2018
DOI: 10.1080/09540121.2018.1524119
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Quality of care and HIV service utilization among key populations in Zambia: a qualitative comparative analysis among female sex workers, men who have sex with men and people who use drugs

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Cited by 19 publications
(22 citation statements)
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“…To encourage real-world uptake of a future preventative HIV vaccine among PWUD, barriers such as cost, dosing regimens and mode of dissemination will need to be addressed. However, the impact of stigma as a barrier to uptake continues to underpin HIV prevention efforts, as is consistent with past research on intervention implementation among PWUD [47,48]. For example, many of our participants did not want to discuss HIV-related topics (e.g., health services, risk behaviours) in detail, and when speaking to vaccination administration, indicated that were they to receive it, they would want to receive this vaccination in a clinic because of concerns around privacy, and not wanting to utilize HIV-specific agencies or services for fear of being identified as someone with HIV.…”
Section: Discussionsupporting
confidence: 69%
“…To encourage real-world uptake of a future preventative HIV vaccine among PWUD, barriers such as cost, dosing regimens and mode of dissemination will need to be addressed. However, the impact of stigma as a barrier to uptake continues to underpin HIV prevention efforts, as is consistent with past research on intervention implementation among PWUD [47,48]. For example, many of our participants did not want to discuss HIV-related topics (e.g., health services, risk behaviours) in detail, and when speaking to vaccination administration, indicated that were they to receive it, they would want to receive this vaccination in a clinic because of concerns around privacy, and not wanting to utilize HIV-specific agencies or services for fear of being identified as someone with HIV.…”
Section: Discussionsupporting
confidence: 69%
“…Counterintuitively, interviews with incarcerated males in the Zambian facility in this study described a strong culture of peer support for HIV testing and treatment, describing it as an important factor in their willingness to seek care, even where physical access was limited. As recent work has suggested that key populations in Zambia continue to face barriers to service utilization in the mainstream health system, 29 , 31 , 45 more work is needed to explore and trace the factors that may have enabled and strengthened this unusual and encouraging situation in the correctional facility.…”
Section: Discussionmentioning
confidence: 99%
“…However, concern remains about the sensitivity of the test, the lack of council, and the need of confirmation after a positive HIV self-test. Qualitative studies in these subjects provide more answers (39,40). Nonetheless, our study is important in that it uses nationally representative population survey data.…”
Section: Discussionmentioning
confidence: 99%