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首页> 美国卫生研究院文献>SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance >A mobile school-based HCT service – is it youth friendly?
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A mobile school-based HCT service – is it youth friendly?

机译：基于移动学校的HCT服务–是否对青年友好？

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Background: Despite an increase in HIV Counselling and Testing (HCT), few young people have been tested. It has been suggested that they do not test because formal health services (where HCT is provided) are often not youth friendly. The World Health Organisation describes a youth-friendly health service (YFHS) as one which is accessible, equitable, acceptable, appropriate, and effective. A mobile school-based model has been implemented by a non-governmental organisation in Cape Town in an attempt to make HCT more youth friendly and accessible to young people. The objective of this study was to explore whether this mobile school-based HCT service is youth friendly. Methods: The study was descriptive, using three qualitative data collection methods: observation of the HCT site at two secondary schools; interviews with six service providers; and direct observation of 21 HCT counselling sessions. Key Results: The mobile school-based HCT service fulfilled some of the criteria for being a YFHS. The service was equitable in that all students, irrespective of race, gender, age, or socio-economic status, were free to use the service. It was accessible in terms of location and cost, but students were not well informed to make decisions about using the service. The service was acceptable in that confidentiality was guaranteed and the service providers were friendly and non-judgemental, but it was not considered acceptable in that there was limited privacy. The service was appropriate in that HCT is recommended as an intervention for decreasing the transmission of HIV, based on evidence and expert opinion; however, in this case, HCT was provided as a stand-alone service rather than part of a full package of services. Moreover, studies have suggested that young people want to know their HIV status. The service was ineffective in that it identified students who are HIV positive; however, these students were not assisted to access care. Conclusion: Providing HCT in the school setting may make HCT more accessible for students, but it needs to be provided in an equitable, accessible, acceptable, and effective way.
机译：背景：尽管艾滋病毒咨询和检测（HCT）的人数有所增加，但很少有年轻人接受检测。有人建议他们不要进行测试，因为正式的保健服务（提供HCT的地方）通常对青少年不友好。世界卫生组织将青年友好型保健服务（YFHS）描述为一种可获得，公平，可接受，适当和有效的服务。一个非政府组织在开普敦实施了一种以学校为基础的流动模式，以期使HCT对青年更加友好，并使年轻人更容易获得。这项研究的目的是探索这种基于学校的流动HCT服务是否对青少年友好。方法：本研究是描述性的，使用三种定性数据收集方法：观察两所中学的HCT站点；采访六家服务提供商；并直接观察21次HCT咨询会议。关键结果：基于移动学校的HCT服务满足了成为YFHS的某些标准。该服务是公平的，因为所有学生，无论种族，性别，年龄或社会经济状况如何，都可以免费使用该服务。就位置和成本而言，它是可访问的，但是没有充分告知学生有关使用该服务的决定。可以接受该服务，因为可以保证机密性，并且服务提供者是友好且不带有判断力的，但是由于隐私有限，因此不被接受。该服务是适当的，因为根据证据和专家意见，建议将HCT作为减少HIV传播的干预措施；但是，在这种情况下，HCT是作为独立服务而不是完整服务包的一部分提供的。此外，研究表明，年轻人希望了解自己的艾滋病毒状况。该服务效率低下，因为它确定了艾滋病毒呈阳性的学生；但是，没有帮助这些学生获得照料。结论：在学校环境中提供HCT可能会使学生更容易使用HCT，但是需要以公平，可访问，可接受和有效的方式提供。

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