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Engaging black sub-Saharan African communities and their gatekeepers in HIV prevention programs: Challenges and strategies from England

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Abstract

Objective: HIV infection is a sensitive issue in black communities [Serrant-Green L. Black Caribbean men, sexual health decisions and silences. Doctoral thesis. Nottingham School of Nursing, University of Nottingham; 2004]. Statistics show black sub-Saharan African (BSSA) communities disproportionately constitute two-thirds of people with HIV [Heath Protection Agency. Health protection report: latest infection reports-GOV.UK; 2013]. African communities constitute 30% of people accessing HIV treatment in the United Kingdom yet represent less than 1% of the population [Health Protection Agency. HIV in the United Kingdom: 2012 report; 2012], [Department of Health. DVD about FGM. 2012. Available from fgm@dh.gsi.gov.uk.]. This article explores the sociocultural challenges in engaging BSSA communities in HIV prevention programs in England and possible strategies to improve their involvement.

Methods: Twelve focus group discussions and 24 semistructured interviews were conducted in a 2-year period with participants from the BSSA communities and sexual health services in the West Midlands, England. The research was supported by the Ubuntu scheme, a sexual health initiative working with African communities in Birmingham, England.

Results: Ineffective engagement with African communities can hinder the effectiveness of HIV prevention programs. Skills and strategies sensitive to BSSA culture are important for successful implementation of prevention programs. HIV prevention programs face challenges including stigma, denial, and marginalized views within BSSA communities.

Conclusion: Networking, coordination, and cultural sensitivity training for health professionals are key strategies for engaging BSSA communities in HIV prevention programs.

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Most cited references 11

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The sound of ‘silence’: a framework for researching sensitive issues or marginalised perspectives in health

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Author and article information

Affiliations
1Faculty of Education Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK
2Centre for Health and Social Care Research, Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, UK
Author notes
CORRESPONDING AUTHOR: Laura Serrant, PhD, MA, BA, PGCE, Centre for Health and Social Care Research, Faculty of Health and Wellbeing, Sheffield Hallam University, Research Room F617, Robert Winston Building Collegiate Crescent, Sheffield S10 2BP, UK, E-mail: l.serrant@123456shu.ac.uk
Journal
FMCH
Family Medicine and Community Health
FMCH
Family Medicine and Community Health & American Chinese Medical Education Association (USA)
2009-8774
2305-6983
December 2016
December 2016
: 4
: 4
: 22-29
Copyright © 2016 Family Medicine and Community Health

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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Self URI (journal page): http://fmch-journal.org/
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