scholarly journals Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar

2021 ◽  
Vol 20 ◽  
pp. 232595822110559
Author(s):  
Ansley Lemons-Lyn ◽  
William Reidy ◽  
Wah Wah Myint ◽  
Khin N. Chan ◽  
Elaine Abrams ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Worker ◽  
Healthcare Workers ◽  
Structural Changes ◽  
Health Facilities ◽  
Key Populations ◽  
Structural Barriers ◽  
Hiv Services ◽  
Public Health Facilities ◽  
Key Population

Key populations, ie, female sex workers, men who have sex with men, transgender people, people who inject drugs, and people in prisons and other closed settings, experience stigma, discrimination, and structural barriers when accessing HIV prevention and care. Public health facilities in Myanmar became increasingly involved in HIV service delivery, leading to an urgent need for healthcare workers to provide client-centred, key population-friendly services. Between July 2017–June 2018, the Myanmar Ministry of Health and Sports and National AIDS Programme collaborated with ICAP at Columbia University and the US Centers for Disease Control and Prevention to implement a quasi-experimental, multicomponent intervention including healthcare worker sensitization training with pre- and post- knowledge assessments, healthcare worker and client satisfaction surveys, and structural changes. We observed modest improvements among healthcare workers (n = 50) in knowledge assessments. Classification of clients into key population groups increased and fewer clients were classified as low risk. Key population clients reported favourable perceptions of the quality and confidentiality of care through self-administered surveys. Our findings suggest public health facilities can deliver HIV services that are valued by key population clients.

scholarly journals SATISFACTION WITH USE OF PUBLIC HEALTH AND PEER LED FACILITIES FOR HIV PREVENTION SERVICES BY KEY POPULATIONS IN NIGERIA

2019 ◽  
Author(s):  
Bartholomew Ochonye ◽  
Morenike Oluwatoyin Folayan ◽  
Adesegun O Fatusi ◽  
Godwin Emmanuel ◽  
Tomi Adepoju ◽  
...  
Keyword(s):  
Public Health ◽  
Hiv Prevention ◽  
Service Providers ◽  
Health Facilities ◽  
Service Access ◽  
Key Populations ◽  
Public Health Facilities ◽  
Prevention Services ◽  
Barriers To Service ◽  
Barriers To Use

Abstract Background: The aim of the study was to identify the proportion of female sex workers, men who have sex with men, and people who inject drugs who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services, and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Methods: A mixed-method approach was used to collect data from key populations in the four states in Nigeria. Quantitative data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews and focus-group discussions were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analyses were was conducted for quantitative data. Qualitative data were summaried, emerging themes identified, described and quotes reflecting the themes corresponding to interview questions highlighted Results : Nine hundred sixty-seven persons responded to questions on the use of public health or/and peer-led facilities. Two hundred thirty-eight (49.4%) respondents had received HIV and sexual and reproductive health services through public health facilities, and 236 (48.7%) had received the services through peer-led facilities. Significantly more respondents were satisfied with the quality of services provided by peer-led organisations than with public health facilities with respect to service providers listening to respondent’s problems and concerns (p=0.007),privacy and confidentiality (p=0.04) and respect of rights of service recipients (p=0.04). Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p=0.003). More respondents using public health facilities than peer-led facilities identified cost of services (p=0.01), confidentiality (p=0.002), waiting time (p<0.01) and staff attitude (p=0.001) as barriers to service access. Thee was no difference in the proportion of respondents willing to discontinue their use of either facilities (p=0.08). Qualitative data revealed that concerns with access of services at the public health facility were due mainly to stigma and the effects of the same-sex prohibition law. Conclusion: Key populations were more satisfied receiving HIV prevention services at peer-led organisations than at public health facilities.

scholarly journals Satisfaction With Use Of Public Health And Peer-Led Facilities For Hiv Prevention Services By Key Populations In Nigeria

2019 ◽  
Author(s):  
Bartholomew Ochonye ◽  
Morenike Oluwatoyin Folayan ◽  
Adesegun O Fatusi ◽  
Godwin Emmanuel ◽  
Tomi Adepoju ◽  
...  
Keyword(s):  
Public Health ◽  
Hiv Prevention ◽  
Health Facilities ◽  
Service Access ◽  
Key Populations ◽  
Public Health Facilities ◽  
Prevention Services ◽  
Level Of Satisfaction ◽  
Barriers To Service ◽  
Barriers To Use

