Community contexts and knowledge: accountability, leadership and meaningful involvement of communities in Programme Science

IF 4.6 1区 医学 Q2 IMMUNOLOGY
Ruth Morgan Thomas, Andrew Spieldenner, Erika Castellanos, Judy Chang, Jules Kim
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引用次数: 0

Abstract

Introduction

A Programme Science approach that prioritizes populations who will benefit most and ensuring resources are allocated to programmes that meet the needs of those populations will bring an equity focus to research. Gay men and other men who have sex with men, people who use drugs, sex workers of all genders, and trans and gender-diverse people, defined by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) as key populations, have been disproportionately impacted since the start of the HIV pandemic. Through documenting community experiences from global key population-led networks, the authors explore the potential value and impact of community-led organizations and service delivery as critical components in effective HIV and Sexually Transmitted infections (STI) programmes.

Discussion

Through advocacy and research interventions, global key population networks have identified barriers against scaling up interventions for criminalized and marginalized communities, as well as highlighted solutions. The authors examine some of the current barriers to meaningful involvement of communities and the scaling up of community-led programmes that need to be addressed if Programme Science is to maintain an equity lens and the needs of key populations are to be met and highlight the need to make visible community engagement and participation in embedded research and Programme Science.

Conclusions

The Programme Science approach provides an important opportunity to understand practical issues that will increase effective coverage in the implementation of public health and other interventions, which will require the prioritizing of key populations and their priorities in HIV and STI programmes. It will require extensive time and work to build relationships, increase capacity and share power. Where this has already happened, it has resulted in positive outcomes, including better health outcomes, reduced stigma, increased agency for key populations, and built community-led organizations and responses.

社区背景与知识:社区对计划科学的责任感、领导力和有意义的参与。
导言:计划科学 "方法优先考虑受益最大的人群,并确保将资源分配给满足这些人群需求的计划,这将为研究工作带来公平的重点。男同性恋和其他男男性行为者、吸毒者、各种性别的性工作者以及变性人和性别多元化人群,被联合国艾滋病规划署(UNAIDS)和全球抗击艾滋病、结核病和疟疾基金(Global Fund)定义为关键人群,自艾滋病开始流行以来,他们受到了极大的影响。通过记录全球关键人群领导网络的社区经验,作者探讨了社区领导的组织和服务提供作为有效的艾滋病和性传播感染(STI)计划关键组成部分的潜在价值和影响:通过宣传和研究干预,全球关键人群网络发现了扩大对犯罪和边缘化社区干预的障碍,并强调了解决方案。作者研究了目前在社区有意义的参与和扩大社区主导计划方面存在的一些障碍,如果计划科学要保持公平视角并满足关键人群的需求,就需要解决这些障碍,并强调有必要使社区参与嵌入式研究和计划科学:计划科学方法为了解实际问题提供了一个重要机会,这些问题将增加公共卫生和其他干预措施实施的有效覆盖面,这将需要在艾滋病毒和性传播感染计划中优先考虑重点人群及其优先事项。这需要大量的时间和工作来建立关系、提高能力和分享权力。在已经这样做的地方,已经取得了积极的成果,包括更好的卫生成果、减少污名化、提高关键人群的能动性,以及建立社区主导的组织和应对措施。
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来源期刊
Journal of the International AIDS Society
Journal of the International AIDS Society IMMUNOLOGY-INFECTIOUS DISEASES
CiteScore
8.60
自引率
10.00%
发文量
186
审稿时长
>12 weeks
期刊介绍: The Journal of the International AIDS Society (JIAS) is a peer-reviewed and Open Access journal for the generation and dissemination of evidence from a wide range of disciplines: basic and biomedical sciences; behavioural sciences; epidemiology; clinical sciences; health economics and health policy; operations research and implementation sciences; and social sciences and humanities. Submission of HIV research carried out in low- and middle-income countries is strongly encouraged.
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