scholarly journals Avaliação familiar de mulheres transexuais com hiv/aids à luz do modelo Calgary

2018 ◽  
Vol 12 (3) ◽  
pp. 801
Author(s):  
Ana Carolina Paiva Ferreira ◽  
Ednaldo Cavalcante De Araújo ◽  
Paula Daniella De Abreu ◽  
Eliane Maria Ribeiro De Vasconcelos ◽  
Karolline De Souza Leão Valença ◽  
...  
Keyword(s):  
Health Promotion ◽  
Young Women ◽  
Individual Interviews ◽  
Software Interface ◽  
Transgender Persons ◽  
Reference Hospital ◽  
Comprehensive Health ◽  
Qualitative Descriptive ◽  
Las Mujeres ◽  
Hiv Aids

RESUMOObjetivo: analisar a organização da família de mulheres jovens transexuais, com HIV/AIDS à luz do Modelo Calgary. Método: pesquisa qualitativa, descritiva, exploratória. A população do estudo será composta por mulheres transexuais, jovens, tendo por cenário um ambulatório de HIV/AIDS de um hospital de referência. A coleta de dados será por intermédio de entrevistas individuais, a partir de um roteiro semiestruturado contendo questões pertinentes aos objetivos do estudo. As entrevistas serão submetidas à análise no software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) versão 0.7 e software Genoprol para visualização gráfica da estrutura e relações familiares. Resultados esperados: contribuir com a atenção integral a saúde das mulheres transexuais, além de oferecer embasamento para a prática de promoção da saúde no âmbito da Enfermagem. Descritores: Pessoas Transgênero; HIV; Assistência Integral à Saúde; Promoção da Saúde; Saúde Pública; Enfermagem.ABSTRACT Objective: To analyze the organization of the family of transsexual young women with HIV/AIDS in the light of the Calgary model. Method: It is a qualitative, descriptive and exploratory survey. The study population is composed of transsexual young women, having by scenario an outpatient clinic for the treatment of HIV/AIDS patients in a reference hospital. The data collection will be through individual interviews, from a structured guide containing issues relevant to the objectives of the study. The interviews will be subjected to analysis in the R Interface software pour les Analyses do Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) version 0.7 and Genoprol software for graphics structure visualization and family kinship. Expected results: To contribute to the integral attention to health of transsexual women and provide support for health promotion in the field of nursing. Descriptors: Transgender Persons; HIV; Comprehensive Health Care; Health Promotion; Public Health; Nursing.RESUMEN Objetivo: Analizar la organización de la familia de las mujeres jóvenes transexuales con VIH/SIDA, a la luz del modelo de Calgary. Método: Estudio del tipo cualitativo, descriptivo y exploratorio. La población del estudio estará compuesta por jóvenes mujeres transexuales, teniendo por escenario una clínica ambulatoria para el tratamiento de pacientes con VIH/SIDA en un hospital de referencia. La recolección de datos será a través de entrevistas individuales, a partir de un plan de acción estructurado que contiene las cuestiones pertinentes a los objetivos del estudio. Las entrevistas estarán sujetas a análisis en la interfaz de software para R pour les Analyzes do Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) versión 0.7 y software Genoprol para la estructura gráfica, la visualización y el parentesco. Resultados esperados: Contribuyen a la atención integral a la salud de las mujeres transexuales y brindan apoyo para la promoción de la salud en el campo de la enfermería. Descriptores: Personas Transgénero; VIH; Atención Integral de Salud; Promoción de la Salud; Salud Pública; Enfermería.

scholarly journals Atuação da rede social na saúde integral de mulheres jovens transexuais com hiv/aids

2018 ◽  
Vol 12 (3) ◽  
pp. 820
Author(s):  
Karolline De Souza Leão Valença ◽  
Ednaldo Cavalcante De Araújo ◽  
Paula Daniella De Abreu ◽  
Eliane Maria Ribeiro De Vasconcelos ◽  
Ana Carolina Paiva Ferreira ◽  
...  
Keyword(s):  
Disease Process ◽  
Redes Sociales ◽  
Individual Interviews ◽  
Software Interface ◽  
Transgender Persons ◽  
Reference Hospital ◽  
Comprehensive Health ◽  
Apoyo Social ◽  
Las Mujeres ◽  
Hiv Aids

