Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service
Background: Documenting specific knowledge and attitudes about HIV in the culturally diverse nation of Solomon Islands is essential to inform locally targeted public health responses. As part of a large capacity-strengthening project at Atoifi Adventist Hospital in East Kwaio, Solomon Islands, resea...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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World Health Organization Regional Office for the Western Pacific
2015-04-01
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| Series: | Western Pacific Surveillance and Response |
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| Online Access: | http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/310/483 |
| _version_ | 1818871475697876992 |
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| author | David MacLaren Michelle Redman-MacLaren Relmah Timothy-Harrington Rowena Asugeni Elmah Muse Emmy Jimuru Kenny Moutoa Rick Speare |
| author_facet | David MacLaren Michelle Redman-MacLaren Relmah Timothy-Harrington Rowena Asugeni Elmah Muse Emmy Jimuru Kenny Moutoa Rick Speare |
| author_sort | David MacLaren |
| collection | DOAJ |
| description | Background: Documenting specific knowledge and attitudes about HIV in the culturally diverse nation of Solomon Islands is essential to inform locally targeted public health responses. As part of a large capacity-strengthening project at Atoifi Adventist Hospital in East Kwaio, Solomon Islands, researchers, using a ‘learn-by-doing’ process, worked with participants in public health research methods.
Methods: Overall, 43 people attended research capacity building workshops in 2011; eight joined the HIV study group. A cross-sectional survey including semi-structured interviews on HIV was conducted by the group. In February 2014, a hospital administrator was interviewed about how the 2011 study informed local HIV responses.
Results: Of the 53 survey participants, 64% self-assessed as having little or no HIV knowledge, but 90% knew HIV could be transmitted between men and women during sex. Less than 50% knew HIV could be transmitted between two men having sex, 45% thought HIV could be transmitted by mosquitoes and 55% agreed condoms help protect from HIV. Most participants reported negative attitudes towards people with HIV. Three years later the health administrator reported ad hoc responses to HIV because of low HIV prevalence, increasing noncommunicable diseases, staff turnover and resource shortages.
Discussion: This HIV study was used to strengthen research skills in local health professionals and community members in Solomon Islands. It showed that community members require accurate information about HIV transmission and that entrenched stigma is an issue. Although results provided local evidence for local response, ongoing health system challenges and little local HIV transmission meant HIV services remain rudimentary. |
| first_indexed | 2024-12-19T12:23:31Z |
| format | Article |
| id | doaj.art-7b28cb84ec1042cc8085bdb76ab4c37f |
| institution | Directory Open Access Journal |
| issn | 2094-7321 2094-7313 |
| language | English |
| last_indexed | 2024-12-19T12:23:31Z |
| publishDate | 2015-04-01 |
| publisher | World Health Organization Regional Office for the Western Pacific |
| record_format | Article |
| series | Western Pacific Surveillance and Response |
| spelling | doaj.art-7b28cb84ec1042cc8085bdb76ab4c37f2022-12-21T20:21:38ZengWorld Health Organization Regional Office for the Western PacificWestern Pacific Surveillance and Response2094-73212094-73132015-04-01625865Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health serviceDavid MacLaren0Michelle Redman-MacLaren1Relmah Timothy-Harrington2Rowena Asugeni3Elmah Muse4Emmy Jimuru5Kenny Moutoa6Rick Speare7College of Medicine and Dentistry, James Cook University, McGregor Road, Smithfield, Cairns, AustraliaCollege of Medicine and Dentistry, James Cook University, McGregor Road, Smithfield, Cairns, AustraliaAtoifi Adventist Hospital, East Kwaio, Malaita, Solomon IslandsAtoifi Adventist Hospital, East Kwaio, Malaita, Solomon IslandsAtoifi Adventist Hospital, East Kwaio, Malaita, Solomon IslandsAtoifi Adventist Hospital, East Kwaio, Malaita, Solomon IslandsAtoifi Adventist Hospital, East Kwaio, Malaita, Solomon IslandsCollege of Public Health, Medical and Veterinary Sciences, James Cook University, James Cook Drive, Douglas, Townsville and Tropical Health Solutions, 72 Kokoda Street, Idalia, Townsville AustraliaBackground: Documenting specific knowledge and attitudes about HIV in the culturally diverse nation of Solomon Islands is essential to inform locally targeted public health responses. As part of a large capacity-strengthening project at Atoifi Adventist Hospital in East Kwaio, Solomon Islands, researchers, using a ‘learn-by-doing’ process, worked with participants in public health research methods. Methods: Overall, 43 people attended research capacity building workshops in 2011; eight joined the HIV study group. A cross-sectional survey including semi-structured interviews on HIV was conducted by the group. In February 2014, a hospital administrator was interviewed about how the 2011 study informed local HIV responses. Results: Of the 53 survey participants, 64% self-assessed as having little or no HIV knowledge, but 90% knew HIV could be transmitted between men and women during sex. Less than 50% knew HIV could be transmitted between two men having sex, 45% thought HIV could be transmitted by mosquitoes and 55% agreed condoms help protect from HIV. Most participants reported negative attitudes towards people with HIV. Three years later the health administrator reported ad hoc responses to HIV because of low HIV prevalence, increasing noncommunicable diseases, staff turnover and resource shortages. Discussion: This HIV study was used to strengthen research skills in local health professionals and community members in Solomon Islands. It showed that community members require accurate information about HIV transmission and that entrenched stigma is an issue. Although results provided local evidence for local response, ongoing health system challenges and little local HIV transmission meant HIV services remain rudimentary.http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/310/483HIVknowledgeattitudesSolomon IslandsAtoifi Adventist Hospitalhealth service deliveryresponse |
| spellingShingle | David MacLaren Michelle Redman-MacLaren Relmah Timothy-Harrington Rowena Asugeni Elmah Muse Emmy Jimuru Kenny Moutoa Rick Speare Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service Western Pacific Surveillance and Response HIV knowledge attitudes Solomon Islands Atoifi Adventist Hospital health service delivery response |
| title | Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service |
| title_full | Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service |
| title_fullStr | Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service |
| title_full_unstemmed | Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service |
| title_short | Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service |
| title_sort | strengthening capacity for local evidence to inform local responders to hiv in a remote solomon island health service |
| topic | HIV knowledge attitudes Solomon Islands Atoifi Adventist Hospital health service delivery response |
| url | http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/310/483 |
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