Cargando…
Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda
Nearly 80 million people have been forcibly displaced by persecution, violence, and disaster. Displaced populations, including refugees, face health challenges such as resource shortages, food and housing insecurity, violence, and disrupted social support. People living with HIV in refugee settings...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452793/ https://www.ncbi.nlm.nih.gov/pubmed/33749418 http://dx.doi.org/10.1080/09540121.2021.1900532 |
_version_ | 1784570143124226048 |
---|---|
author | Ravicz, Miranda Muhongayire, Bernadette Kamagaju, Stella Klabbers, Robin E. Faustin, Zikama Kambugu, Andrew Bassett, Ingrid O’Laughlin, Kelli |
author_facet | Ravicz, Miranda Muhongayire, Bernadette Kamagaju, Stella Klabbers, Robin E. Faustin, Zikama Kambugu, Andrew Bassett, Ingrid O’Laughlin, Kelli |
author_sort | Ravicz, Miranda |
collection | PubMed |
description | Nearly 80 million people have been forcibly displaced by persecution, violence, and disaster. Displaced populations, including refugees, face health challenges such as resource shortages, food and housing insecurity, violence, and disrupted social support. People living with HIV in refugee settings have decreased engagement with HIV services compared to non-refugee populations, and interventions are needed to enhance linkage to care. However, designing health interventions in humanitarian settings is challenging. We used Intervention Mapping (IM), a six-step method for developing theory- and evidence-based health interventions, to design a program to increase linkage to HIV care for refugees and Ugandan nationals in Nakivale Refugee Settlement in Uganda. We engaged a diverse group of stakeholders (N = 14) in Nakivale, including community members and humanitarian actors, in an interactive workshop focusing on IM steps 1–4. We developed a chronic care program that would integrate HIV care with services for hypertension and diabetes at accessible community sites, thereby decreasing stigma around HIV treatment and improving access to care. IM provided an inclusive, efficient method for integrating community members and program implementers in the intervention planning process, and can be used as a method-driven approach to intervention design in humanitarian settings. |
format | Online Article Text |
id | pubmed-8452793 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
record_format | MEDLINE/PubMed |
spelling | pubmed-84527932022-04-03 Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda Ravicz, Miranda Muhongayire, Bernadette Kamagaju, Stella Klabbers, Robin E. Faustin, Zikama Kambugu, Andrew Bassett, Ingrid O’Laughlin, Kelli AIDS Care Article Nearly 80 million people have been forcibly displaced by persecution, violence, and disaster. Displaced populations, including refugees, face health challenges such as resource shortages, food and housing insecurity, violence, and disrupted social support. People living with HIV in refugee settings have decreased engagement with HIV services compared to non-refugee populations, and interventions are needed to enhance linkage to care. However, designing health interventions in humanitarian settings is challenging. We used Intervention Mapping (IM), a six-step method for developing theory- and evidence-based health interventions, to design a program to increase linkage to HIV care for refugees and Ugandan nationals in Nakivale Refugee Settlement in Uganda. We engaged a diverse group of stakeholders (N = 14) in Nakivale, including community members and humanitarian actors, in an interactive workshop focusing on IM steps 1–4. We developed a chronic care program that would integrate HIV care with services for hypertension and diabetes at accessible community sites, thereby decreasing stigma around HIV treatment and improving access to care. IM provided an inclusive, efficient method for integrating community members and program implementers in the intervention planning process, and can be used as a method-driven approach to intervention design in humanitarian settings. 2022-04 2021-03-21 /pmc/articles/PMC8452793/ /pubmed/33749418 http://dx.doi.org/10.1080/09540121.2021.1900532 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. |
spellingShingle | Article Ravicz, Miranda Muhongayire, Bernadette Kamagaju, Stella Klabbers, Robin E. Faustin, Zikama Kambugu, Andrew Bassett, Ingrid O’Laughlin, Kelli Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda |
title | Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda |
title_full | Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda |
title_fullStr | Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda |
title_full_unstemmed | Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda |
title_short | Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda |
title_sort | using intervention mapping methodology to design an hiv linkage intervention in a refugee settlement in rural uganda |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452793/ https://www.ncbi.nlm.nih.gov/pubmed/33749418 http://dx.doi.org/10.1080/09540121.2021.1900532 |
work_keys_str_mv | AT raviczmiranda usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda AT muhongayirebernadette usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda AT kamagajustella usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda AT klabbersrobine usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda AT faustinzikama usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda AT kambuguandrew usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda AT bassettingrid usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda AT olaughlinkelli usinginterventionmappingmethodologytodesignanhivlinkageinterventioninarefugeesettlementinruraluganda |