RESUMOObjetivo: analisar a influência das redes sociais no processo saúde/doença de mulheres jovens transexuais com HIV/aids. Método: pesquisa qualitativa, descritiva, exploratória. A população do estudo será composta por mulheres transexuais, jovens, tendo por cenário um ambulatório de HIV/aids de um hospital referência localizado no município de Recife, Pernambuco. A coleta de dados ocorrerá com entrevistas individuais, a partir de um roteiro semiestruturado contendo questões pertinentes aos objetivos do estudo e serão analisadas com o auxílio do software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) versão 0.7.  Resultados esperados: contribuir com a atenção integral a saúde das mulheres transexuais, a partir da avalição dos relacionamentos e vínculos familiares, a fim de subsidiar práticas voltadas para promoção da saúde, prevenção de agravos e para o desenvolvimento de tecnologias de Educação em Saúde no âmbito da Enfermagem nos diversos cenários sociais. Descritores: Rede Social; Apoio Social; HIV; Pessoas Transgênero; Assistência Integral à Saúde; Promoção da Saúde. ABSTRACTObjective: to analyze the influence of the social networks in the health/disease process of young transsexual women with HIV/AIDS. Method: it is a qualitative, descriptive and exploratory survey. The study population is composed of transsexual young women, having as scenario an outpatient clinic for treatment of HIV/AIDS patients in a reference hospital located in the city of Recife, Pernambuco. The data collection will occur with individual interviews from a structured guide containing issues relevant to the objectives of the study and will be analyzed with the aid of the software interface of R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) version 0.7. Expected results: to contribute to the integral health of transsexual women from the evaluation of relationships and family ties, in order to subsidise practices turned to health promotion, prevention of diseases and for the development of technologies for health education in the nursing context in the various social scenarios. Descriptors: Social Networking; Social Support; HIV; Transgender Persons; Comprehensive Health Care; Health Promotion.RESUMENObjetivo: analizar la influencia de las redes sociales en el proceso salud-enfermedad de las mujeres jóvenes de las personas transexuales con VIH/SIDA. Método: estudio de tipo cualitativo, descriptivo, exploratorio. La población de estudio se compuso de transexuales, mujeres jóvenes, tener por escenario una clínica ambulatoria para el tratamiento de pacientes con VIH/SIDA en un hospital de referencia ubicado en la ciudad de Recife, Pernambuco. La recopilación de datos se producirá con entrevistas individuales a partir de un plan de acción estructurado que contiene las cuestiones pertinentes a los objetivos del estudio y se analizará con la ayuda del software de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) versión 0.7. Resultados esperados: contribuir a la salud integral de la mujer transexual, desde la evaluación de las relaciones y vínculos familiares, a fin de subvencionar las prácticas orientadas hacia la promoción de la salud, prevención de enfermedades y para el desarrollo de tecnologías para la educación para la salud en el contexto de la enfermería en los diversos escenarios sociales. Descriptores: Red Social; Apoyo Social; VIH; Personas Transgénero; Asistencia Integral a la Salud; Promoción de la Salud.

scholarly journals Representações sociais de mulheres transexuais sobre o hiv/aids

2018 ◽  
Vol 12 (3) ◽  
pp. 805
Author(s):  
Paula Daniella de Abreu ◽  
Ednaldo Cavalcante De Araújo ◽  
Eliane Maria Ribeiro De Vasconcelos
Keyword(s):  
Social Representations ◽  
Social Representation ◽  
Structured Interviews ◽  
Preventive Behaviors ◽  
Transgender Persons ◽  
The Social ◽  
Reference Hospital ◽  
Las Mujeres ◽  
Immunodeficiency Syndrome ◽  
Hiv Aids

