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Barriers and facilitators to implementing an evidence-based woman-focused intervention in South African health services.
- Source :
- BMC Health Services Research; 11/21/2017, Vol. 17, p1-9, 9p, 2 Charts
- Publication Year :
- 2017
-
Abstract
- <bold>Background: </bold>Since the beginning of the HIV epidemic, numerous behavior change, risk-reduction, and biomedical interventions have been developed and tested. While some of these interventions have shown to be efficacious in randomized trials, it often takes almost two decades for an intervention to be translated into practice. Meanwhile, South Africa continues to have among the highest prevalence of HIV globally, with women of childbearing age bearing the burden of the epidemic. Given the urgency of the HIV epidemic among vulnerable women in South Africa, it is imperative that evidence-based interventions be implemented rapidly into practice. This study presents a first step toward examining the acceptability and feasibility of implementing the Women's Health CoOp (WHC) in clinics and substance abuse rehab settings in Cape Town, South Africa.<bold>Methods: </bold>We conducted focus group discussions with women who use substances and with service providers, we also conducted in-depth interviews with health service planners. Our goal was to examine implementation and clinical outcomes associated with delivery of the WHC across clinics and substance abuse rehab programs.<bold>Results: </bold>All participants agreed on the need for the WHC. Perceived facilitators to implementing the WHC included the recognizable need for programs to empower women and to build the capacity of staff to address issues of substance use, sexual risk, and intimate partner violence. Participants also identified potential barriers to women engaging with this program, including the stigma women experience when seeking services and the lack of person-centered care at healthcare facilities.<bold>Conclusions: </bold>In a country with the largest number of women of childbearing age living with HIV, an evidence-based woman-focused intervention that comprehensively addresses women's risk for suboptimal antiretroviral adherence may be essential for reducing HIV incidence. However, potential barriers to implementing the WHC successfully must be addressed before the program can be fully integrated into the services delivered by healthcare facilities.<bold>Trial Registration: </bold>Clinical trials NCT02733003 . Date of Registration: January 21, 2016, registered retroactively after participant enrollment. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infection transmission
DISEASES in women
DISEASE prevalence
PUBLIC health
MEDICAL care
HIV prevention
HIV infection epidemiology
OUTPATIENT medical care
BEHAVIOR
CLINICAL trials
COMPARATIVE studies
FOCUS groups
RESEARCH methodology
MEDICAL cooperation
RESEARCH
RESEARCH funding
HUMAN sexuality
SOCIAL stigma
WOMEN'S health
WOMEN'S health services
SUBSTANCE abuse treatment
EVIDENCE-based medicine
PILOT projects
EVALUATION research
SOCIAL context
DISEASE incidence
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 17
- Database :
- Complementary Index
- Journal :
- BMC Health Services Research
- Publication Type :
- Academic Journal
- Accession number :
- 126358589
- Full Text :
- https://doi.org/10.1186/s12913-017-2669-2