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Assessing a Human Rights-Based Approach to HIV Testing and Partner Notification in Kenya: A Qualitative Study to Examine How Kenya’s Policies and Practices Implement a Rights-Based Approach to Health

机译:评估基于人权的艾滋病毒检测和合作伙伴通知的方法:审查肯尼亚的政策和实践如何实施基于权利的健康方法的定性研究

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Kenya encourages HIV testing and notification services, especially for key and affected populations (KAP), in order to identify persons living with HIV and link them to treatment. Kenya and international supporters of its HIV program have sought to scale up these services through increased capacity and training. However, little is known about how the HIV strategy is implemented and sustained, particularly regarding human rights. Kenya aspires to support human rights in adherence to a human rights-based approach (HRBA) to HIV. This exploratory qualitative study assesses Kenya’s progress in implementing an HRBA to HIV. KAP participants conveyed mixed perspectives on their HIV care services, conveying distrust in Kenya’s public health care system while also recognizing improvement in some patient-provider interactions. Providers see the need to better engage KAP through communitybased organizations and undergo improved, consistent training to sustain practices and policies that promote their rights realization. We believe that our study contributes to both HIV and human rights research by capturing successes and challenges in Kenya’s implementation of an HRBA to HIV. These findings should inform future collaboration between Kenyan health authorities and KAP, and shape HIV policies and practices to improve health care utilization and human rights realization.
机译:肯尼亚鼓励艾滋病毒检测和通知服务,特别是对于关键和受影响的人口(KAP),以识别与艾滋病毒艾滋病毒的人并将它们与治疗联系起来。肯尼亚和艾滋病毒计划的国际支持者旨在通过增加的能力和培训来扩大这些服务。但是,众所周知,关于如何实施艾滋病毒策略,特别是关于人权的人。肯尼亚渴望支持人权遵守基于人权的方法(HRBA)到艾滋病毒。该探索性定性研究评估了肯尼亚对艾滋病毒实施HRBA的进展。 KAP参与者在艾滋病毒护理服务中传达了混合的观点,在肯尼亚的公共卫生保健系统中传达不信任,同时也认识到一些患者提供者的相互作用。提供者认为需要更好地通过社区基础的组织获得KAP,并经过改进,一致的培训,以维持促进其权利实现的实践和政策。我们认为,我们的研究通过捕捉肯尼亚实施HRBA对艾滋病毒的成功和挑战,有助于艾滋病毒和人权研究。这些调查结果应告知肯尼亚卫生当局和KAP之间的未来合作,以及塑造艾滋病毒政策和实践,以改善医疗保健利用和人权实现。

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