Rwanda (2012): Evaluating and Understanding Living Positively and Secondary Prevention among People Living With HIV

PSI/Rwanda’s HIV prevention program was launched in 1993 alongside the socially marketed condom Prudence. PSI is working with PLHIV through RRP+, a Rwandan Partner Organization (RPO) providing PLHIV with prevention services to live positively and understand their responsibilities in secondary prevention of HIV. For a family which wants to give birth, it is imperative to know they have to comply with prevention of mother to child transmission (PMTCT) guidelines and deliver at the health center or at the hospital. This study aims to identify and understand the lived experiences and sexual practices (of PLHIV) as well as understand the psychosocial factors which influence WHAT?, in order to inform future programmatic decision-making. This qualitative study consisted of 20 in depth interviews with individuals from ten PLHIV associations who self identified themselves as PLHIV. The PLHIV associations were purposely selected and its members stratified by exposed versus non-exposed so that the sample included ten respondents exposed to BCSM interventions and ten respondents not exposed to BCSM interventions.

PSI卢旺达艾滋病预防项目于1993年启动，同期推出了经社会营销推广的安全套产品Prudence。PSI通过卢旺达合作组织（Rwandan Partner Organization, RPO）RRP+与艾滋病病毒感染者（People Living with HIV, PLHIV）开展合作，为感染者提供正向生活相关的预防服务，并帮助其明晰自身在艾滋病二级预防中的责任。对于有生育意愿的家庭而言，必须严格遵循艾滋病母婴传播预防（Prevention of Mother-to-Child Transmission, PMTCT）指南，并在医疗卫生机构或医院分娩。本研究旨在识别并阐明艾滋病病毒感染者的真实生活体验与性行为模式，同时探究影响WHAT？的社会心理因素，以期为未来的项目决策提供依据。本项定性研究共开展20次深度访谈，访谈对象来自10家艾滋病病毒感染者协会，所有受访者均自我认定为艾滋病病毒感染者。本次研究通过立意抽样选取上述感染者协会，并按照是否接触过BCSM干预对协会成员进行分层，最终样本包含10名接触过行为改变社会营销（Behavior Change Social Marketing, BCSM）干预的受访者与10名未接触过该类干预的受访者。