De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon

被引:1
作者
Ossomba, Jean Paul Bienvenu Enama [1 ]
Ngangue, Patrice [2 ]
Ekani, Antoine Silvere Olongo [3 ]
Kamgain, Edgar Tanguy [3 ]
机构
[1] Univ Dundee, Sch Hlth Sci, Dundee, Scotland
[2] Laval Univ, Fac Nursing, Quebec City, PQ, Canada
[3] Humanity First Cameroon Plus, Yaounde, Cameroon
关键词
HIV testing; key population groups; demedicalisation; decentralisation; low-and-middle-income countries; CARE; STIGMA; ACCESS;
D O I
10.3389/fpubh.2023.1180813
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Conventional HIV testing performed by a health professional has shown its limitations in targeting marginalized and vulnerable populations. Indeed, men who have sex with men (MSM) due to social discrimination are often uncomfortable using this service at the health facilities level. In this perspective, new differentiated approaches have been thought through de-medicalized and decentralized HIV testing (DDHT). This HIV testing strategy enables overcoming the structural, legal, and social barriers that prevent these populations from quickly accessing HIV services. This article discusses the prerequisites and added value of implementing this strategy for MSM living in a criminalized context and its implication in decentralizing health services toward the community level.
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页数:6
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