Abstract Objective: To identify the proportion of FSW, MSM and PWID who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Methods: A mixed method approach was used to collect data from key populations in four states in Nigeria. Data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews and focus group discussions were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analysis was conducted for quantitative data. A ground theory approach was used to analyse the qualitative data. Results : There were 482 and 485 respondents to the questions on use of public health and peer-led facilities. Of these, 49.4% and 48.7% had received HIV and sexual and reproductive health services through the public health and peer-led facilities respectively. Significantly more respondents were satisfied with the quality of services provided by peer led organisations than public health facilities. Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p=0.003). More respondents using public health facilities than peer led facilities identified cost of services (p=0.01), confidentiality (p=0.002), waiting time (p<0.01) and staff attitude (p=0.001) as barriers to service access. There was no difference in the proportion of respondents willing to discontinue their use of either facilities (p=0.08). Qualitative data showed that concerns about access of services at the public health facility were related to healthcare worker discrimination and fear of being arrested due to the enacted same-sex prohibition law in Nigeria. Conclusion: Key populations had better satisfaction receiving HIV prevention services at peer led organisations than at public health facilities.

scholarly journals Satisfaction with use of public health and peer-led facilities for HIV prevention services by key populations in Nigeria

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Bartholomew Ochonye ◽  
Morenike Oluwatoyin Folayan ◽  
Adesegun O. Fatusi ◽  
Godwin Emmanuel ◽  
Oluwatomi Adepoju ◽  
...  
Keyword(s):  
Public Health ◽  
Hiv Prevention ◽  
Service Providers ◽  
Health Facilities ◽  
Service Access ◽  
Key Populations ◽  
Public Health Facilities ◽  
Prevention Services ◽  
Barriers To Service ◽  
Barriers To Use

Abstract Background The aim of the study was to identify the proportion of female sex workers, men who have sex with men, and people who inject drugs who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services, and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Methods A mixed-method approach was used to collect data from key populations in the four states in Nigeria. Quantitative data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews and focus-group discussions were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analyses were was conducted for quantitative data. Qualitative data were summaried, emerging themes identified, described and quotes reflecting the themes corresponding to interview questions highlighted. Results Nine hundred sixty-seven persons responded to questions on the use of public health or/and peer-led facilities. Two hundred thirty-eight (49.4%) respondents had received HIV and sexual and reproductive health services through public health facilities, and 236 (48.7%) had received the services through peer-led facilities. Significantly more respondents were satisfied with the quality of services provided by peer-led organisations than with public health facilities with respect to service providers listening to respondent’s problems and concerns (p = 0.007),privacy and confidentiality (p = 0.04) and respect of rights of service recipients (p = 0.04). Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p = 0.003). More respondents using public health facilities than peer-led facilities identified cost of services (p = 0.01), confidentiality (p = 0.002), waiting time (p < 0.01) and staff attitude (p = 0.001) as barriers to service access. Thee was no difference in the proportion of respondents willing to discontinue their use of either facilities (p = 0.08). Qualitative data revealed that concerns with access of services at the public health facility were due mainly to stigma and the effects of the same-sex prohibition law. Conclusion Key populations were more satisfied receiving HIV prevention services at peer-led organisations than at public health facilities.

scholarly journals Preparedness for Ebola amongst healthcare workers in public health facilities in Nairobi city county, Kenya

2021 ◽  
Author(s):  
Elyas M. Ali ◽  
Andre Yitambe ◽  
George O. Otieno ◽  
Peter Lokamar ◽  
Kemunto . ◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
Organizational Support ◽  
Perceived Risk ◽  
Risk Perceptions ◽  
Healthcare Workers ◽  
Virus Disease ◽  
Health Facilities ◽  
Cross Sectional ◽  
Public Health Facilities

