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首页> 外文期刊>AIDS care. >Acceptability of universal screening for intimate partner violence in voluntary HIV testing and counseling services in South Africa and service implications.
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Acceptability of universal screening for intimate partner violence in voluntary HIV testing and counseling services in South Africa and service implications.

机译：在南非自愿进行的艾滋病毒检测和咨询服务中，普遍筛查亲密伴侣的暴力行为及其服务意义。

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Women who experience intimate partner violence (IPV) are more likely to be HIV positive. Many of these women never receive any relevant services, and those who do often access them only after events have escalated to a crisis requiring the police or emergency medical care. Evidence from other settings suggests that routinely asking women about experiences of partner violence is received positively. Voluntary counseling and testing (VCT) services would seem an ideal opportunity to screen for IPV in South Africa. However, in low resource settings, VCT is carried out by lay counselors with few skills. We therefore conducted a qualitative study that explored women's experience of IPV screening in VCT services, and explored implications for VCT counseling. The study was conducted in a clinic in Johannesburg where we trained the lay counselors to do IPV screening. In-depth interviews were conducted with 35 women attending VCT services. Participants were recruited before they attended VCT, and 12 women participated in a follow-up interview. A focus group was held with lay counselors a year after the intervention was implemented. Findings suggest that women were supportive of being asked about their experiences of IPV during VCT sessions. Reasons for supporting IPV screening at VCT services include the limited access of many women to health services. Many women who were aware of their HIV risk felt powerless to discuss condom use, HIV testing, and infidelity with their male partners. Women directly related such experience of gender power inequality to HIV risk. One year after training, there was no evidence of screening continuing. Our findings suggest that the focus should shift from asking about violence to equipping counselors to discuss gender inequality in relationships more broadly. This needs to be part of basic counselor training as it is integral to approaching HIV risk reduction.
机译：遭受亲密伴侣暴力（IPV）的女性更容易感染HIV。这些妇女中有许多从未获得过任何相关服务，只有在事件升级为需要警察或紧急医疗服务的危机之后，才有机会获得这些服务。其他背景的证据表明，经常向妇女询问伴侣暴力经历的积极信息。自愿咨询和测试（VCT）服务似乎是筛查南非IPV的理想机会。但是，在资源匮乏的情况下，自愿咨询检测是由技能很少的非专业顾问进行的。因此，我们进行了定性研究，探讨了妇女在VCT服务中进行IPV筛查的经验，并探讨了对VCT咨询的意义。这项研究是在约翰内斯堡的一家诊所中进行的，我们在该诊所培训了专业顾问进行IPV筛查。对35名参加VCT服务的妇女进行了深入采访。参加VCT之前就招募了参与者，有12名妇女参加了后续采访。实施干预措施一年后，与非专业顾问举行了一个焦点小组会议。研究结果表明，妇女支持在VCT会议期间被问及有关IPV的经历。在VCT服务中支持IPV筛查的原因包括许多妇女获得保健服务的机会有限。许多意识到自己可能感染艾滋病毒的妇女感到无能为力，无法与男伴侣讨论避孕套的使用，艾滋病毒检测和不忠行为。妇女将这种性别权力不平等的经历与艾滋病毒风险直接相关。培训一年后，没有证据表明继续进行筛查。我们的发现表明，重点应该从询问暴力转变为配备咨询师，以更广泛地讨论关系中的性别不平等。这必须是基础咨询师培训的一部分，因为它是降低HIV风险的必要组成部分。

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