Combination HIV Prevention Strategy Implementation in El Salvador: Perceived Barriers and Adaptations Reported by Outreach Peer Educators and Supervisors

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Publié dans:Global Qualitative Nursing Research vol. 4 (Jan 2017)
Auteur principal: Buck, Meredith
Autres auteurs: Dickson-Gomez, Julia, Bodnar, Gloria
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SAGE PUBLICATIONS, INC.
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022 |a 2333-3936 
024 7 |a 10.1177/2333393617703198  |2 doi 
035 |a 2423779228 
045 2 |b d20170101  |b d20170131 
100 1 |a Buck, Meredith  |u Medical College of Wisconsin, Milwaukee, Wisconsin, WI, USA 
245 1 |a Combination HIV Prevention Strategy Implementation in El Salvador: Perceived Barriers and Adaptations Reported by Outreach Peer Educators and Supervisors 
260 |b SAGE PUBLICATIONS, INC.  |c Jan 2017 
513 |a Journal Article 
520 3 |a El Salvador was one of three countries to receive funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria to conduct a combination HIV prevention intervention among transwomen (TW), men who have sex with men (MSM), and commercial sex workers (CSW). Program evaluation revealed that prevention activities reached only 50% of the target population. The purpose of this study is to examine the barriers that Salvadoran educators faced in implementing the peer education as designed and adaptations made as a result. Between March and June 2015, 18 in-depth interviews with educators were conducted. Violence was reported as the biggest barrier to intervention implementation. Other barriers differed by subpopulation. The level of violence and discrimination calls into question the feasibility and appropriateness of peer-led interventions in the Salvadoran context and demonstrates the importance of implementation research when translating HIV prevention interventions developed in high-income countries to low- and middle-income countries. 
651 4 |a El Salvador 
653 |a Human immunodeficiency virus--HIV 
653 |a Disease prevention 
653 |a Teachers 
653 |a Qualitative research 
653 |a Mens health 
653 |a Gays & lesbians 
653 |a Public health 
700 1 |a Dickson-Gomez, Julia  |u Medical College of Wisconsin, Milwaukee, Wisconsin, WI, USA 
700 1 |a Bodnar, Gloria  |u Fundasalva, Santa Tecla, El Salvador 
773 0 |t Global Qualitative Nursing Research  |g vol. 4 (Jan 2017) 
786 0 |d ProQuest  |t Nursing & Allied Health Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2423779228/abstract/embedded/ZKJTFFSVAI7CB62C?source=fedsrch 
856 4 0 |3 Full text outside of ProQuest  |u https://journals.sagepub.com/doi/10.1177/2333393617703198