Emerging Themes for Sensitivity Training Modules of African Healthcare Workers Attending to Men Who Have Sex with Men: a Systematic Review

Overview

Journal Int Health

Publisher Oxford University Press

Specialty Health Services

Date 2015 Jan 18

PMID 25596188

Citations 17

Authors

Maartje Dijkstra

Elise M van der Elst

Murugi Micheni

Evanson Gichuru

Helgar Musyoki

Zoe Duby

Joep M A Lange

Susan M Graham

Eduard J Sanders

Affiliations

Soon will be listed here.

Abstract

Sensitivity training of front-line African health care workers (HCWs) attending to men who have sex with men (MSM) is actively promoted through national HIV prevention programming in Kenya. Over 970 Kenyan-based HCWs have completed an eight-modular online training free of charge (http://www.marps-africa.org) since its creation in 2011. Before updating these modules, we performed a systematic review of published literature of MSM studies conducted in sub-Saharan Africa (sSA) in the period 2011-2014, to investigate if recent studies provided: important new knowledge currently not addressed in existing online modules; contested information of existing module topics; or added depth to topics covered already. We used learning objectives of the eight existing modules to categorise data from the literature. If data could not be categorised, new modules were suggested. Our review identified 142 MSM studies with data from sSA, including 34 studies requiring module updates, one study contesting current content, and 107 studies reinforcing existing module content. ART adherence and community engagement were identified as new modules. Recent MSM studies conducted in sSA provided new knowledge, contested existing information, and identified new areas of MSM service needs currently unaddressed in the online training.

Citing Articles

Mistrust: Community engagement in global health research in coastal Kenya.

Sariola S Soc Stud Sci. 2023; 53(3):449-471.

PMID: 37002697 PMC: 10240637. DOI: 10.1177/03063127231162082.

Stigma and healthcare access among men who have sex with men and transgender women who have sex with men in Senegal.

Dibble K, Baral S, Beymer M, Stahlman S, Lyons C, Olawore O SAGE Open Med. 2022; 10:20503121211069276.

PMID: 35517371 PMC: 9066634. DOI: 10.1177/20503121211069276.

Infection with multiple HIV-1 founder variants is associated with lower viral replicative capacity, faster CD4+ T cell decline and increased immune activation during acute infection.

Macharia G, Yue L, Staller E, Dilernia D, Wilkins D, Song H PLoS Pathog. 2020; 16(9):e1008853.

PMID: 32886726 PMC: 7498102. DOI: 10.1371/journal.ppat.1008853.

"Talking About it Publicly Made Me Feel Both Curious and Embarrassed": Acceptability, Feasibility, and Appropriateness of a Stigma-Mitigation Training to Increase Health Worker Comfort Discussing Anal Sexuality in HIV Services.

Kutner B, Wu Y, Balan I, Meyers K AIDS Behav. 2019; 24(6):1951-1965.

PMID: 31858301 PMC: 7228834. DOI: 10.1007/s10461-019-02758-4.

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

Kapanda L, Jumbe V, Izugbara C, Muula A BMC Health Serv Res. 2019; 19(1):316.

PMID: 31101107 PMC: 6525370. DOI: 10.1186/s12913-019-4104-3.

References

Sanders E, Okuku H, Smith A, Mwangome M, Wahome E, Fegan G . High HIV-1 incidence, correlates of HIV-1 acquisition, and high viral loads following seroconversion among MSM. AIDS. 2012; 27(3):437-46. PMC: 3929859. DOI: 10.1097/QAD.0b013e32835b0f81. View

Lewis D, Sriruttan C, Muller E, Golparian D, Gumede L, Fick D . Phenotypic and genetic characterization of the first two cases of extended-spectrum-cephalosporin-resistant Neisseria gonorrhoeae infection in South Africa and association with cefixime treatment failure. J Antimicrob Chemother. 2013; 68(6):1267-70. DOI: 10.1093/jac/dkt034. View

Beyrer C, Sullivan P, Sanchez J, Dowdy D, Altman D, Trapence G . A call to action for comprehensive HIV services for men who have sex with men. Lancet. 2012; 380(9839):424-38. PMC: 3805059. DOI: 10.1016/S0140-6736(12)61022-8. View

Mannava P, Geibel S, Kingola N, Temmerman M, Luchters S . Male sex workers who sell sex to men also engage in anal intercourse with women: evidence from Mombasa, Kenya. PLoS One. 2013; 8(1):e52547. PMC: 3534678. DOI: 10.1371/journal.pone.0052547. View

van der Elst E, Smith A, Gichuru E, Wahome E, Musyoki H, Muraguri N . Men who have sex with men sensitivity training reduces homoprejudice and increases knowledge among Kenyan healthcare providers in coastal Kenya. J Int AIDS Soc. 2013; 16 Suppl 3:18748. PMC: 3852129. DOI: 10.7448/IAS.16.4.18748. View

