Meeting Men Where they are: Motivators and Barriers to Accessing Health Services through a Men's Mobile Wellness Clinic, October 2019 to March 2020, Blantyre, Malawi.

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Mtemwa Nyangulu, Tiffiany Aholou, Viva Thorsen, Shahul Ebrahim, Ernest Nkhoma, Chipiliro Payesa, Getrude Chipungu, Masozie Kalua, Jeroen van 't Pad Bosch, Hannah Gibson, Verita Buie, Fidelis Sindani, Helen Dale, Stephanie Behel, Rashida Hassan, Alice Maida, Kristina Grabbe
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引用次数: 0

Abstract

Background: In Malawi approximately, 88.3% people living with HIV are aware of their HIV status. Significant gaps are among men aged 15-34 years; only 72% know their HIV status. To reach men, Jhpiego, in collaboration with the Ministry of Health (MOH), implemented the Men's Mobile Wellness Clinic (MMWC) at workplace settings in Blantyre, Malawi between October 2019 and March 2020.

Methods: We conducted a descriptive qualitative study to understand motivators and barriers to MMWC service uptake by employees and employers. Primary data was drawn from in-depth telephone interviews from four study populations: employers who accepted or declined to host the MMWC at their worksite, and employees who accessed or did not access the services. We performed a thematic analysis using Nvivo 12 software to identify patterns and themes across the dataset.

Findings: Main reasons given for using the service among male employees were a desire to know their health status, availability of free health services at the workplace, and good quality services offered by MMWC staff, and support from their supervisor. Men who did not access services stated reasons such as work-clinic scheduling conflicts, lack of adequate promotion of the service, and miscommunication on the criteria about who should attend the MMWC. Employers who accepted to host the MMWC stated convenience and employee's rights to know their health status. Those who declined either stated that employees did not want the services or COVID-19 preventive measures by the MOH between October 2019 and March 2020 restricted participation.

Conclusion: This study underscores the potential utility of MMWC services including HIV testing among men. The desire to know their health status, availability of free MMWC services at the workplace, good quality services offered by MMWC staff, and the endorsement of MMWC by supervisors were main motivators to access the MMWC services. Sensitizing supervisors and employees about the benefits of the MMWC services, strengthening demand creation, and clarifying eligibility are important to facilitate MMWC uptake among men in Malawi.

满足男性需求:2019年10月至2020年3月,马拉维布兰太尔,通过男性流动健康诊所获得医疗服务的动力和障碍。
背景:在马拉维,大约有 88.3% 的艾滋病毒感染者知道自己的艾滋病毒感染状况。在 15-34 岁的男性中存在很大差距;只有 72% 的人知道自己的艾滋病状况。为了帮助男性,Jhpiego 与卫生部(MOH)合作,于 2019 年 10 月至 2020 年 3 月期间在马拉维布兰太尔的工作场所实施了男性移动健康诊所(MMWC):我们开展了一项描述性定性研究,以了解员工和雇主接受 MMWC 服务的动机和障碍。主要数据来自对四个研究人群的深入电话访谈:接受或拒绝在其工作场所接待 MMWC 的雇主,以及获得或未获得服务的员工。我们使用 Nvivo 12 软件进行了主题分析,以确定整个数据集的模式和主题:男性员工使用服务的主要原因是希望了解自己的健康状况、工作场所有免费医疗服务、妇幼保健中心工作人员提供的优质服务以及上司的支持。没有使用服务的男性员工则表示,原因包括工作与诊所的时间安排冲突、服务宣传不充分,以及对哪些人应参加 MMWC 的标准沟通不畅。接受举办女性健康讲座的雇主表示,这样做既方便又能让员工了解自己的健康状况。那些拒绝接受服务的雇主则表示,员工不希望接受服务,或者卫生部在 2019 年 10 月至 2020 年 3 月期间采取的 COVID-19 预防措施限制了员工的参与:本研究强调了包括男性艾滋病检测在内的 MMWC 服务的潜在效用。了解自身健康状况的愿望、工作场所提供的免费 MMWC 服务、MMWC 工作人员提供的优质服务以及上司对 MMWC 的认可是促使男性接受 MMWC 服务的主要因素。向主管和员工宣传 MMWC 服务的益处、加强需求创造以及明确资格,对于促进马拉维男性接受 MMWC 服务非常重要。
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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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