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Zoekresultaten

Zoekopdracht: subjects: "Health and Nutrition"

TitelAccess to and utilization of HIV services by key populations in Sudan  
AuteurM.E. Ahmed
InstellingKIT - Royal Tropical Institute
AfdelingDevelopment, Policy and Practice
OpleidingMaster of Public Health
Jaar2012
UitgeverKIT - Royal Tropical Institute [etc.]
PlaatsAmsterdam
Pagina'sxii, 50
OrganisatiesKIT - Royal Tropical Institute, VU - Vrije Universiteit Amsterdam
OnderwerpHealth and Nutrition
Trefwoordendisease prevention and control, HIV and AIDS, health services, reproductive health
RegioNorth Africa
LandSudan
SamenvattingBACKGROUND: In Sudan despite the low overall prevalence of HIV, the epidemic continues to expand among key populations at higher risk, like men having sex with men (MSM) and female sex workers (FSWs) who have limited access to and utilization of HIV services. OBJECTIVES: The aim of this study is to explore factors affecting access to and utilization of HIV services among key populations at higher risk in Sudan in order to make a recommendation to the Sudan National AIDS control program to improve HIV service utilization among the KPAHR.
METHOD: A desk review of access to and utilization of HIV prevention and treatment services among FSW and MSM irrespective of time frame, design and language (Arabic & English) was conducted. Analysis was undertaken using a framework adapted from the Andersen Behavioural Model of Health Services Utilization. RESULTS: Outcomes of this study suggest that criminalization, stigmatization and discrimination of FSWs and MSM are major barriers for the utilization of HIV services in addition to the triad of lack of knowledge and misconception, low risk perception and low perceived need. Even when the HIV services exist they are constrained by inequitable distribution, inadequate quality and occasional breach of clients’ confidentiality. CONCLUSION AND RECOMMENDATIONS: The political and cultural environment is not conducive to address the health needs in general and sexual health needs in particular of the key population at higher risk in Sudan. The study recommend evidence-based advocacy in order to enforce the HIV policy. Community mobilization and interventions to improve access and utilization of HIV services by FSW and MSM is all recommended. Furthermore, more research on their typology and health-seeking behaviour are also recommended.
TaalEngels
CategorieResearch
Soort documentMaster thesis
Rechten© 2012 Ahmed
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