Service providers’ perspectives on facilitators and recommendations for improving HIV care in Manitoba, Canada
Dados Bibliográficos
| ID | 22069507 |
|---|---|
| Autores | Katharina Maier (0000-0002-0678-2854, University of Winnipeg), Margaret Haworth-Brockman (0000-0002-9196-2242, University of Manitoba), Enrique Villacis-Alvarez (0000-0003-0033-9410, University of Manitoba), Lauren J MacKenzie (0000-0002-4794-9120, University of Manitoba), Laurie Ireland (0000-0002-9036-3854, Nine Circles Community Health Centre), Ken Kasper (University of Manitoba), Yoav Keynan (0000-0003-4948-4707, University of Manitoba), Zulma Vanessa Rueda (0000-0001-6342-1812, Universidad Pontificia Bolivariana, autor correspondente) |
| Ano | 2025 |
| Volume | 13 |
| Páginas | 1585604-1585604 |
| Data de publicação | 2025-07-09 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Frontiers in Public Health (JOURNAL) |
| Identificadores do periódico | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Editora | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1585604 |
| PMID | 40746690 |
| OpenAlex | W4412133374 |
| Idioma | EN |
| Referências citadas | 39 |
Background: We aimed to identify facilitators and recommendations for improving HIV care in Manitoba, Canada from service providers' perspectives. Methods: This study is a component of a participatory action research study examining the interrelatedness of houselessness, substance use and other factors on HIV care. We conducted in-depth, semi-structured interviews with 27 HIV service providers in Manitoba (Canada). Interviews were transcribed, coded, and analyzed using a thematic approach within a socio-ecological framework. Results: We identified 11 supertheme facilitators and 15 supertheme recommendations at the intrapersonal, interpersonal, socio-cultural, institutional and structural levels. For the facilitators, subthemes include non-judgmental care (intrapersonal), focus on building relationships and trust (interpersonal), collaboration with other providers (socio-cultural), safe non-stigmatizing environments (institutional), and effective policies (structural). Provider recommendations highlight the need for structural changes, with subthemes focused on policy changes, adaptations to HIV care delivery model, harm reduction strategies, and addressing gaps in social services and mental health care. Conclusion: Service providers' behaviours and attitudes as well as organizational processes play a significant role in PLHIV engagement and retention in HIV care. Institutional and structural changes, including flexible and mobile HIV care as well as integrated HIV and harm reduction care, are critical for increasing care uptake and retention
Business · Family medicine · Service provider · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Nursing
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| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |