在津巴布韦,通过以人为本的设计,将预防艾滋病毒的每日一粒药丸从药物转变为增强自我保健能力

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES
E. Harris, K. Shelley, Thenjiwe Sisimayi, Catherine Wandie, Cal Bruns
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引用次数: 1

摘要

对于撒哈拉以南非洲的少女和年轻妇女(AGYW)来说,口服替诺福韦暴露前预防(通常称为PrEP)提供了一种用户控制的艾滋病毒预防方法,对于解决其艾滋病毒风险和未满足的预防需求至关重要。解决临床和现实世界PrEP疗效之间的差距需要新的方法,例如“V”。“V”将PrEP从药物重新定义为自我护理,就像年轻女性最喜欢的时尚或美容品牌一样易于使用。本文描述了如何使用以人为本的设计(HCD)来适应“V”品牌和服务交付战略,以便在津巴布韦实施,这是通过在南非的形成性研究来发展的。方法通过文献回顾、利益相关者分析和景观规划,通过参与式沉浸式会议对津巴布韦四个地区的152名参与者进行了“V”品牌和服务提供策略的评估。通过学习问题综合了见解:AGYW和卫生工作者如何看待“V”?哪一种“V”材料是津巴布韦最可接受和最相关的?为津巴布韦选择的“V”材料需要进行哪些调整?选定的“V”资产应如何整合?结果“V”创新的设计原则——令人愉快的大胆品牌,谨慎的入门套件和方便用户的材料,让年轻女性控制教育他人——仍然引起了共鸣。确定了可行的修改,以适应“V”品牌和服务交付策略,以适应当地环境。结论“V”提供了一种“令人愉快的谨慎”方法,使AGYW负责预防艾滋病毒。核心“V”设计概念的共鸣表明,HCD可以如何应用于将PrEP重新定义为一个产品类别(即,从一种污名化的药物到赋予自我保健能力)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transforming the once-a-day pill for HIV prevention from medicine to empowering self-care using human-centred design in Zimbabwe
Objective For adolescent girls and young women (AGYW) in sub-Saharan Africa, oral tenofovir‐based pre‐exposure prophylaxis (commonly referred to as PrEP) provides a user-controlled HIV prevention method, critical to addressing their HIV risk and unmet prevention needs. Addressing the gap between clinical and real-world PrEP efficacy requires new approaches, such as ‘V’. ‘V’ reframes PrEP from medicine to self-care that is as easy to use as a young women’s favourite fashion or beauty brand. This article describes how human-centred design (HCD) was used to adapt the ‘V’ brand and service delivery strategy for implementation in Zimbabwe from its development via formative research in South Africa. Methods Following literature review, stakeholder analysis and landscaping, the ‘V’ brand and service delivery strategy were assessed through participatory immersion sessions with 152 participants in four Zimbabwe districts. Insights were synthesised across learning questions: What do AGYW and health workers think about ‘V’?; Which of the ‘V’ materials are most acceptable and relevant for Zimbabwe?; What adaptations are necessary for the selected ‘V’ materials for Zimbabwe?; and How should the selected ‘V’ assets be integrated? Results The ‘V’ innovative design principles—delightfully bold branding, a discreet starter kit and user-friendly materials that put young women in control of educating others—remained resonant. Feasible modifications were identified to adapt the ‘V’ brand and service delivery strategy to suit the local context. Conclusion ‘V’ delivers a ‘delightfully discreet’ approach that puts AGYW in charge of preventing HIV. The resonance of the core ‘V’ design concepts demonstrates how HCD can be applied to reframe PrEP as a product category (ie, from a stigmatising medicine to empowering self-care).
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来源期刊
BMJ Innovations
BMJ Innovations Medicine-Medicine (all)
CiteScore
4.20
自引率
0.00%
发文量
63
期刊介绍: Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.
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