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PAGE 24 The perceptions of health workers on the effectiveness of HIV Prevention Programmes for MSM in Jamaica May 2013 Abstract The Jamaican Ministry of Health (MOH) has framed a policy and strategy that allows for sexual health promotion and HIV prevention programmes to be conducted for men who have sex with men (MSM), despite an enforced legal framework which makes it illegal to participate in anal sex. The population of Jamaica’s MSM accounts for the highest HIV prevalence rate on the island. While the National HIV/ STI Programme conducts a government-run programme, a significant portion of the work is conducted by local and internationally funded non-government organizations (NGO). This study seeks to explore the efficiency of these HIV/AIDS prevention programmes from the experiences and perspectives of the health care workers involved in their implementation. It will utilize qualitative research methodology of a descriptive cross-sectional design. The procedure will involve the use of interviews. These will be conducted with health workers in MSM programmes from NGOs and the Jamaica National HIV/STI Programme. It is expected that the results may indicate a view of success with many programmes, with limitations being attributed to the societal and legal framework within which they work. It may also show disparities between government and locally ran programmes conducted by NGOs. The results of this study will be shared and made available to public libraries, the government of Jamaica and other stakeholders working to alleviate the impact of HIV and AIDS in Jamaica and the world. * Keywords: HIV/AIDS, health promotion and HIV prevention, men who have sex with men (MSM), Jamaica, sexual health, gay men, other MSM and transgender individuals (GMT).Table of Contents Page # Abstract Introduction Methodology Discussion Conclusion Reflection References Appendix Consent Appendix Draft Interview Glossary Privacy Statement 1. Introduction This study explores the effectiveness of the HIV and AIDS response within the target population of MSM in Jamaica. It investigates, the views and perspectives of the health workers who carry out or implement these programmes. Thanks to science, the ability to treat and care for persons living with HIV (PLHIV) and AIDS has grown exponentially. Individuals are defying their prognoses and are living with HIV and AIDS for record number of years than they did when the virus was first discovered. Gay, bisexual, transgendered and other men who have sex with men but may not identify as gay, are disproportionately affected by sexually transmitted infections like HIV (MOH, 2011a). For the purpose of this research the term MSM will be defined and utilized as the public health terminology to capture the target audience of all males who have sex with males. For the purpose of this research.
PAGE 24The perceptions of health workers on the effecti.docx
PAGE 24The perceptions of health workers on the effecti.docx
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Brobeck et al. BMC Nursing 2014, 13:13 http://www.biomedcentral.com/1472-6955/13/13 RESEARCH ARTICLE Open Access Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study Elisabeth Brobeck1,2*, Sigrid Odencrants2, Håkan Bergh3 and Cathrine Hildingh4 Abstract Background: According to World Health Organization about 75% of cardiovascular diseases and type 2 diabetes and 40% of all cases of cancer could be prevented if the risk factors tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol could be eliminated. Patients often need help in monitoring themselves to make the proper lifestyle changes and it is important that adequate support is provided to enable the patients to take control over their health. Motivational interviewing is a framework that can help to facilitate this movement. The aim of this study was to describe how patients in primary health care settings experience lifestyle discussions based on motivational interviewing. Methods: This study has a descriptive design and qualitative content analysis was used as the method. Sixteen patients who had each visited a registered nurse for lifestyle discussions were interviewed. Results: The results show that the lifestyle discussions could enable self-determination in the process of lifestyle change but that certain conditions were required. Mutual interaction between the patient and the nurse that contributes to a sense of well-being in the patients was a necessary condition for the lifestyle discussion to be helpful. When the discussion resulted in a new way of thinking about lifestyle and when patient initiative was encouraged, the discussion could contribute to change. The patient’s free will to make a lifestyle change and the nurse’s sensitivity in the discussions created fertile soil for change. Conclusions: This study focuses on MI-based discussions, and the result shows that a subset of patients, who self-reported that they are motivated and aware of their role in making lifestyle changes, appreciate these strategies. However, it is not known whether discussions would be experienced in the same way if RNs used another method or if patients who were less motivated, engaged, or aware of their role in making lifestyle changes were interviewed. Keywords: Content analysis, Lifestyle discussion, Motivational interviewing, Nurse, Patient experiences, Primary health care Background Non-communicable diseases (NCDs) such as cardiovascu- lar diseases, type 2 diabetes, cancers and chronic respira- tory diseases are by far the leading cause of death globally, representing 63% of all annual deaths [1]. NCDs are largely caused of the four risk factors; tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol [1,2]. * Correspondence: [email protected] 1Department of Research, Development and Education, Halmstad, Sweden 2School of Health and Medical Sciences Örebro University, Örebro, Sweden Full list of a ...
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