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Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa

HIV and gender-based violence (GBV) are syndemic in sub-Saharan Africa and provision of support for participants who disclose GBV constitutes part of comprehensive care. Consequently, a process was undertaken to develop, implement, and evaluate standard operating procedures (SOPs) in MTN-025/HOPE, a...

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Autores principales: Garcia, Morgan, Roberts, Sarah T., Mayo, Ashley J., Scheckter, Rachel, Mansoor, Leila E., Palanee-Phillips, Thesla, Reddy, Krishnaveni, Naidoo, Yuthika, Akello, Carolyne Agwau, Gaffoor, Zakir, Siva, Samantha, Rushwaya, Chenai, Hlahla, Kudzai, Jambaya, Jane, Makoni, Rujeko, Kachale, Evans, Ndovie, Margret, Zuma, Jabulisile, Montgomery, Elizabeth T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036410/
https://www.ncbi.nlm.nih.gov/pubmed/36178556
http://dx.doi.org/10.1007/s10461-022-03864-6
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author Garcia, Morgan
Roberts, Sarah T.
Mayo, Ashley J.
Scheckter, Rachel
Mansoor, Leila E.
Palanee-Phillips, Thesla
Reddy, Krishnaveni
Naidoo, Yuthika
Akello, Carolyne Agwau
Gaffoor, Zakir
Siva, Samantha
Rushwaya, Chenai
Hlahla, Kudzai
Jambaya, Jane
Makoni, Rujeko
Kachale, Evans
Ndovie, Margret
Zuma, Jabulisile
Montgomery, Elizabeth T.
author_facet Garcia, Morgan
Roberts, Sarah T.
Mayo, Ashley J.
Scheckter, Rachel
Mansoor, Leila E.
Palanee-Phillips, Thesla
Reddy, Krishnaveni
Naidoo, Yuthika
Akello, Carolyne Agwau
Gaffoor, Zakir
Siva, Samantha
Rushwaya, Chenai
Hlahla, Kudzai
Jambaya, Jane
Makoni, Rujeko
Kachale, Evans
Ndovie, Margret
Zuma, Jabulisile
Montgomery, Elizabeth T.
author_sort Garcia, Morgan
collection PubMed
description HIV and gender-based violence (GBV) are syndemic in sub-Saharan Africa and provision of support for participants who disclose GBV constitutes part of comprehensive care. Consequently, a process was undertaken to develop, implement, and evaluate standard operating procedures (SOPs) in MTN-025/HOPE, a study of the dapivirine vaginal ring for HIV prevention. The SOP was developed using needs assessment surveys in addition to World Health Organization (WHO) guidelines and other literature. Sites tailored and implemented the SOP through HOPE implementation. At study end, staff reported increased training 32/35 (91.43%); improved confidence (18/26; 69.23%); and improved vicarious trauma prevention onsite (17/28; 60.71%). Leadership reported increased staff competence in GBV response. Obstacles included limited referral organizations and time for follow-up, continued training needs, and cultural norms. Development and implementation of an SOP is a feasible strategy to build a GBV response to improve health systems and support sustained effective use of HIV prevention products. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10461-022-03864-6.
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spelling pubmed-100364102023-03-25 Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa Garcia, Morgan Roberts, Sarah T. Mayo, Ashley J. Scheckter, Rachel Mansoor, Leila E. Palanee-Phillips, Thesla Reddy, Krishnaveni Naidoo, Yuthika Akello, Carolyne Agwau Gaffoor, Zakir Siva, Samantha Rushwaya, Chenai Hlahla, Kudzai Jambaya, Jane Makoni, Rujeko Kachale, Evans Ndovie, Margret Zuma, Jabulisile Montgomery, Elizabeth T. AIDS Behav Original Paper HIV and gender-based violence (GBV) are syndemic in sub-Saharan Africa and provision of support for participants who disclose GBV constitutes part of comprehensive care. Consequently, a process was undertaken to develop, implement, and evaluate standard operating procedures (SOPs) in MTN-025/HOPE, a study of the dapivirine vaginal ring for HIV prevention. The SOP was developed using needs assessment surveys in addition to World Health Organization (WHO) guidelines and other literature. Sites tailored and implemented the SOP through HOPE implementation. At study end, staff reported increased training 32/35 (91.43%); improved confidence (18/26; 69.23%); and improved vicarious trauma prevention onsite (17/28; 60.71%). Leadership reported increased staff competence in GBV response. Obstacles included limited referral organizations and time for follow-up, continued training needs, and cultural norms. Development and implementation of an SOP is a feasible strategy to build a GBV response to improve health systems and support sustained effective use of HIV prevention products. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10461-022-03864-6. Springer US 2022-09-30 2023 /pmc/articles/PMC10036410/ /pubmed/36178556 http://dx.doi.org/10.1007/s10461-022-03864-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Garcia, Morgan
Roberts, Sarah T.
Mayo, Ashley J.
Scheckter, Rachel
Mansoor, Leila E.
Palanee-Phillips, Thesla
Reddy, Krishnaveni
Naidoo, Yuthika
Akello, Carolyne Agwau
Gaffoor, Zakir
Siva, Samantha
Rushwaya, Chenai
Hlahla, Kudzai
Jambaya, Jane
Makoni, Rujeko
Kachale, Evans
Ndovie, Margret
Zuma, Jabulisile
Montgomery, Elizabeth T.
Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa
title Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa
title_full Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa
title_fullStr Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa
title_full_unstemmed Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa
title_short Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa
title_sort integrating gender-based violence screening and support into the research clinic setting: experiences from an hiv prevention open-label extension trial in sub-saharan africa
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036410/
https://www.ncbi.nlm.nih.gov/pubmed/36178556
http://dx.doi.org/10.1007/s10461-022-03864-6
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