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

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 bec...

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Autores principales: Ansley Lemons-Lyn, William Reidy, Wah Wah Myint, Khin N. Chan, Elaine Abrams, Zaw Zaw Aung, Irene Benech, Trista Bingham, Mitesh Desai, Ei Ei Khin, Tharaphi Lin, Halli Olsen, Htun Nyunt Oo, Cassia Wells, Sasha Mital
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Publicado: SAGE Publishing 2021
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Acceso en línea:https://doaj.org/article/ff1be4372f78413d88444ef2e108693f
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spelling oai:doaj.org-article:ff1be4372f78413d88444ef2e108693f2021-12-01T23:07:03ZOptimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar2325-958210.1177/23259582211055933https://doaj.org/article/ff1be4372f78413d88444ef2e108693f2021-11-01T00:00:00Zhttps://doi.org/10.1177/23259582211055933https://doaj.org/toc/2325-9582Key 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.Ansley Lemons-LynWilliam ReidyWah Wah MyintKhin N. ChanElaine AbramsZaw Zaw AungIrene BenechTrista BinghamMitesh DesaiEi Ei KhinTharaphi LinHalli OlsenHtun Nyunt OoCassia WellsSasha MitalSAGE PublishingarticleDiseases of the genitourinary system. UrologyRC870-923ENJournal of the International Association of Providers of AIDS Care, Vol 20 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Diseases of the genitourinary system. Urology
RC870-923
Ansley Lemons-Lyn
William Reidy
Wah Wah Myint
Khin N. Chan
Elaine Abrams
Zaw Zaw Aung
Irene Benech
Trista Bingham
Mitesh Desai
Ei Ei Khin
Tharaphi Lin
Halli Olsen
Htun Nyunt Oo
Cassia Wells
Sasha Mital
Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar
description 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.
format article
author Ansley Lemons-Lyn
William Reidy
Wah Wah Myint
Khin N. Chan
Elaine Abrams
Zaw Zaw Aung
Irene Benech
Trista Bingham
Mitesh Desai
Ei Ei Khin
Tharaphi Lin
Halli Olsen
Htun Nyunt Oo
Cassia Wells
Sasha Mital
author_facet Ansley Lemons-Lyn
William Reidy
Wah Wah Myint
Khin N. Chan
Elaine Abrams
Zaw Zaw Aung
Irene Benech
Trista Bingham
Mitesh Desai
Ei Ei Khin
Tharaphi Lin
Halli Olsen
Htun Nyunt Oo
Cassia Wells
Sasha Mital
author_sort Ansley Lemons-Lyn
title Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar
title_short Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar
title_full Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar
title_fullStr Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar
title_full_unstemmed Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar
title_sort optimizing hiv services for key populations in public-sector clinics in myanmar
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/ff1be4372f78413d88444ef2e108693f
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