Background: The most devastating epidemic of Ebola virus disease (EVD) in Guinea Bissau, Sierra Leone and Liberia in 2014-2021 caused over 11,000 deaths prompting WHO to declare it a public health emergency of international concern. Kenya on its part heightened preparatory measures in eight high-risk counties and at the nationally manned facilities such as Kenyatta national hospital. However, little attention was given to the healthcare workers in periphery public health facilities in high-risk Nairobi-county. This study identified socio-demographic characteristics, risk perceptions and organizational support for health care workers (HCWs) associated with Ebola preparedness in Nairobi-county.Methods: A cross-sectional analytical design and Fisher's with finite correction formula for population <10000 were adopted to sample 165 HCWs performing non-administrative roles from eight health facilities in Kibra. Public health facilities stratified into level 2, 3, 4 strata before subjecting to probability proportionate to size to get the required number from respective cadres. Simple random sampling was used to sample within respective cadres. Qualitative and quantitative data collected and entered in SPSS version 23. Chi-square test used to establish associationsResults: A significant majority (66%) of the HCWs felt unprepared for Ebola. Age and professional cadre found to be significant predictors (p=0.001). HCWs with low perceived risk established to be more prepared for Ebola (χ2=6.854, df=1, p=0.009). Access to hand sanitizers, pairs of gloves, sharing Ebola briefs and preparedness plan contents were established to be associated with preparedness.Conclusions: Socio-demographic, risk perceptions and organizational support for HCWs were established to be associated with Ebola preparedness. 

scholarly journals Knowledge, attitude and practice toward COVID-19 among healthcare workers in public health facilities, Eastern Ethiopia

2021 ◽  
Author(s):  
Alinoor Mohamed Farah ◽  
Tahir Yousuf Nour ◽  
Muse Obsiye ◽  
Mowlid Aqil Adan ◽  
Omar Moeline Ali ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Health Facilities ◽  
Attitude Score ◽  
Eastern Ethiopia ◽  
Public Health Facilities ◽  
Attitude And Practice ◽  
The Mean ◽  
The Relationship ◽  
Knowledge Attitude And Practice

AbstractOn 13 March 2020, Ethiopia reported the first confirmed case of COVID-19 in Addis Ababa. COVID-19 is likely to overwhelm an already fragile health-care delivery system and reduce the availability of services for endemic health concerns such as malaria and diarrheal diseases.Cross sectional study was conducted on heath care workers in three public health facilities in Somali region to assess knowledge, attitude and practice towards COVID-19. T-test and ANOVA were used to analyze the relationship between the dependent, and independent variables. Spearman’s correlation was used to assess the relationship between mean knowledge and attitude scores.A vast majority of the participants were male (n = 293, 67.5%), with a mean age of 27.6 (SD: 5.3) years. The mean knowledge score was 13.7 (SD: 2.6) and the mean attitude score 10.5 (SD: 4.1). Only 45.2 % (n = 196) of the participants had a good attitude toward COVID-19. There was a negative correlation between knowledge scores, attitude scores (r=-0.295, P<0.001) and practice (r=-0.298, P<0.001).The overall level of knowledge was good. However, the attitude and practice were relatively low. We recommend strategies for enhancing the capacity of healthcare workers to develop positive attitude and practice.

scholarly journals Satisfaction With Use Of Public Health And Peer Led Facilities For HIV Prevention Services By Key Populations In Nigeria

2019 ◽  
Author(s):  
Bartholomew Ochonye ◽  
Morenike Oluwatoyin Folayan ◽  
Adesegun O Fatusi ◽  
Godwin Emmanuel ◽  
Tomi Adepoju ◽  
...  
Keyword(s):  
Public Health ◽  
Hiv Prevention ◽  
Health Facilities ◽  
Service Access ◽  
Key Populations ◽  
Public Health Facilities ◽  
Prevention Services ◽  
Level Of Satisfaction ◽  
Barriers To Service ◽  
Barriers To Use

Abstract Background To identify the proportion of FSW, MSM and PWID who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Settings Four states in Nigeria Methods A mixed method approach was used to collect data from key populations in four states in Nigeria. Data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analysis was conducted for quantitative data. Results 49.4% of the 482 respondents, and 48.7% of the 485 respondents to the question, had received HIV and sexual and reproductive health services through the public health and peer-led facilities respectively. Significantly more respondents were satisfied with the quality of services provided by peer led organisations than public health facilities. Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p=0.003). More respondents using public health facilities than peer led facilities identified cost of services (p=0.01), confidentiality (p=0.002), waiting time (p<0.01) and staff attitude (p=0.001) as barriers to service access. There was no difference in the proportion of respondents willing to discontinue their use of either facilities (p=0.08). Conclusion Key populations had better satisfaction receiving HIV prevention services at peer led organisations than at public health facilities.

scholarly journals Satisfaction With Use Of Public Health And Peer-Led Facilities For Hiv Prevention Services By Key Populations In Nigeria

