Quality of care and HIV service utilization among key populations in Zambia: a qualitative comparative analysis among female sex workers, men who have sex with men and people who use drugs

AIDS Care ◽  
2018 ◽  
Vol 31 (4) ◽  
pp. 460-464 ◽  
Author(s):  
Nanlesta Pilgrim ◽  
Maurice Musheke ◽  
H. Fisher Raymond ◽  
Ryan Keating ◽  
John Mwale ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Comparative Analysis ◽  
Service Utilization ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Qualitative Comparative Analysis ◽  
People Who Use Drugs ◽  
Key Populations ◽  
Sex With Men

scholarly journals Individual and Organizational Conditions Leading to Quality of Care in Healthcare: A Fuzzy-Set Qualitative Comparative Analysis

Merits ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 71-86
Author(s):  
Tiago Gonçalves ◽  
Carla Curado
Keyword(s):  
Knowledge Management ◽  
Quality Of Care ◽  
Comparative Analysis ◽  
Ethical Leadership ◽  
Qualitative Comparative Analysis ◽  
University Hospital ◽  
Organizational Level ◽  
Management Systems ◽  
Individual Level

Quality of care is a complex performance measure of healthcare performance that considers the influence of several contributors. This study enlarges our understanding of how such influences occur. We analyze individual and organizational level characteristics that have a complex relationship with quality of care. We examine specific patterns that lead to both the presence and absence of quality of care using a fuzzy-set qualitative comparative analysis. Our data comes from an online survey of healthcare professionals from a Portuguese university hospital, namely nursing and medical professionals. Our results reveal that combinations of individual-level characteristics, such as the quality of social support among professional peers and the perceived robustness of social networks, contribute to perceptions of quality of care. In addition, the results indicate that combinations of organizational-level characteristics, such as the presence of ethical leadership and the awareness of knowledge management systems, also lead to perceptions of quality of care. The solutions leading to the presence and absence of quality of care are discussed. We conclude that managerial practices in the university hospital should foster informal communication and peer support, given how pervasive their influence is on quality of care, even in circumstances where ethical leadership and awareness of knowledge management systems are absent from the configurations. Additionally, we reveal combinations of both individual-level and organizational-level characteristics that generate the absence of such quality of care, and thus we alert managers for the need to fight such situations.

scholarly journals ‘Scared of going to the clinic’: Contextualising healthcare access for men who have sex with men, female sex workers and people who use drugs in two South African cities

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Zoe Duby ◽  
Busisiwe Nkosi ◽  
Andrew Scheibe ◽  
Ben Brown ◽  
Linda-Gail Bekker
Keyword(s):  
Health Services ◽  
South African ◽  
Sex Workers ◽  
Healthcare Workers ◽  
People Who Use Drugs ◽  
Key Populations ◽  
Community Members ◽  
African Cities ◽  
Sex With Men ◽  
South African Cities

Background: Men who have sex with men (MSM), sex workers (SW) and people who use drugs (PWUD) are at increased risk for HIV because of multiple socio-structural barriers and do not have adequate access to appropriate HIV prevention, diagnosis and treatment services.Objective: To examine the context of access to healthcare experienced by these three ‘Key Populations’, we conducted a qualitative study in two South African cities: Bloemfontein in the Free State province and Mafikeng in the North West province.Method: We carried out in-depth interviews to explore healthcare workers’ perceptions, beliefs and attitudes towards Key Populations. Focus group discussions were also conducted with members of Key Populations exploring their experiences of accessing healthcare.Results: Healthcare workers described their own attitudes towards Key Populations and demonstrated a lack of relevant knowledge, skills and training to manage the particular health needs and vulnerabilities facing Key Populations. Female SW, MSM and PWUD described their experiences of stigmatisation, and of being made to feel guilt, shame and a loss of dignity as a result of the discrimination by healthcare providers and other community. members. Our findings suggest that the uptake and effectiveness of health services amongst Key Populations in South Africa is limited by internalised stigma, reluctance to seek care, unwillingness to disclose risk behaviours to healthcare workers, combined with a lack of knowledge and understanding on the part of the broader community members, including healthcare workers.Conclusion: This research highlights the need to address the broader healthcare provision environment, improving alignment of policies and programming in order to strengthen provision of effective health services that people from Key Populations will be able to access.

scholarly journals High prevalence of pulmonary tuberculosis among female sex workers, men who have sex with men, and transgender women in Papua New Guinea

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Barne Willie ◽  
Avi J. Hakim ◽  
Steven G. Badman ◽  
Damian Weikum ◽  
Rebecca Narokobi ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Papua New Guinea ◽  
Sex Workers ◽  
Prevalence Rate ◽  
Female Sex Workers ◽  
New Guinea ◽  
Key Populations ◽  
Pulmonary Tb ◽  
Sex With Men ◽  
Port Moresby

