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Introducing the female condom through the public health sector: experiences from South Africa.

机译:通过公共卫生部门介绍女用安全套:南非的经验。

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摘要

The successful implementation of new public health policy is influenced by provider preparedness and user acceptability of the new intervention. This paper describes the development and implementation of a participatory Training of Trainers (TOT) programme as a precursor to launch the South African government's female-initiated HIV prevention strategies in public health clinics. Three hundred peer-trainees from throughout South Africa were trained through a comprehensive, modular and interactive three-day workshop. The workshop content included: HIV/AIDS knowledge, beliefs and attitudes; values clarification regarding HIV infection and sexuality; sexual desensitization; 'hands-on' training in the use of and introduction of the female condom; and counselling, communication and programme planning skills. The TOT generated a cadre of knowledgeable health care workers for training others and provided a support structure at the service delivery level for ensuring potential users' access to the female condom within each province. Qualitative assessments of the training and trainer debriefing sessions suggest that the training was successful in increasing knowledge and promoting positive attitudes about female condoms. In addition, the expanded repertoire of problem-solving approaches left providers feeling confident about recommending this method to clients.
机译:新公共卫生政策的成功实施受到新干预措施的提供者准备和用户接受程度的影响。本文介绍了参与式培训师培训(TOT)计划的开发和实施,该计划是在公共卫生诊所启动南非政府女性发起的HIV预防策略的先驱。通过全面,模块化和互动式的为期三天的研讨会,培训了来自南非各地的300名同伴学员。讲习班的内容包括:艾滋病毒/艾滋病知识,信仰和态度;重视有关艾滋病毒感染和性行为的澄清;性脱敏;使用和介绍女用安全套的“动手”培训;以及咨询,沟通和计划制定技能。 TOT召集了一批知识渊博的卫生保健工作者来培训其他人,并在服务提供水平上提供了支持结构,以确保潜在用户可以使用每个省内的女性避孕套。对培训和培训师汇报会的定性评估表明,培训成功地增加了对女用避孕套的知识并提高了对女用避孕套的积极态度。此外,解决问题方法的扩展库使提供者对向客户推荐此方法充满信心。

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