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DTSTART:20241103T020000
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DTSTART:20250309T020000
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DESCRIPTION:Session: HIV Prevention and Care in International Settings Pro
 gram: HIV/AIDS Authors: Sten Vermund Trace S. Kershaw\, PhD Abstract Back
 ground Interventions are needed to build providers’ capacity for deliveri
 ng gender-sensitive HIV care to reduce known gender disparities in HIV ca
 re engagement in sub-Saharan Africa. In this study\, we pilot tested a ge
 nder-sensitive training for HIV providers in Uganda. Methods We conducted
  a quasi-experimental controlled trial in 2022-23. The 4-session interven
 tion\, developed by the study team\, focused on: gender norms\; skills to
  respond to gendered HIV care barriers\, stigma\, and gender-based violen
 ce\; bias recognition/reduction\; and client-centered communication. Six 
 clinics were matched (e.g.\, size\, services) and randomly allocated to i
 ntervention or standard-of-care. We enrolled nearly all eligible HIV prov
 iders in both arms (N=144\, 61 intervention\, 83 control) and a cohort of
  clients with HIV\, newly initiated on ART or struggling with adherence (
 N=238\, 119 per arm). Participants completed structured questionnaires at
  baseline\, 6- and 12-months\, and training providers participated in an 
 exit focus group or interview (n=53). We tested intervention effects usin
 g Generalized Estimating Equations and thematically analyzed qualitative 
 data. Results We observed increased gender-sensitive care competence in i
 ntervention vs. control providers (Wald χ2 = 10.84\, p = 0.004)\, which w
 as corroborated by qualitative data highlighting gained gender knowledge\
 , increased perceived importance of providing gender-sensitive care\, as 
 well as skills to do so. We observed no treatment differences in self-eff
 icacy for client-centered communication. However\, intervention providers
  reported increased empathy for clients (Wald χ2 = 150.43\, p < 0.001) an
 d qualitatively reported increased use of client-centered techniques (e.g
 .\, building rapport\, empathy\, eliciting the client’s agenda). Provider
 s discussed increased recognition of and efforts to reduce gender and rel
 ated biases towards clients (e.g.\, specific to women\, men\, gender dive
 rse clients). We observed no treatment differences in client’s ART adhere
 nce or perceived quality of care indicators\, but clients from interventi
 on clinics reported greater HIV stigma reduction compared to control clin
 ic clients (Wald χ2 = 9.46\, p = 0.01). Conclusions This study provides p
 reliminary support for a training intervention’s ability to affect the pr
 ovision of gender sensitive\, client-centered HIV care and to reduce prov
 ider bias\, which may translate to HIV stigma reduction in HIV clients. B
 ased on these pilot trial results\, further testing is warranted.\n\nAdmi
 ssion:\nRegistrationFees: APHA Event Registration is Required\n\nDetails 
 URL:\nhttps://medicine.yale.edu/event/effects-of-a-gender-sensitive-train
 ing-for-hiv-providers/\n
DTEND;TZID=America/New_York:20241028T114500
DTSTAMP:20261029T095828Z
DTSTART;TZID=America/New_York:20241028T113000
GEO:44.970269;-93.273376
LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:10:30am - 10:45am (CDT) | 3141.0 - Effects of a gender sensitive t
 raining for HIV providers on provider and client outcomes in central Ugan
 da: A mixed methods pilot quasi-experimental controlled trial
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