RESUMOObjetivo: identificar as representações sociais de mulheres transexuais jovens, acometidas por HIV/aids, na construção das condutas preventivas. Método: estudo qualitativo, descritivo, exploratório. A população será composta por mulheres transexuais. O cenário do estudo será um hospital de referência para pessoas com HIV/Aids, localizado na cidade do Recife (PE), Brasil. Para a produção dos dados serão realizadas entrevistas semiestruturadas, que serão analisadas com o auxílio do software Iramuteq. Resultados esperados: as mulheres transexuais vivenciam contexto de vulnerabilidade ao HIV/aids resultante da exclusão social, marginalização e estigma. Neste contexto a representação social está associada a ideia de morte desmerecedora, intenções e possibilidades subjacentes às condutas preventivas. Descritores: Teoria Social; Educação em Saúde; Pessoas Transgênero; HIV; Síndrome da Imunodeficiência Adquirida; Enfermagem.ABSTRACT Objective: to identify the social representations of transsexual women, young people affected by HIV/aids, in the construction of preventive behaviors. Method: a qualitative study, descriptive, exploratory. The population will consist of transsexual women. The scenario of the study will be a reference hospital for people with HIV/Aids, located in the city of Recife (PE), Brazil. For the production of data will be conducted semi-structured interviews, which will be analyzed with the aid of the software Iramuteq. Expected results: transsexual women experience context of vulnerability to HIV/AIDS resulting from social exclusion, marginalisation and stigma. In this context the social representation is associated with the idea of death without deserving, intentions and possibilities underlying the preventive behaviors. Descriptors: Social Theory; Transgender Persons; Health Education; HIV; Acquired Immunodeficiency Syndrome; Nursing.  RESUMEN Objetivo: identificar las representaciones sociales de las mujeres transexuales, jóvenes afectados por el VIH/SIDA, en la construcción de conductas preventivas. Método: un estudio cualitativo, descriptivo, exploratorio. La población estará compuesta de mujeres transexuales. El escenario del estudio será un hospital de referencia para las personas con VIH/SIDA, ubicado en la ciudad de Recife (PE), Brasil. Para la producción de los datos se realizaron entrevistas semi-estructuradas, que serán analizadas con la ayuda del software Iramuteq. Resultados esperados: la experiencia de las mujeres transexuales contexto de vulnerabilidad al VIH/sida resultante de la exclusión social, la marginación y la estigmatización. En este contexto la representación social está asociada con la idea de la muerte desmerecedora, intenciones y posibilidades subyacentes a los comportamientos preventivos. Descriptores: Teoría Social; Personas Transgénero; Educación en Salud; VIH; Síndrome de Inmunodeficiencia Adquirida; Enfermería.

scholarly journals TRANSEXUAL “WOMANHOOD” AND THE EMERGENCE OF TRANSFEMINISM: RHETORICS OF HIV/AIDS IN THE LIGHT OF THE QUEER THEORY

2019 ◽  
Vol 28 ◽  
Author(s):  
Paula Daniella de Abreu ◽  
Ednaldo Cavalcante de Araújo ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Jefferson Wildes da Silva Moura ◽  
Josueida de Carvalho Sousa ◽  
...  
Keyword(s):  
Queer Theory ◽  
Analysis Method ◽  
Healthy Life ◽  
Aids Epidemic ◽  
The Social ◽  
Reference Hospital ◽  
History Of ◽  
Qualitative Descriptive ◽  
Imminent Risk ◽  
Hiv Aids

ABSTRACT Objective: to analyze the female transsexual identity and the emergence of transfeminism through the context of vulnerability to HIV / AIDS in light of the Queer Theory. Method: a qualitative, descriptive, exploratory study based on the Queer Theory, carried out in a reference hospital for HIV/AIDS in the State of Pernambuco (Brazil), developed with six young transsexual women. The interviews were analyzed in the IRaMuTeQ software via the similarity analysis method. Results: the relation of male domination through the subordination of the transsexual woman, which originates in the binary, sexist and male chauvinistic heteronormative model, is emphasized. The context of vulnerability to HIV / AIDS is evidenced as a naturalized phenomenon of violence to the young "queer" woman, especially with precarious living conditions, history of family rejection, sexual violence and informal prostitution work. Lack of support from the social network and the imminent risk of transphobic violence result in damage to their physical and mental integrity. The following categories were observed: Emergence of transfeminism through symbolic violence and female transsexual identity and the context of vulnerability. Conclusion: the social impacts of the minimal state policy, social class cohesion (binarism, sexism, racism and male chauvinism), unequal social capital and culture of abjection of transsexual women reflect the context of the HIV / AIDS epidemic and inequalities that result in individual, contextual and programmatic vulnerability and in factors which limit the attainment of a healthy life.

scholarly journals Vulnerability in the health of young transgender women living with HIV/AIDS

