TY - JOUR
T1 - Implementing Evidence-Based HIV Prevention for Female Sex Workers in Mexico
T2 - Provider Assessments of Feasibility and Acceptability
AU - Palinkas, Lawrence A.
AU - Um, Mee Young
AU - Aarons, Gregory A.
AU - Rafful, Claudia
AU - Chavarin, Claudia V.
AU - Mendoza, Doroteo V.
AU - Staines, Hugo
AU - Patterson, Thomas L.
N1 - Funding Information:
Funding Information This work was supported by the National Institute of Mental Health at the National Institutes of Health (Grant number R01 MH087054 to GAA and TLP). C. Rafful was supported by a training grant from the Fogarty International Center at the National Institutes of Health (grant number D43TW008633) and a Consejo Nacional de Ciencia y Tecnologia (CONACyT) scholarship (grant number 209407/ 313533).
Publisher Copyright:
© 2018, Springer International Publishing AG, part of Springer Nature.
PY - 2019/6/15
Y1 - 2019/6/15
N2 - This study examined service provider perceptions of feasibility and acceptability of implementing evidence-based practices for preventing HIV/AIDS and STIs in female sex workers (FSWs) in Mexico. Semi-structured interviews were conducted with 124 directors, supervisors, and counselors from 12 reproductive health clinics located throughout Mexico participating in a large randomized controlled trial to scale-up the use of a psychoeducational intervention designed to promote FSW condom use and enhance safer sex negotiation skills. Feasibility was based on assessment of personal, organizational and social costs, benefits, and capacity. Costs included anxiety over intervention competency, purchase of condoms and other supplies, expenses of laboratory tests for HIV/STIs, and stigma associated with FSWs. Benefits included increase in personal knowledge and experience, enhanced clinic reputation and service delivery capacity, and increased public health. Capacity was expressed in terms of provider skills to deliver the intervention and additional workload. Acceptability was expressed in terms of provider enthusiasm in delivering these services and FSWs willingness to receive the services. Service provider evaluations of feasibility and acceptability of implementing evidence-based prevention interventions are grounded in local contexts that define costs and benefits of and capacity for implementation and determine features of the intervention and its implementation that are acceptable.
AB - This study examined service provider perceptions of feasibility and acceptability of implementing evidence-based practices for preventing HIV/AIDS and STIs in female sex workers (FSWs) in Mexico. Semi-structured interviews were conducted with 124 directors, supervisors, and counselors from 12 reproductive health clinics located throughout Mexico participating in a large randomized controlled trial to scale-up the use of a psychoeducational intervention designed to promote FSW condom use and enhance safer sex negotiation skills. Feasibility was based on assessment of personal, organizational and social costs, benefits, and capacity. Costs included anxiety over intervention competency, purchase of condoms and other supplies, expenses of laboratory tests for HIV/STIs, and stigma associated with FSWs. Benefits included increase in personal knowledge and experience, enhanced clinic reputation and service delivery capacity, and increased public health. Capacity was expressed in terms of provider skills to deliver the intervention and additional workload. Acceptability was expressed in terms of provider enthusiasm in delivering these services and FSWs willingness to receive the services. Service provider evaluations of feasibility and acceptability of implementing evidence-based prevention interventions are grounded in local contexts that define costs and benefits of and capacity for implementation and determine features of the intervention and its implementation that are acceptable.
KW - Evidence-based interventions
KW - Female sex workers
KW - HIV prevention
KW - Implementation
KW - Low and middle income countries
KW - Mexico
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U2 - 10.1007/s40609-018-0113-0
DO - 10.1007/s40609-018-0113-0
M3 - Article
AN - SCOPUS:85065141825
SN - 2196-8799
VL - 6
SP - 57
EP - 68
JO - Global Social Welfare
JF - Global Social Welfare
IS - 2
ER -