Challenges for accessing and maintaining good quality of HIV care among men who have sex with men living with HIV in China: a qualitative study with key stakeholders

AIDS Care
Chunyan LiKathryn E Muessig

Abstract

HIV care in China is shifting toward a community-based model involving a wide range of stakeholders. We aimed to understand key stakeholders' perceived challenges of providing high-quality care for men who have sex with men (MSM) living with HIV. In-depth interviews were conducted with a diverse sample of stakeholders (N = 17) in two Chinese cities, including providers, policymakers, and community workers. Interviews focused on stakeholders' challenges in HIV-related work and perceived barriers for MSM in accessing and maintaining HIV care. Thematic analysis strategies were used. Three cross-cutting themes related to accessibility and quality of care (QoC) emerged. First, MSM- and HIV-related stigma were perceived to increase the risk of MSM dropping out of care. While acknowledging stigma, some providers also expressed discriminatory views such as stereotypes of the MSM community. Second, stakeholders expressed concerns about QoC including healthcare workforce shortages, limited training opportunities, and high work stress while facing increasingly unmet needs from clients. Third, stakeholders shared challenges in mobilizing community resources to expand HIV care including unclear division of responsibility and strict auditing...Continue Reading

References

Jul 12, 2007·International Journal of STD & AIDS·Li LiStephanie Sun
Jan 10, 2008·AIDS·Zunyou WuUNKNOWN National Institute of Mental Health (NIMH) Collaborative HIV/STD Prevention Trial Group
Mar 12, 2016·Bulletin of the World Health Organization·Weibin ChengMing Wang
Nov 24, 2016·Journal of the International AIDS Society·George Ayala, Glenn-Milo Santos
Apr 1, 2017·Journal of the International AIDS Society·Weiming TangUNKNOWN SESH Study Group
Sep 4, 2018·Psychology, Health & Medicine·Yuan-Yuan WangYu-Tao Xiang
Feb 7, 2019·Journal of the International AIDS Society·Jing HanFujie Zhang

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