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Rafaela Greice da Silva ◽  
Paula Daniella de Abreu ◽  
Ednaldo Cavalcante de Araújo ◽  
Alef Diogo da Silva Santana ◽  
Josueida de Carvalho Sousa ◽  
...  
Keyword(s):  
Young Female ◽  
Transgender Women ◽  
Social Representation ◽  
Social Dimension ◽  
Individual Interviews ◽  
Women Living With Hiv ◽  
Reference Hospital ◽  
The Individual ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objectives: to analyze the health vulnerability of young female transgender living with HIV/AIDS. Methods: qualitative, descriptive, and exploratory study, based on the theoretical reference of Social Representation and concept of vulnerability; developed with six transgender women in a reference Hospital for HIV/AIDS. We analyzed the individual interviews, recorded, and transcribed in full, in the IRaMuTeQ software by Similitude Analysis. Results: the thematic categories are listed based on the Ayres reference: 1) Individual dimension of vulnerability to HIV/AIDS; 2) Social dimension of vulnerability to HIV/AIDS; 3) Programmatic dimension of the vulnerability. Final Considerations: the young female transsexual living with HIV/AIDS experience a context of vulnerability in health associated with a lack of knowledge and difficulties for the realization of self-care. The study evidenced the representations of social abjection and unpreparedness of the health team that compose the Primary Attention in Health in promoting qualified assistance for the execution of the effective and humanized care.

scholarly journals Visita domiciliar no pré-natal: expectativas de gestantes de alto risco

2020 ◽  
Vol 14 ◽  
Author(s):  
Leticia De Oliveira Castro ◽  
Bruna Felisberto De Souza ◽  
Bruna De Souza Lima Marski ◽  
Maria Emília Pereira Lopes ◽  
Paula Renata Miranda Dos Santos ◽  
...  
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Health Professionals ◽  
Home Visit ◽  
Individual Interviews ◽  
Risk Pregnancy ◽  
Analysis Technique ◽  
Comprehensive Health ◽  
Las Mujeres

Objetivo: analisar as expectativas de gestantes de alto risco acerca da visita domiciliar enquanto parte do pré-natal. Método: trata-se de um estudo qualitativo, descritivo, desenvolvido sob o referencial do Interacionismo Simbólico. Realizou-se a coleta de dados com dez gestantes de alto risco, por meio de entrevistas individuais gravadas em dispositivo de áudio digital, transcrevendo-as posteriormente em sua íntegra. Sofreram-se, pelo texto derivado da transcrição, os processos analíticos da técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: elucida-se que as expectativas são de poder dialogar com profissionais de saúde as necessidades não correspondidas nas práticas de pré-natal. Elencaram-se duas categorias temáticas: << Diálogo continuado com profissional de saúde >> e << Acolhimento informacional >>, que apresentam os pormenores. Conclusão: infere-se que o estudo dá visibilidade às insuficiências relacionais nas práticas de pré-natal a gestantes de alto risco e revela-se a prospecção dessas mulheres em ser a visita domiciliar contraponto a tal lacuna. Descritores: Visita Domiciliar; Gravidez de Alto Risco; Cuidado Pré-Natal; Pesquisa Qualitativa; Relações Profissional-Paciente; Integralidade em Saúde.AbstractObjective: to analyze the expectations of high-risk pregnant women regarding home visits as part of prenatal care. Method: this is a qualitative, descriptive study, developed under the framework of Symbolic Interactionism. Data collection was carried out with ten high-risk pregnant women, through individual interviews recorded on a digital audio device, later transcribing them in their entirety. Due to the text derived from the transcription, the analytical processes of the Content Analysis technique under the Thematic Analysis modality were suffered. Results: it is clarified that the expectations are to be able to dialogue with health professionals about the unmet needs in prenatal practices. Two thematic categories were listed: << Continued dialogue with health professionals >> and << Informational reception >>, which present the details. Conclusion: it is inferred that the study gives visibility to relational insufficiencies in prenatal practices to high-risk pregnant women and reveals the prospect of these women to be the home visit counterpoint to this gap. Descriptors: Home Visit; High-Risk Pregnancy; Prenatal Care; Qualitative Research; Professional Patient Relationships; Comprehensive Health Care.ResumenObjetivo: analizar las expectativas de las mujeres embarazadas de alto riesgo con respecto a las visitas domiciliarias como parte de la atención prenatal. Método: es un estudio cualitativo, descriptivo, desarrollado en el marco del Interaccionismo Simbólico. La recopilación de datos se realizó con diez mujeres embarazadas de alto riesgo, a través de entrevistas individuales grabadas en un dispositivo de audio digital, que luego se transcribieron en su totalidad. Debido al texto derivado de la transcripción, se sufrieron los procesos analíticos de la técnica de Análisis de Contenido bajo la modalidad de Análisis Temático. Resultados: se aclara que las expectativas son poder dialogar con profesionales de la salud sobre las necesidades no satisfechas en las prácticas prenatales. Se enumeraron dos categorías temáticas: << Diálogo continuo con profesionales de la salud >> y << Recepción informativa >>, que presentan los detalles. Conclusión: se infiere que el estudio da visibilidad a las insuficiencias relacionales en las prácticas prenatales para mujeres embarazadas de alto riesgo y revela la posibilidad de que estas mujeres sean el contrapunto de visitas domiciliarias a esta brecha. Descriptores: Visita Domiciliaria; Embarazo de Alto Riesgo; Atención Prenatal; Investigación Cualitativa; Relaciones Profesional-Paciente; Integralidad en Salud.

