Evidence map›Paper›PMID 26493863›Full record

ArticleJournal of the International AIDS Society2015

The green shoots of a novel training programme: progress and identified key actions to providing services to MSM at Kenyan health facilities.

Elise M van der Elst, Bernadette Kombo, Evans Gichuru, Anisa Omar, Helgar Musyoki, Susan M Graham, Adrian D Smith, Eduard J Sanders, Don Operario

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 3 countries.

Elise M van der ElstKenya Medical Research Institute - Wellcome Trust Research Programme, Kilifi, Kenya; evanderelst@kemri-wellcome.org.
Bernadette KomboKenya Medical Research Institute - Wellcome Trust Research Programme, Kilifi, Kenya.
Evans GichuruKenya Medical Research Institute - Wellcome Trust Research Programme, Kilifi, Kenya.
Anisa OmarCounty Ministry of Health, Kilifi, Kenya.
Helgar MusyokiNational AIDS and STI Control Programme, Nairobi, Kenya.
Susan M GrahamDepartments of Medicine, Epidemiology and Global Health, Washington University, Seattle, WA, USA.
Adrian D SmithNuffield Department of Population Health, Oxford University, Oxford, UK.
Eduard J SandersKenya Medical Research Institute - Wellcome Trust Research Programme, Kilifi, Kenya.
Don OperarioSchool of Public Health, Brown University, Providence, RI, USA.
Kenya Medical Research Institute · KEUniversity of Oxford · GBBrown University · USMinistry of Health · KENational Aids Control Council · KEUniversity of Washington · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Virology CoreP01AA019072 · NIAAA · BROWN UNIVERSITY · PI BECKER, SARA · 2010 to 2024
$19.7M
Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Provider and Peer Support Intervention to Improve ART Adherence among Kenyan MenR34MH099946 · NIMH · UNIVERSITY OF WASHINGTON · PI GRAHAM, SUSAN MARIE · 2013 to 2015
$627k
NIAAA NIH HHS P01 AA019072NIAAA NIH HHS P01AA019072NIAID NIH HHS P30 AI027757NIAID NIH HHS P30AI042853NICHD NIH HHS R25 HD045810NIMH NIH HHS R34 MH099946NIMH NIH HHS R34MH099946Wellcome Trust 077092Wellcome Trust 092654
6 · The paper itself

Abstract

introductionAlthough men who have sex with men (MSM) in sub-Saharan Africa are at high risk for HIV acquisition, access to and quality of health and HIV services within this population are negatively affected by stigma and capacity within the health sector. A recently developed online MSM training programme (www.marps-africa.org) was shown to contribute to reductions in MSM prejudice among healthcare providers (HCPs) in coastal Kenya. In this study, we used qualitative methods to explore the provision of MSM healthcare services two years post-training in coastal Kenya.

methodsFrom February to July 2014, we held 10 focus group discussions (FGD) with 63 participants, including HCP from 25 facilities, county AIDS coordinators and MSM from local support groups. Participants discussed availability, acceptability and accessibility of HIV healthcare for MSM. HCP also discussed changes in their health service practices after completing the training. FGD were recorded, transcribed verbatim and analyzed using Ritchie and Spencer's "framework approach" for qualitative data.

resultsHCPs described continued improvements in their ability to provide service in a non-stigmatizing way to MSM patients since completing the training programme and expressed comfort engaging MSM patients in care. Four additional recommendations for improving MSM healthcare services were identified: 1) expanding the reach of MSM sensitivity training across the medical education continuum; 2) establishing guidelines to manage sexually transmitted anal infections; 3) promoting legal and policy reforms to support integration of MSM-appropriate services into healthcare; and 4) including MSM information in national reporting tools for HIV services.

conclusionsPositive impacts of this sensitivity and skills training programme were reflected in HCP attitudes two years post-intervention. Scaling-up of efforts will rely on continued policies to include MSM in healthcare programmes to reduce stigma in health settings and guidelines for MSM STI service delivery.

Indexed as

Health ServicesHomosexuality, MaleAdultFocus GroupsHIV InfectionsHumansKenyaMaleQualitative Researchhealthcare providerHIVKenyaMSMMSM sensitivity and skills trainingstigma

Identifiers

PMID26493863
PMCPMC4615801
OpenAlexW2105690892

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.