Evidence map›Paper›PMID 31101107›Full record

ArticleBMC health services research2019

Healthcare providers' attitudes towards care for men who have sex with men (MSM) in Malawi.

Lester Kapanda, Vincent Jumbe, Chimaraoke Izugbara, Adamson S Muula

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
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  3. We are treated differently: Experiences of men who have sex with men in South African clinics.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
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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

4 authors.

Lester KapandaDepartment of Public Health, School of Public Health and Family Medicine, College of Medicine - University of Malawi, Blantyre, Malawi. lkapanda@cartafrica.org.ORCID http://orcid.org/0000-0003-2887-2954
Vincent JumbeDepartment of Health Systems and Policy, School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Chimaraoke IzugbaraInternational Center for Research on Women (ICRW), Washington DC, USA.
Adamson S MuulaDepartment of Public Health, School of Public Health and Family Medicine, College of Medicine - University of Malawi, Blantyre, Malawi.

Funding

Wellcome TrustWellcome Trust 087547/Z/08/Z
6 · The paper itself

Abstract

backgroundMen who have sex with men (MSM) are a priority group in Malawi's national response to Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS). There are limited data on service providers' acceptability to deliver appropriate sexual health services in relation to HIV prevention, care and treatment targeting the MSM. We assessed attitudes of healthcare providers already working, health professions students and faculty at health professions training institutions regarding the provision of MSM focused HIV related health services.

methodsWe conducted a qualitative study between April and May 2017 in Lilongwe, Malawi. We purposively recruited 15 participants (5 health service providers, 5 health professions students and 5 faculty of tertiary health training institutions) among whom individual in-depth interviews were conducted. Interviews were audio recorded, transcribed and analysed thematically.

resultsParticipants recognized MSM as having health needs and rights. Participants generally expressed willingness to deliver appropriate healthcare because they perceived this as their professional responsibility. Participants suggested that it was the responsibility for MSM to disclose their sexual orientation and or preferences when they access care such that healthcare providers better anticipate their care needs. They suggested a need to increase the availability of MSM-centered and friendly health services as well as trained providers that are non-judgmental, non-discriminatory and have respect for people's right to health care access.

conclusionDespite widespread poor attitudes against MSM in Malawi, health service providers and health professions students and faculty accepted and were willing to provide MSM-focused health services. The acceptability and willingness of health service providers, health professions students and faculty to provide health services to MSM offer hope and scope for efforts to strengthen the delivery of health services and quality of care to MSM in Malawi.

Indexed as

Attitude of Health PersonnelHealth PersonnelAdultFemaleHealth Services AccessibilityHIV InfectionsHomosexuality, MaleHumansInterviews as TopicMalawiMaleMiddle AgedQualitative ResearchSexual and Gender MinoritiesHealth care professionsHealth professions studentsHIV preventionKey populationsMalawiMen who have sex with men (MSM)Sexual health services

Identifiers

PMID31101107
PMCPMC6525370

What OpenQuestion holds

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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.