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首页> 美国卫生研究院文献>Global Qualitative Nursing Research >Combination HIV Prevention Strategy Implementation in El Salvador: Perceived Barriers and Adaptations Reported by Outreach Peer Educators and Supervisors
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Combination HIV Prevention Strategy Implementation in El Salvador: Perceived Barriers and Adaptations Reported by Outreach Peer Educators and Supervisors

机译：萨尔瓦多联合艾滋病毒预防策略的实施：外展同伴教育者和督导员报告的感知障碍和适应

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El Salvador was one of three countries to receive funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria to conduct a combination HIV prevention intervention among transwomen (TW), men who have sex with men (MSM), and commercial sex workers (CSW). Program evaluation revealed that prevention activities reached only 50% of the target population. The purpose of this study is to examine the barriers that Salvadoran educators faced in implementing the peer education as designed and adaptations made as a result. Between March and June 2015, 18 in-depth interviews with educators were conducted. Violence was reported as the biggest barrier to intervention implementation. Other barriers differed by subpopulation. The level of violence and discrimination calls into question the feasibility and appropriateness of peer-led interventions in the Salvadoran context and demonstrates the importance of implementation research when translating HIV prevention interventions developed in high-income countries to low- and middle-income countries.
机译：萨尔瓦多是获得抗击艾滋病，结核病和疟疾全球基金资助的三个国家之一，以在跨性别者（TW），男男性接触者（MSM）和商业性工作者（CSW）中进行艾滋病毒预防联合干预）。计划评估显示，预防活动仅达到目标人群的50％。这项研究的目的是检验萨尔瓦多教育工作者在实施按计划进行的同伴教育和因此而改编时所面临的障碍。在2015年3月至2015年6月期间，对教育工作者进行了18次深度访谈。据报告，暴力是实施干预措施的最大障碍。其他障碍因亚群而异。暴力和歧视的程度使人们质疑在萨尔瓦多背景下由同伴主导的干预措施的可行性和适当性，并表明了将高收入国家制定的艾滋病毒预防干预措施转化为低收入和中等收入国家时进行实施研究的重要性。

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