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Sexual and reproductive health and HIV/AIDS risk perception in the Malawi tourism industry

机译：马拉维旅游业的性健康和生殖健康以及艾滋病毒/艾滋病风险感知

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摘要

Malawi has for a long time relied on agriculture for the generation of foreign exchange. Due to varied reasons like climate change, the Malawi government has, therefore, identified tourism as one way of boosting foreign exchange earnings and is already in the process of developing the sector especially in the area of ecotourism. However, tourism is associated with increasing prostitution, drug abuse and a whole range of other sexual and reproductive health (SRH) problems such as teenage pregnancies, HIV/AIDS and sexually transmitted infections (STIs). This paper examines the knowledge, attitudes, practices and behaviour as well as risk perceptions associated with HIV/AIDS, sexually transmitted infections and unwanted pregnancies among staff in the tourism industry and communities around tourist facilities in Malawi. The study was descriptive in nature and used both qualitative and quantitative research methods. The qualitative methods involved in-depth interviews and focus group discussions. The quantitative technique employed a survey of 205 purposively selected subjects from the tourism sector. The study concludes that people in the tourism sector are at high risk of HIV/AIDS, sexually transmitted infections and unwanted pregnancies and should be considered as a vulnerable group. The study further observes that this group of people has not adopted behaviours that can protect them from HIV/AIDS, sexually transmitted infections and unwanted pregnancies although there is high demand for voluntary counselling and testing (VCT) which offers a very good entry point for HIV prevention and treatment in the tourism sector. The study recommends that a comprehensive tourism policy covering tourists, employees and communities around tourist facilities is required. Such a policy should address the rights of HIV infected employees and the provision of prevention and treatment services for HIV/AIDS and STIs as well as a broad range of SRH and family planning services especially the condom which offers dual protection for pregnancy and STIs including HIV.
机译：马拉维长期以来一直依靠农业来产生外汇。由于气候变化等各种原因，马拉维政府已将旅游业确定为增加外汇收入的一种方式，并且已经在发展该部门，特别是在生态旅游领域。但是，旅游业与越来越多的卖淫，吸毒和一系列其他性健康和生殖健康（SRH）问题相关，例如少女怀孕，艾滋病毒/艾滋病和性传播感染（STIs）。本文研究了与旅游业相关人员以及马拉维旅游设施周围社区的艾滋病毒/艾滋病，性传播感染和意外怀孕相关的知识，态度，做法和行为以及风险意识。该研究具有描述性，并使用了定性和定量研究方法。定性方法涉及深度访谈和焦点小组讨论。定量技术对来自旅游部门的205个有目的的主题进行了调查。该研究得出的结论是，旅游业中的人极易感染艾滋病毒/艾滋病，性传播感染和意外怀孕，应被视为弱势群体。该研究进一步观察到，尽管对自愿咨询和检测（VCT）的需求很高，但是这组人并未采取能够保护他们免受艾滋病毒/艾滋病，性传播感染和意外怀孕的行为，这是艾滋病毒的一个很好的切入点预防和治疗旅游业。该研究建议需要一项涵盖游客，雇员和旅游设施周围社区的全面旅游政策。这项政策应涉及受艾滋病毒感染的雇员的权利以及为艾滋病毒/艾滋病和性传播感染提供预防和治疗服务，以及广泛的性健康和生殖健康和计划生育服务，特别是对怀孕和包括艾滋病毒在内的性传播感染提供双重保护的避孕套。

著录项

  • 期刊名称 Malawi Medical Journal
  • 作者

    Thomas Bisika;

  • 作者单位
  • 年(卷),期 2009(21),2
  • 年度 2009
  • 页码 75–80
  • 总页数 6
  • 原文格式 PDF
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