2019 ◽  
Author(s):  
Bartholomew Ochonye ◽  
Morenike Oluwatoyin Folayan ◽  
Adesegun O Fatusi ◽  
Godwin Emmanuel ◽  
Tomi Adepoju ◽  
...  
Keyword(s):  
Public Health ◽  
Hiv Prevention ◽  
Service Providers ◽  
Health Facilities ◽  
Service Access ◽  
Key Populations ◽  
Public Health Facilities ◽  
Prevention Services ◽  
Barriers To Service ◽  
Barriers To Use

Abstract Background: The aim of the study was to identify the proportion of female sex workers, men who have sex with men, and people who inject drugs who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services, and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Methods: A mixed-method approach was used to collect data from key populations in the four states in Nigeria. Quantitative data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews and focus-group discussions were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analyses were was conducted for quantitative data. Qualitative data were summaried, emerging themes identified, described and quotes reflecting the themes corresponding to interview questions highlighted Results: Nine hundred sixty-seven persons responded to questions on the use of public health or/and peer-led facilities. Two hundred thirty-eight (49.4%) respondents had received HIV and sexual and reproductive health services through public health facilities, and 236 (48.7%) had received the services through peer-led facilities. Significantly more respondents were satisfied with the quality of services provided by peer-led organisations than with public health facilities with respect to service providers listening to respondent’s problems and concerns (p=0.007),privacy and confidentiality (p=0.04) and respect of rights of service recipients (p=0.04). Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p=0.003). More respondents using public health facilities than peer-led facilities identified cost of services (p=0.01), confidentiality (p=0.002), waiting time (p<0.01) and staff attitude (p=0.001) as barriers to service access. Thee was no difference in the proportion of respondents willing to discontinue their use of either facilities (p=0.08). Qualitative data revealed that concerns with access of services at the public health facility were due mainly to stigma and the effects of the same-sex prohibition law. Conclusion: Key populations were more satisfied receiving HIV prevention services at peer-led organisations than at public health facilities.

Knowledge, attitude and practice toward COVID-19 among healthcare workers in public health facilities, Eastern Ethiopia. (Preprint)

2021 ◽  
Author(s):  
Alinoor Mohamed ◽  
Tahir Yousuf Nour ◽  
Muse Obsiye ◽  
Mowlid Aqil Adan ◽  
Omar Moeline Ali ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Health Workers ◽  
Health Facilities ◽  
Eastern Ethiopia ◽  
Public Health Facilities ◽  
Attitude And Practice ◽  
The Mean ◽  
The Relationship ◽  
Knowledge Attitude And Practice

BACKGROUND On 13 March 2020, Ethiopia reported the first confirmed case of COVID-19 in Addis Ababa. COVID-19 is likely to overwhelm an already fragile health- care delivery system and reduce the availability of services for endemic health concerns such as malaria and diarrheal diseases. This analysis of data from Somali region of Eastern Ethiopia on health workers knowledge, attitude and practice towards the prevention and control of COVID-19 may be used in planning health education programs about the emerging viral disease. OBJECTIVE This study is aimed to investigate the knowledge, attitude and practice of health workers towards COVID-19 infection METHODS Cross sectional study was conducted on health care workers in three public health facilities in Somali region, Eastern Ethiopia. A questionnaire with 43 questions was shared to the all health workers working at the public health facilities. Knowledge and practice questions were scored as 1 or 0 for correct and incorrect responses, respectively. Whereas, attitude responses were provided with 1, 2, 3, 4 or 5 for “Strongly Agree, “Agree”, “Neutral”, “Disagree” and “Strongly Disagree”, respectively. Mean scores were calculated and used as a cut point to dichotomize the outcome variables. T-test and ANOVA were used to analyze the relationship between the dependent, and independent variables. Spearman’s correlation was used to assess the relationship between mean knowledge and attitude scores. RESULTS Of the 686 HCWs approached, total of 434 HCWs responded (response rate = 63%). A vast majority of the participants were male (n = 293, 67.5%), with a mean age of 27.6 (SD: 5.3) years. The mean knowledge score was 13.7 (SD: 2.6). Almost ninety percent (n = 381) of the participants scored 12 or more and were considered to have sufficient knowledge. The mean attitude score 10.5 (SD: 4.1). Overall, there was poor attitude among HCWs toward COVID-19. Only 45.2 % (n = 196) of the participants had a good attitude toward COVID-19. There was a negative correlation between knowledge scores, attitude scores (r=-0.295, P<0.001) and practice (r=-0.298, P<0.001). CONCLUSIONS The overall level of knowledge was good. However, the attitude and practice were relatively low. We recommend strategies for enhancing the capacity of healthcare workers to develop positive attitude and practice.

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