 12.
Article in English | MEDLINE | ID: mdl-30001193

ABSTRACT

It has been highlighted that in the original article [1] there is a typesetting mistake in the name of I. Fakoya. This was incorrectly captured as F. Fakoya. This correction article clarifies the correct name of the author.

2.
BMC Public Health ; 18(1): 499, 2018 04 13.
Article in English | MEDLINE | ID: mdl-29653536

ABSTRACT

BACKGROUND: Increasing routine HIV testing among key populations is a public health imperative, so improving access to acceptable testing options for those in need is a priority. Despite increasing targeted distribution and uptake of HIV self-sampling kits (SSKs) among men who have sex with men in the UK, little is known about why targeted SSK interventions for black African users are not as wide-spread or well-used. This paper addresses this key gap, offering insight into why some groups may be less likely than others to adopt certain types of SSK interventions in particular contexts. These data were collected during the development phase of a larger study to explore the feasibility and acceptability of targeted distribution of SSKs to black African people. METHODS: We undertook 6 focus groups with members of the public who self-identified as black African (n = 48), 6 groups with specialists providing HIV and social services to black African people (n = 53), and interviews with HIV specialist consultants and policy-makers (n = 9). Framework analysis was undertaken, using inductive and deductive analysis to develop and check themes. RESULTS: We found three valuable components of targeted SSK interventions for this population: the use of settings and technologies that increase choice and autonomy; targeted offers of HIV testing that preserve privacy and do not exacerbate HIV stigma; and ensuring that the specific kit being used (in this case, the TINY vial) is perceived as simple and reliable. CONCLUSIONS: This unique and rigorous research offers insights into participants' views on SSK interventions, offering key considerations when targeting this population.. Given the plethora of HIV testing options, our work demonstrates that those commissioning and delivering SSK interventions will need to clarify (for users and providers) how each kit type and intervention design adds value. Most significantly, these findings demonstrate that without a strong locus of control over their own circumstances and personal information, black African people are less likely to feel that they can pursue an HIV test that is safe and secure. Thus, where profound social inequalities persist, so will inequalities in HIV testing uptake - by any means.


Subject(s)
Black People/psychology , HIV Infections/ethnology , Mass Screening/methods , Patient Acceptance of Health Care/ethnology , Self Care , Specimen Handling/methods , Adolescent , Adult , Black People/statistics & numerical data , Feasibility Studies , Female , Focus Groups , HIV Infections/diagnosis , Humans , Male , Mass Screening/statistics & numerical data , Middle Aged , Qualitative Research , United Kingdom , Young Adult
3.
Curationis ; 31(2): 5-13, 2008 Jun.
Article in English | MEDLINE | ID: mdl-19006953

ABSTRACT

The purpose of the study was to identify factors contributing to low institutional deliveries in the Marondera District, Zimbabwe, among women who attended ante-natal clinics, in order to enhance the number of institutional deliveries. A quantitative descriptive survey, gathering data by conducting structured interviews with 80 women, was used in this study. All 80 women attended ante-natal clinics but 40 delivered at home and 40 delivered at an institution. The Health Belief Model (HBM) was used to contextualise the data. The research results indicated that factors that contributed to the low number of institutional deliveries included that women's minimal expectations of cleanliness and noninterference during labour and delivery could be met during home deliveries; institutional deliveries' costs included traveling expenses, losing family support and the inability to meet cultural expectations; women's lack of knowledge about danger signs of pregnancy; and women's negative perceptions of nurses working at the institution(s). The recommendations include reduced costs of institutional deliveries; allowing family members (especially the mother-in-law) to be present during institutional deliveries and to perform cultural rituals whenever possible. The nurses' attitudes and competence levels should be addressed through in-service education sessions and sustained follow-up evaluations, including evaluations by pregnant women.


Subject(s)
Delivery, Obstetric/nursing , Delivery, Obstetric/psychology , Home Childbirth/nursing , Home Childbirth/psychology , Obstetric Nursing , Adolescent , Adult , Child , Cross-Sectional Studies , Female , Humans , Nurse-Patient Relations , Patient Satisfaction , Pregnancy , Young Adult , Zimbabwe
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