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Does Capacity Development Increase Demand for Health Services and Rights Among Key Populations Affected by HIV? A Systematic Review of Evidence from Low and Middle-Income Countries.
AIDS and Behavior ( IF 2.7 ) Pub Date : 2020-07-21 , DOI: 10.1007/s10461-020-02936-9
Michael Kiragu 1 , Virginia A Fonner 2 , Samuel Munyuwiny 1 , Preston Izulla 1 , Marija Pantelic 3, 4 , Enrique Restoy 3 , Ellen Eiling 5 , Kevin R O'Reilly 2
Affiliation  

Capacity development is a process by which individuals, organizations and societies develop abilities to perform functions, solve problems and achieve objectives. This systematic review sought to document capacity development interventions, the associated outcomes and its effectiveness in increasing demand for rights and health services among key populations (KP) in low and middle-income countries. Twenty papers met our review’s selection criteria. Significant improvements in health service utilization were achieved in most community mobilization and peer-led interventions. Whilst we found ample evidence linking capacity development to uptake of services, there was a striking dearth of research examining the impact of capacity development on demand for rights among KP. There was inadequate contextual data to explain variations in intervention effectiveness across different projects. More evidence is needed on the impact of capacity development on demand for health services and rights among KP. Consensus on parameters of capacity development and priority outcomes is required.



中文翻译:

能力建设是否会增加受艾滋病毒影响的关键人群对卫生服务和权利的需求?对中低收入国家的证据进行系统的审查。

能力发展是个人,组织和社会发展执行职能,解决问题和实现目标的能力的过程。这项系统的审查试图记录能力开发干预措施,相关的结果及其在中低收入国家关键人群(KP)对权利和卫生服务需求增长中的有效性。符合我们评论的选择标准的论文有20篇。在大多数社区动员和同行领导的干预措施中,卫生服务利用取得了显着改善。尽管我们找到了足够的证据将能力建设与服务获取联系起来,但缺乏研究来研究能力建设对KP权利需求的影响。没有足够的上下文数据来解释不同项目之间干预效果的差异。需要更多的证据来证明能力建设对KP中对卫生服务和权利需求的影响。需要就能力建设和优先成果的参数达成共识。

更新日期:2020-07-22
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