scholarly journals Mulheres em situação de violência: (re) pensando a escuta, vínculo e visita

2018 ◽  
Vol 12 (1) ◽  
pp. 265
Author(s):  
Eliana Daniela Heisler ◽  
Ethel Bastos da Silva ◽  
Marta Cocco da Costa ◽  
Jaqueline Arboit ◽  
Fernanda Honnef ◽  
...  
Keyword(s):  
Violence Against Women ◽  
Family Health ◽  
Home Visits ◽  
Comprehensive Health Care ◽  
Daily Work ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Comprehensive Health ◽  
Qualitative Descriptive ◽  
Las Mujeres

RESUMOObjetivo: relatar a experiência de ações educativas de uma pesquisa participante com profissionais da Estratégia Saúde da Família. Método: estudo qualitativo, descritivo, do tipo relato de experiência, desenvolvido a partir de uma pesquisa participante na qual foram realizadas oito oficinas pedagógicas com profissionais de saúde a fim de (re)pensar a escuta, o vínculo e a visita domiciliar às mulheres em situação de violência. Adotou-se o referencial da educação problematizadora, aplicado mediante o arco de Charles Maguerez. Resultados: as ações educativas possibilitaram aos participantes refletir e discutir sobre as práticas de escuta, vínculo e visita domiciliar às mulheres em situação de violência, como também buscar conhecimento para qualificá-las e aplicá-lo em seu cotidiano de trabalho. Conclusão: por meio de um processo de ação - reflexão - ação, os profissionais puderam aprimorar tais práticas ao longo da realização da pesquisa participante. Descritores: Violência Contra a Mulher; Saúde da Mulher; Aprendizagem Baseada em Problemas; Estratégia Saúde da Família; Assistência Integral à Saúde; Enfermagem.ABSTRACTObjective: to report the experience of educational actions developed in a participant research with Family Health Strategy professionals. Method: qualitative, descriptive study, of the experience report type, developed from a participatory research in which eight pedagogical workshops were carried out with health professionals, in order to (re)think the listening, bonding and home visits of women in situations of violence. The problematizing education framework was adopted and applied through the Charles Maguerez arc. Results: the educational actions allowed the participants to reflect and discuss the practices of listening, bonding and home visits of women in situations of violence, seeking knowledge to qualify them and applying this knowledge in their daily work. Conclusion: Through a process of action - reflection - action, the professionals were able to improve these practices throughout the accomplishment of the participant research. Descriptors:  Violence Against Women; Women's Health; Problem-Based Learning; Family Health Strategy; Comprehensive Health Care; Nursing.RESUMENObjetivo: relatar la experiencia de acciones educativas de una investigación participante con profesionales de la Estrategia Salud de la Familia. Método: estudio cualitativo, descriptivo, del tipo relato de experiencia, desarrollado a partir de una investigación participante en la cual fueron realizados ocho talleres pedagógicos con profesionales de salud para (re)pensar la escucha, el vínculo y la visita domiciliaria a las mujeres en situación de violencia. Se adoptó el referencial de la educación problematizadora, aplicado mediante el arco de Charles Maguerez. Resultados: las acciones educativas posibilitaron a los participantes reflexionar y discutir sobre las prácticas de escucha, vínculo y visita domiciliaria a las mujeres en situación de violencia, como también buscar conocimiento para cualificarlas y aplicarlas en su cotidiano de trabajo. Conclusión: por medio de un proceso de acción - reflexión - acción, los profesionales pudieron mejorar tales prácticas a lo largo de la realización de la investigación participante. Descriptores: Violencia contra la Mujer; Salud de la Mujer; Aprendizaje Basado en Problemas; Estrategia de Salud Familiar; Atención Integral de Salud; Enfermería.

