Accessing HIV care services by key populations - An Ubuntu philosophy reflection.
Idah Moyo, Livhuwani Tshivhase
PMID 40336377WHAT IT FOUND
In African HIV care studies, key populations described stigma, judgement, inflexible hours and confidentiality breaches as barriers.
Some services were reported more acceptable when staff were trained and hours were flexible.
Key findings
01Across 22 included studies, key populations reported barriers to HIV care: non-inclusive environments, negative provider attitudes, stigma and discrimination.
02Sex workers reported nurses being rude, insulting them and blaming them for STIs; stigma was attributed to hesitancy to seek HIV care.
03Some included studies reported that flexible night-time services and key-population-friendly training were seen as more acceptable.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only African studies were included, so the findings may not apply outside those regions. The review did not include grey literature. The included studies were mostly qualitative, so they describe experiences rather than prove that any service change works. The paper proposes Ubuntu as a reflection, not as a tested intervention.
Declared interests
No specific grant from any funding agency in the public, commercial or not-for-profit sectors.
The easy way to misread this
Do not conclude that Ubuntu-based training improves HIV care outcomes. The review describes barriers and proposes Ubuntu as a lens; it does not report a trial of Ubuntu training.