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DTSTART:20241103T020000
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DESCRIPTION:Program: HIV/AIDS Session: HIV and Comorbidities Author: Trace
  S. Kershaw Abstract Background Because HIV and gender-based violence (GB
 V) are closely linked\, Uganda adopted the World Health Organization’s gu
 idelines to incorporate routine GBV screening and the immediate provision
  of support and referrals for survivors in HIV care settings. However\, t
 here are considerable barriers to implementation. This study aims to expl
 ore factors influencing HIV care providers’ implementation of Uganda Mini
 stry of Health (MOH) GBV protocol in HIV care\, with the goal of identify
 ing areas for growth. Methods In 2023\, we conducted a qualitative study 
 in rural and peri-urban public health clinics in central Uganda. We condu
 cted 7 focus group interviews with 53 health workers\, lay health workers
 \, and staff that engage regularly with HIV care clients\, and 12 individ
 ual interviews with community partners (e.g.\, health leaders\, HIV/gende
 r program leads). Data were analyzed through thematic analysis and guided
  by the Consolidated Framework for Implementation Research. Results We id
 entified multilevel barriers affecting GBV screening and response\, inclu
 ding factors related to provider motivation\, institutional support\, the
  clinic environment\, and community and health systems. Health workers an
 d stakeholders were aware that GBV affects HIV care clients and of the MO
 H’s GBV protocol. However\, health workers reported infrequently implemen
 ting GBV screening and viewing it as a low priority. Some expressed bias 
 and stigmatizing behaviors towards GBV-affected clients (e.g.\, survivor-
 blaming). Many providers had not received the MOH’s mandatory GBV trainin
 g due to limited resources and frequent staff turnover. The ability to sc
 reen and respond to GBV was diminished by a lack of privacy due to insuff
 icient space and high client volumes. Participants discussed a limited ne
 twork for psychosocial service referrals and hesitation to make police an
 d legal referrals due to concern that doing so would erode community trus
 t. Participants identified community GBV stigma as preventing clients fro
 m seeking support. Conclusions This study highlights the need to strength
 en the implementation of GBV screening and response\, and identifies mult
 ilevel barriers to its implementation\, in HIV care. System-wide strength
 ening is needed to bolster provider training and motivation\, create time
  and space in clinics for implementation\, strengthen external referral s
 ystems\, and reduce provider bias and community stigma related to GBV.\n\
 nSpeaker:\nTrace Kershaw\n\nAdmission:\nRegistrationFees: APHA Event Regi
 stration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/hiv
 -care-provider-and-stakeholder-insights-on-factors-affecting-gender-based
 -violence-screening/\n
DTEND;TZID=America/New_York:20251102T173000
DTSTAMP:20260514T231823Z
DTSTART;TZID=America/New_York:20251102T171500
GEO:38.903500;-77.022987
LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:2173.0 - HIV care provider and stakeholder insights on factors aff
 ecting gender-based violence screening\, referrals\, and counseling in th
 e context of HIV care in Uganda
UID:22e64407-68cb-49e0-9662-74321c5ea34c
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