1. Taking empowerment into account: the response of community-based organisations to the HIV care needs of men who have sex with men in West Africa (CohMSM ANRS 12324 - Expertise France)
- Author
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Bintou Dembélé Keita, Elias Ter Tiero Dah, Elisabeth Thio, Camille Anoma, Marie Préau, Clotilde Couderc, Bruno Spire, Christian Laurent, Gwenaëlle Maradan, Pierre-Julien Coulaud, Marion Mora, Lorette Ekon, Adeline Bernier, Maxime Oga, Fodé Traoré, Ephrem Mensah, Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille] (ORS PACA), Groupe de Recherche en Psychologie Sociale (GRePS), Université Lumière - Lyon 2 (UL2), Recherches Translationnelles sur le VIH et les maladies infectieuses endémiques et émergentes (TransVIHMI), Institut de Recherche pour le Développement (IRD)-Université de Yaoundé I-Université Cheikh Anta Diop [Dakar, Sénégal] (UCAD)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Université de Montpellier (UM), Recherches Translationnelles sur le VIH et les maladies infectieuses endémiques er émergentes (TransVIHMI), Université Cheikh Anta Diop [Dakar, Sénégal] (UCAD)-Institut de Recherche pour le Développement (IRD)-Université de Yaoundé I-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Université Montpellier 1 (UM1), and Aiello, Mélisande
- Subjects
Gerontology ,Adult ,Male ,Health (social science) ,Social Psychology ,[SDV]Life Sciences [q-bio] ,media_common.quotation_subject ,Discourse analysis ,Social Stigma ,Stigma (botany) ,Identity (social science) ,HIV Infections ,Mali ,Men who have sex with men ,Power (social and political) ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Burkina Faso ,Medicine ,Humans ,MSM ,030212 general & internal medicine ,Community Health Services ,Homosexuality, Male ,10. No inequality ,Empowerment ,media_common ,Sexual identity ,Motivation ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,community-based organisations ,030505 public health ,business.industry ,Public Health, Environmental and Occupational Health ,HIV ,16. Peace & justice ,[SDV] Life Sciences [q-bio] ,Cote d'Ivoire ,Togo ,Africa ,[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Thematic analysis ,0305 other medical science ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
International audience; Empowerment is an ongoing process through which individuals and communities appropriate power and acquire the capability to function autonomously. Research on empowerment in men who have sex with men (MSM) is lacking in community-based contexts. We investigated the relationship between willingness to be empowered and HIV care needs in West African MSM accessing community-based organisations’ (CBO) services. Fifty-three interviews were administered to HIV-negative MSM participating in the CohMSM study (Mali, Burkina Faso, Côte d’Ivoire, Togo). Five indicators of empowerment were identified from a discourse analysis: (i) motivation to access HIV services, (ii) willingness to improve HIV services, (iii) desire to be involved in new activities, (iv) desire to participate in such services, (v) willingness to collaborate in decision making. Based on these indicators, participants were classified into two profiles: high (19/53, 36%) and low (34/53, 64%) level of willingness to be empowered (HWE, LWE). Using a thematic analysis, HWE participants were focused on collective benefit (preventive follow-up, questions about MSM identity), while LWE participants were centred on individual benefit (medical care). CBOs should consider empowerment as a tool to advance collective health benefits for MSM. To improve empowerment in MSM, specific training on issues regarding sexual identity and stigma is needed for CBO providers.
- Published
- 2019
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