scholarly journals Dynamics of the social network of young female transsexuals that live and deal with HIV/AIDS

2019 ◽  
Vol 72 (5) ◽  
pp. 1251-1257 ◽  
Author(s):  
Paula Daniella de Abreu ◽  
Ednaldo Cavalcante de Araújo ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Vânia Pinheiro Ramos ◽  
Jefferson Wildes da Silva Moura ◽  
...  
Keyword(s):  
Social Network ◽  
Young Female ◽  
Social Network Theory ◽  
Social Challenges ◽  
Individual Interviews ◽  
The Social ◽  
Reference Hospital ◽  
Secondary Networks ◽  
Hiv Aids

ABSTRACT Objective: to analyze the social network of young female transsexuals who live with HIV/AIDS. Method: descriptive and exploratory study of qualitative approach, based on the Social Network Theory, developed in a Brazilian reference hospital for HIV/AIDS, with six transsexual women. Individual interviews were recorded and transcribed, and the data were subjected to analysis of similarities through the software program IRaMuTeQ. Results: the categories observed were: 1) dynamics of primary social network and social challenges; 2) dynamics of secondary social network and the institutional prejudice. Final considerations: the dynamics of the social network is based on the lack of support of primary and secondary networks, and the containment process limits the reach of quality of life and social emancipation. To deal with this theme will provide the visibility of young female transsexuals in confronting vulnerabilities and guaranteeing human rights.

Healthcare Utilization, Unmet Service Needs, and Medication Adherence Among People Living with HIV/AIDS

2020 ◽  
Vol 18 (6) ◽  
pp. 436-442
Author(s):  
Xiangjun Zhang ◽  
Roy F. Oman ◽  
Trudy A. Larson ◽  
Elizabeth J. Christiansen ◽  
Michelle L. Granner ◽  
...  
Keyword(s):  
Health Promotion ◽  
Service Utilization ◽  
Medical Service ◽  
Outcome Variable ◽  
People Living With Hiv ◽  
Service Needs ◽  
Art Adherence ◽  
Living With Hiv ◽  
Adherence Group ◽  
Hiv Aids

Background: Comorbidity rates and service needs are high among people living with HIV/AIDS (PLWHA). The effects of service utilization and unmet service needs on antiretroviral therapy (ART) adherence are not well understood. The purpose of this study was to investigate associations among PLWHA’s service utilization, unmet service needs, and ART adherence. Methods: PLWHA (N=162) 18 years or older were recruited from a Nevada statewide needs assessment project in 2016. Participants completed a self-administered questionnaire on paper or online. The independent variables were service utilization and unmet service needs. The outcome variable was ART adherence. Multivariable logistic regression analyses were conducted to examine associations between the amount of utilized services and unmet service needs with ART adherence. Results: Only 12 (7.5%) participants reported they received all needed services. The ART non-adherence group showed significantly higher unmet medical service needs compared to the ART adherence group (p=0.007). Unmet medical service needs (Adjusted Odds Ratio (AOR) 0.69, CI 0.53-0.90) and unmet support service needs (AOR 0.68, CI 0.48-0.97) were negatively associated with ART adherence. However, utilizing medical services (AOR 1.06, CI 0.87-1.30) and support services (AOR 0.88, CI 0.74-1.04) in the current year were not significantly associated with ART adherence. Conclusion: The results of this study indicate that health promotion programming should focus not only on introducing new services at the community level, but also work to optimize the availability and awareness of current services. Furthermore, health promotion programs should focus on filling service coverage gaps and improving the facilitation of services.

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