Integrating gender-based violence screening and support into the research clinic setting: experiences from an HIV prevention open-label extension trial in sub-Saharan Africa
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Authors
Garcia, Morgan
Roberts, Sarah T.
Mayo, Ashley J.
Scheckter, Rachel
Mansoor, Leila E.
Palanee-Phillips, Thesla
Reddy, Krishnaveni
Naidoo, Yuthika
Akello, Carolyne Agwau
Gaffoor, Zakir
Issue Date
2022-09-30
Type
Article
Language
en_US
Keywords
Dapivirine Vaginal Ring , Gender-Based Violence Response , HIV Prevention , Referral Networks , Vicarious Trauma.
Alternative Title
Abstract
HIV and gender-based violence (GBV) are syndemic in sub-Saharan Africa and provision of support for participants who disclose GBV constitutes part of comprehensive care. Consequently, a process was undertaken to develop, implement, and evaluate standard operating procedures (SOPs) in MTN-025/HOPE, a study of the dapivirine vaginal ring for HIV prevention. The SOP was developed using needs assessment surveys in addition to World Health Organization (WHO) guidelines and other literature. Sites tailored and implemented the SOP through HOPE implementation. At study end, staff reported increased training 32/35 (91.43%); improved confidence (18/26; 69.23%); and improved vicarious trauma prevention onsite (17/28; 60.71%). Leadership reported increased staff competence in GBV response. Obstacles included limited referral organizations and time for follow-up, continued training needs, and cultural norms. Development and implementation of an SOP is a feasible strategy to build a GBV response to improve health systems and support sustained effective use of HIV prevention products.
Description
Citation
Garcia, M., Roberts, S. T., Mayo, A. J., Scheckter, R., Mansoor, L. E., Palanee-Phillips, T., Reddy, K., Naidoo, Y., Akello, C. A., Gaffoor, Z., Siva, S., Rushwaya, C., Hlahla, K., Jambaya, J., Makoni, R., Kachale, E., Ndovie, M., Zuma, J., Montgomery, E. T., & MTN-025/HOPE study team (2022). Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa. AIDS and behavior, 10.1007/s10461-022-03864-6. Advance online publication. https://doi.org/10.1007/s10461-022-03864-6
Publisher
Advance Online Publication