Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation

Author:

Koebel Jill1ORCID,Kazemi Mina12,Kennedy V Logan1ORCID,Medeiros Priscilla13,Bertozzi Breklyn1,Bevan Lindsay4,Tharao Wangari5,Logie Carmen H6,Underhill Angela1,Pick Neora78,King Elizabeth9,Kestler Mary7,Yudin Mark H1011,Rana Jesleen5,Carvalhal Adriana1112,Webster Kath9,Lee Melanie9,Islam Shaz113,Nicholson Valerie9,Ndung’u Mary15,Narasimhan Manjulaa14,Gagnier Brenda1,Habanyama Muluba115,de Pokomandy Alexandra1617,Kaida Angela9,Loutfy Mona11118,

Affiliation:

1. Women's College Research Institute, Women's College Hospital, Toronto, Canada

2. School of Nursing, Johns Hopkins University, Baltimore, USA

3. Edwin S.H. Leong Centre for Healthy Children, University of Toronto, Toronto, Canada

4. Center for Effective Practice, Toronto, Canada

5. Women's Health in Women's Hands Community Health Centre, Toronto, Canada

6. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada

7. Oak Tree Clinic, BC Women's Hospital, Vancouver, Canada

8. Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, Canada

9. Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada

10. Department of Obstetrics and Gynecology, St. Michael's Hospital, Toronto, Canada

11. Faculty of Medicine, University of Toronto, Toronto, Canada

12. Scarborough Health Network Research Institute, Toronto, Canada

13. Alliance for South Asian AIDS Prevention, Toronto, Canada

14. Department of Sexual and Reproductive Health and Research/Human Reproduction Programme, World Health Organization, Geneva, Switzerland

15. The Ontario HIV Treatment Network, Toronto, Canada

16. Department of Family Medicine, McGill University, Montreal, Canada

17. Chronic Viral Illness Service, McGill University Health Centre, Montreal, Canada

18. The CHIWOS Research Team is detailed in the Acknowledgments

Abstract

Background Using data from a national cohort study and focus groups, the Women-Centred HIV Care (WCHC) Model was developed to inform care delivery for women living with HIV. Methods Through an evidence-based, integrated knowledge translation approach, we developed 2 toolkits based on the WCHC Model for service providers and women living with HIV in English and French (Canada's national languages). To disseminate, we distributed printed advertising materials, hosted 3 national webinars and conducted 2 virtual capacity-building training series. Results A total of 315 individuals attended the webinars, and the average WCHC knowledge increased by 29% (SD 4.3%). In total, 131 service providers engaged in 22 virtual capacity-building training sessions with 21 clinical cases discussed. Learners self-reported increased confidence in 15/15 abilities, including the ability to provide WCHC. As of December 2023, the toolkits were downloaded 7766 times. Conclusions We successfully developed WCHC toolkits and shared them with diverse clinical and community audiences through various dissemination methods.

Funder

Canadian AIDS Treatment Exchange

Fonds de Recherche du Quebec

Canada Research Chairs

Canadian Institutes of Health Research

Publisher

SAGE Publications

Reference50 articles.

1. Public Health Agency of Canada. Estimates of HIV, prevalence and Canada’s Progress on meeting the 90-90-90 Targets, 2020. 2022.

2. World Health Organization. Consolidated guideline on sexual and reproductive health and rights of women living with HIV. 2017.

3. High Levels of Heterogeneity in the HIV Cascade of Care across Different Population Subgroups in British Columbia, Canada

4. Women and Vulnerability to HAART Non-Adherence: A Literature Review of Treatment Adherence by Gender from 2000 to 2011

5. Psychological Trauma and PTSD in HIV-Positive Women: A Meta-Analysis

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