"......因为社会工作永无止境":一项定性研究,探讨在乌克兰战争期间,非政府组织如何应对新出现的需求,同时坚持艾滋病毒预防和治疗的责任

IF 4.6 1区 医学 Q2 IMMUNOLOGY
Lisa Lazarus, Leigh M McClarty, Nicole Herpai, Daria Pavlova, Tatiana Tarasova, Anna Gnatenko, Tetiana Bondar, Robert Lorway, Marissa L Becker, the Dynamics Study Team
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引用次数: 0

摘要

导言:自 2022 年 2 月 24 日俄罗斯入侵以来,乌克兰的卫生系统承受了巨大压力,关键基础设施遭到破坏,人力资源大量流失,人员流动受到限制,供应链严重中断。基于奥列克山德-亚雷缅科之后乌克兰社会研究所(UISR after O. Yaremenko)与马尼托巴大学全球公共卫生研究所之间的长期合作关系,我们探讨了全面战争对为乌克兰主要人口群体提供服务的非政府组织(包括慈善组织)的影响。 方法 我们对乌克兰各地为关键人群(即艾滋病毒感染者、性工作者、男男性行为者、注射毒品者和变性者)提供服务的非政府组织的主要代表进行了深入的定性访谈。在 O. Yaremenko 之后,研究所研究小组成员从国家、地区和地方各级组织中招募了参与者。研究小组成员在 2023 年 5 月 15 日至 6 月 7 日期间进行了 26 次访谈(22 次为女性,4 次为男性)。访谈以乌克兰语进行,并通过解释性分析得出关键主题。 结果 应用 Roels 等人提出的 "第一响应者 "概念,我们的研究结果探讨了全面战争如何对乌克兰非政府组织工作人员的个人和组织产生影响。尽管参与者的身心健康受到了影响,但前线工作者仍继续支持艾滋病的预防和治疗,同时也满足了客户和更广泛社区对人道主义援助的需求。此外,尽管工作报酬和补偿不足,前线工作者还是承担了额外的责任,从而在战争的特殊条件下超出了正常的工作量。 结论 在战争等结构性冲击期间,非政府组织发挥着重要的应对作用,调整其服务以满足社 区的紧急需求。当务之急是为非政府组织提供充足的资源,支持其为关键人群提供服务,并加大对其在人道主义援助中的重要作用的支持力度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“…because the social work never ends”: a qualitative study exploring how NGOs responded to emerging needs while upholding responsibility to HIV prevention and treatment during the war in Ukraine

Introduction

Since the onset of the Russian invasion on 24 February 2022, the health system in Ukraine has been placed under tremendous pressure, with damage to critical infrastructure, large losses of human resources, restricted mobility and significant supply chain interruptions. Based on a longstanding partnership between the Ukrainian Institute for Social Research after Oleksandr Yaremenko (UISR after O. Yaremenko) and the Institute for Global Public Health at the University of Manitoba, we explore the impact of the full-scale war on non-governmental organizations (NGOs, including charitable organizations) providing services for key population groups in Ukraine.

Methods

We conducted in-depth qualitative interviews with key representatives from NGOs working with key population groups (i.e., people living with HIV, sex workers, men who have sex with men, people who inject drugs and transgender people) throughout Ukraine. Members of the UISR after O. Yaremenko research team recruited participants from organizations working at national, regional and local levels. The research team members conducted 26 interviews (22 with women and four with men) between 15 May and 7 June 2023. Interviews were conducted virtually in Ukrainian and interpretively analysed to draw out key themes.

Results

Applying Roels et al.’s notion of “first responders”, our findings explore how the full-scale war personally and organizationally impacted workers at Ukrainian NGOs. Despite the impacts to participants’ physical and mental health, frontline workers continued to support HIV prevention and treatment while also responding to the need for humanitarian aid among their clients and the wider community. Furthermore, despite inadequate pay and compensation for their work, frontline workers assumed additional responsibilities, thereby exceeding their normal workload during the extraordinary conditions of war.

Conclusions

NGOs play a vital role as responders, adapting their services to meet the emergent needs of communities during structural shocks, such as war. There is an urgent need to support NGOs with adequate resources for key population service delivery and to increase support for their important role in humanitarian aid.

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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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