1. Critical analysis of peer engagement in HIV testing and prevention within Black, African, and Caribbean communities in Manitoba, Canada
- Author
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Milliken, Eveline (Social Work), Akinyele-Akanbi, Bolaji (Social Work), Souleymanov, Rusty, Ukoli, Patricia Omowumi, Milliken, Eveline (Social Work), Akinyele-Akanbi, Bolaji (Social Work), Souleymanov, Rusty, and Ukoli, Patricia Omowumi
- Abstract
African, Caribbean, and Black (ACB) populations are overrepresented among new Human Immunodeficiency Virus (HIV) and Sexually Transmitted and Blood-Borne Infection (STBBI) cases in Canada. Manitoba has the second-highest rate of new HIV diagnoses in Canada. Peers have become increasingly important in the context of the HIV care cascade, serving to connect individuals and communities to HIV prevention, treatment, and related services. They play a crucial role in addressing disparities in HIV testing, prevention, and treatment access for communities by supporting individuals in navigating the healthcare system and overcoming bureaucratic obstacles and access barriers. Many studies have explored the impact of peer navigation in engaging communities in HIV prevention and treatment. However, no research has examined the acceptability of peer navigation among ACB communities in Canada and the power dynamics in the relationship between peer navigators and community members seeking HIV services. This Master of Social Work thesis focuses on peer navigation within the context of HIV among ACB communities in Manitoba. The study explored the discourses surrounding peer navigation and the power dynamics between peer navigators and ACB community members in Manitoba. The study utilized a qualitative community-based participatory research approach and harnessed the insights of ACB community members through the Community Guiding Circle (CGC), consisting of ten ACB community members. The research included a secondary analysis of data from the Ubuntu-Pamoja study, with participants recruited through agencies serving ACB communities, social media, and word-of-mouth. Thirty-three interviews were analyzed to identify key themes and fulfill the established research objectives. Data analysis employed thematic analysis using critical, intersectional-feminist, and Afrocentric theories. The methodology included two member checks to ensure the research process remained relevant to the needs of
- Published
- 2024