Dunkle K, Jewkes R, Murdock D, Sikweyiya Y, Morrell R . Prevalence of consensual male-male sex and sexual violence, and associations with HIV in South Africa: a population-based cross-sectional study. PLoS Med. 2013; 10(6):e1001472. PMC: 3708702. DOI: 10.1371/journal.pmed.1001472. View

Stephenson R, Rentsch C, Sullivan P, McAdams-Mahmoud A, Jobson G, Struthers H . Attitudes toward couples-based HIV counseling and testing among MSM in Cape Town, South Africa. AIDS Behav. 2012; 17 Suppl 1:S43-50. PMC: 3529975. DOI: 10.1007/s10461-012-0293-z. View

Wirtz A, Kamba D, Jumbe V, Trapence G, Gubin R, Umar E . A qualitative assessment of health seeking practices among and provision practices for men who have sex with men in Malawi. BMC Int Health Hum Rights. 2014; 14:20. PMC: 4049421. DOI: 10.1186/1472-698X-14-20. View

Okal J, Geibel S, Muraguri N, Musyoki H, Tun W, Broz D . Estimates of the size of key populations at risk for HIV infection: men who have sex with men, female sex workers and injecting drug users in Nairobi, Kenya. Sex Transm Infect. 2013; 89(5):366-71. PMC: 4784698. DOI: 10.1136/sextrans-2013-051071. View

10.

McAdams-Mahmoud A, Stephenson R, Rentsch C, Cooper H, Arriola K, Jobson G . Minority stress in the lives of men who have sex with men in Cape Town, South Africa. J Homosex. 2014; 61(6):847-67. DOI: 10.1080/00918369.2014.870454. View

11.

Sanders E, Wahome E, Mwangome M, Thiongo A, Okuku H, Price M . Most adults seek urgent healthcare when acquiring HIV-1 and are frequently treated for malaria in coastal Kenya. AIDS. 2011; 25(9):1219-24. DOI: 10.1097/QAD.0b013e3283474ed5. View

12.

Eisingerich A, Wheelock A, Gomez G, Garnett G, Dybul M, Piot P . Attitudes and acceptance of oral and parenteral HIV preexposure prophylaxis among potential user groups: a multinational study. PLoS One. 2012; 7(1):e28238. PMC: 3256136. DOI: 10.1371/journal.pone.0028238. View

13.

Lane T, Raymond H, Dladla S, Rasethe J, Struthers H, McFarland W . High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto Men's Study. AIDS Behav. 2009; 15(3):626-34. PMC: 2888758. DOI: 10.1007/s10461-009-9598-y. View

14.

Nordling L . Homophobia and HIV research: Under siege. Nature. 2014; 509(7500):274-5. DOI: 10.1038/509274a. View

15.

Fay H, Baral S, Trapence G, Motimedi F, Umar E, Iipinge S . Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. AIDS Behav. 2010; 15(6):1088-97. DOI: 10.1007/s10461-010-9861-2. View

16.

Onyango-Ouma W, Birungi H, Geibel S . Engaging men who have sex with men in operations research in Kenya. Cult Health Sex. 2009; 11(8):827-39. DOI: 10.1080/13691050902844853. View

17.

Drame F, Crawford E, Diouf D, Beyrer C, Baral S . A pilot cohort study to assess the feasibility of HIV prevention science research among men who have sex with men in Dakar, Senegal. J Int AIDS Soc. 2013; 16 Suppl 3:18753. PMC: 3852354. DOI: 10.7448/IAS.16.4.18753. View

18.

Adebajo S, Eluwa G, Allman D, Myers T, Ahonsi B . Prevalence of internalized homophobia and HIV associated risks among men who have sex with men in Nigeria. Afr J Reprod Health. 2013; 16(4):21-8. View

19.

Taegtmeyer M, Davies A, Mwangome M, van der Elst E, Graham S, Price M . Challenges in providing counselling to MSM in highly stigmatized contexts: results of a qualitative study from Kenya. PLoS One. 2013; 8(6):e64527. PMC: 3676420. DOI: 10.1371/journal.pone.0064527. View

20.

Wirtz A, Walker D, Bollinger L, Sifakis F, Baral S, Johns B . Modelling the impact of HIV prevention and treatment for men who have sex with men on HIV epidemic trajectories in low- and middle-income countries. Int J STD AIDS. 2013; 24(1):18-30. DOI: 10.1177/0956462412472291. View