Abstract Background Papua New Guinea (PNG) has a tuberculosis (TB) case notification rate of 333 cases per 100,000 population in 2016 and is one of the 14 countries classified by the World Health Organization (WHO) as “high-burden” for TB, multi-drug-resistant TB (MDR-TB), and TB/HIV. HIV epidemic is mixed with a higher prevalence among key populations, female sex workers (FSW), men who have sex with men (MSM), and transgender women (TGW). Methods We conducted a cross-sectional HIV biobehavioral survey (BBS) using respondent-driven sampling method among FSW, MSM, and TGW in Port Moresby, Lae, and Mt. Hagen (2016–2017). As part of the study, participants were screened for the four symptoms suggestive of TB infection using the WHO TB screening algorithm. Sputum and venous whole blood samples were collected and tested for pulmonary TB and HIV infection, respectively. Pulmonary TB testing was performed using GeneXpert®MTB/RIF molecular point-of-care test, and HIV testing was done following the PNG national HIV testing algorithm. All data discussed are weighted unless otherwise mentioned. Results Among FSW, 72.6%, 52.0%, and 52.9% in Port Moresby, Lae, and Mt. Hagen, respectively, experienced at least one symptom suggestive of TB infection. Among MSM and TGW, 69% and 52.6% in Port Moresby and Lae, respectively, experienced at least one symptom suggestive of TB infection. Based on GeneXpert®MTB/RIF results, the estimated TB prevalence rate among FSW was 1200, 700, and 200 per 100,000 in Port Moresby, Lae, and Mt. Hagen, respectively. Among MSM and TGW, the estimated TB prevalence rate was 1000 and 1200 per 100,000 in Port Moresby and Lae, respectively. Co-prevalence of TB/HIV among FSW was 0.1% in Port Moresby and 0.2% in Lae. There were no co-prevalent cases among FSW in Mt. Hagen or among MSM and TGW in Port Moresby and Lae. Conclusions Key populations have a higher estimated rate of pulmonary TB than the national rate of pulmonary and extra-pulmonary TB combined. This showed that screening key populations for TB should be integrated into HIV programs regardless of HIV status in PNG’s national TB response.

scholarly journals Overlapping Key Populations and HIV Transmission in Tijuana, Mexico: A Modelling Analysis of Epidemic Drivers

2021 ◽  
Author(s):  
Hannah Fraser ◽  
Annick Borquez ◽  
Jack Stone ◽  
Daniela Abramovitz ◽  
Kimberly C. Brouwer ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Transmission ◽  
Unprotected Sex ◽  
Transmission Model ◽  
Key Populations ◽  
Treatment Needs ◽  
Male Clients ◽  
Modelling Analysis ◽  
Sex With Men

AbstractTijuana, Mexico, has a concentrated HIV epidemic among overlapping key populations (KPs) including people who inject drugs (PWID), female sex workers (FSW), their male clients, and men who have sex with men (MSM). We developed a dynamic HIV transmission model among these KPs to determine the extent to which their unmet prevention and treatment needs is driving HIV transmission. Over 2020–2029 we estimated the proportion of new infections acquired in each KP, and the proportion due to their unprotected risk behaviours. We estimate that 43.7% and 55.3% of new infections are among MSM and PWID, respectively, with FSW and their clients making-up < 10% of new infections. Projections suggest 93.8% of new infections over 2020–2029 will be due to unprotected sex between MSM or unsafe injecting drug use. Prioritizing interventions addressing sexual and injecting risks among MSM and PWID are critical to controlling HIV in Tijuana.

HIV/AIDS among female sex workers, injecting drug users and men who have sex with men in Lebanon: results of the first biobehavioral surveys

AIDS ◽  
2010 ◽  
Vol 24 (Suppl 2) ◽  
pp. S45-S54 ◽  
Author(s):  
Ziyad Mahfoud ◽  
Rema Afifi ◽  
Sami Ramia ◽  
Danielle El Khoury ◽  
Kassem Kassak ◽  
...  
Keyword(s):  
Sex Workers ◽  
Drug Users ◽  
Female Sex Workers ◽  
Injecting Drug Users ◽  
Female Sex ◽  
Sex With Men ◽  
Hiv Aids

scholarly journals Understanding how distance to facility and quality of care affect maternal health service utilization in Kenya and Haiti: A comparative geographic information system study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Xing Gao ◽  
David Wayne Kelley
Keyword(s):  
Quality Of Care ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Geographic Information ◽  
Maternal Health Service ◽  
Rural Regions ◽  
Urban Regions

In 2000, the United Nations established eight Millennium Development Goals (MDG) to combat worldwide poverty, disease, and lack of primary education. Goal number five aimed to reduce the maternal mortality ratio by three quarters and provide universal access to reproductive healthcare services by 2015. While there has been some progress, MDG 5 fell far short of target goals, highlighting the necessity of further improvement in global maternal health. Using Geographic Information Systems (GIS), this study aims to understand how distance to facility and quality of care, which are components of access, affect maternal service utilization in two of the world’s poorest countries, Haiti and Kenya. Furthermore, this study examines how this relationship may change or hold between urban and rural regions. Data from the United States Agency for International Development Demographic and Health Survey and Service Provision Assessment were linked spatially in a GIS model, drawing comparisons among distance to facility, quality of care, and maternal health service utilization. Results show that in both rural and urban regions, access to maternal health service and maternal health service utilization share a similar spatial pattern. In urban regions, pockets of maternal health disparities exist despite close distance to facility and standard quality of care. In rural regions, there are areas with long distances to facilities and low quality of care, resulting in poor maternal service usage. This study highlights the usefulness of GIS as a tool to evaluate disparities in maternal healthcare provision and usage.

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