De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon

Conventional HIV testing performed by a health professional has shown its limitations in targeting marginalized and vulnerable populations. Indeed, men who have sex with men (MSM) due to social discrimination are often uncomfortable using this service at the health facilities level. In this perspect...

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Main Authors: Jean Paul Bienvenu Enama Ossomba, Patrice Ngangue, Antoine Silvère Olongo Ekani, Edgar Tanguy Kamgain
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1180813/full
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author Jean Paul Bienvenu Enama Ossomba
Patrice Ngangue
Antoine Silvère Olongo Ekani
Edgar Tanguy Kamgain
author_facet Jean Paul Bienvenu Enama Ossomba
Patrice Ngangue
Antoine Silvère Olongo Ekani
Edgar Tanguy Kamgain
author_sort Jean Paul Bienvenu Enama Ossomba
collection DOAJ
description Conventional HIV testing performed by a health professional has shown its limitations in targeting marginalized and vulnerable populations. Indeed, men who have sex with men (MSM) due to social discrimination are often uncomfortable using this service at the health facilities level. In this perspective, new differentiated approaches have been thought through de-medicalized and decentralized HIV testing (DDHT). This HIV testing strategy enables overcoming the structural, legal, and social barriers that prevent these populations from quickly accessing HIV services. This article discusses the prerequisites and added value of implementing this strategy for MSM living in a criminalized context and its implication in decentralizing health services toward the community level.
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spelling doaj.art-201299ce4127467ea69b48ac44b0f00a2023-07-26T07:27:18ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.11808131180813De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in CameroonJean Paul Bienvenu Enama Ossomba0Patrice Ngangue1Antoine Silvère Olongo Ekani2Edgar Tanguy Kamgain3School of Health Sciences, University of Dundee, Dundee, United KingdomFaculty of Nursing, Laval University, Québec, QC, CanadaHumanity First Cameroon Plus, Yaounde, CameroonHumanity First Cameroon Plus, Yaounde, CameroonConventional HIV testing performed by a health professional has shown its limitations in targeting marginalized and vulnerable populations. Indeed, men who have sex with men (MSM) due to social discrimination are often uncomfortable using this service at the health facilities level. In this perspective, new differentiated approaches have been thought through de-medicalized and decentralized HIV testing (DDHT). This HIV testing strategy enables overcoming the structural, legal, and social barriers that prevent these populations from quickly accessing HIV services. This article discusses the prerequisites and added value of implementing this strategy for MSM living in a criminalized context and its implication in decentralizing health services toward the community level.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1180813/fullHIV testingkey population groupsdemedicalisationdecentralisationlow-and-middle-income countries
spellingShingle Jean Paul Bienvenu Enama Ossomba
Patrice Ngangue
Antoine Silvère Olongo Ekani
Edgar Tanguy Kamgain
De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon
Frontiers in Public Health
HIV testing
key population groups
demedicalisation
decentralisation
low-and-middle-income countries
title De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon
title_full De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon
title_fullStr De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon
title_full_unstemmed De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon
title_short De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon
title_sort de medicalized and decentralized hiv testing a strategy to test hard to reach men who have sex with men in cameroon
topic HIV testing
key population groups
demedicalisation
decentralisation
low-and-middle-income countries
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1180813/full
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