The Influence of Community Members on Participation by Youth in an HIV Vaccine Trial in Tanzania
Identifieur interne : 003C06 ( Ncbi/Curation ); précédent : 003C05; suivant : 003C07The Influence of Community Members on Participation by Youth in an HIV Vaccine Trial in Tanzania
Auteurs : Theodora Mbunda [Tanzanie, Suède] ; Edith A. M. Tarimo [Tanzanie] ; Guerino Chalamilla [Tanzanie] ; Muhammad Bakari [Tanzanie] ; Eric Sandström [Suède] ; Asli Kulane [Suède]Source :
- PLoS ONE [ 1932-6203 ] ; 2016.
Abstract
In sub-Saharan Africa, the burden of HIV is high among young people and it is of the utmost importance that they be recruited into vaccination trials. Since community members influence the willingness of young people to participate in the vaccination trials, ascertaining their opinions is essential to overcoming barriers to such participation. Here, in seven focus group discussions we explored the views of 44 community members identified as someone they felt close by youth in Tanzania. The transcripts of these discussions were examined using content analysis. Our participants expressed that community members would be directly involved in the decisions of young people about whether or not to participate in an HIV vaccine trial. In general, they felt that community members would provide social support for youth during the trial and perceived that youth might have misconceptions concerning the vaccine and trial process. The participants pointed out structural factors such as substance use, poverty, stigma and unemployment that are barriers to participation. In conclusion, involvement of community members could be an integral part of the recruitment and retention of young people in HIV vaccine trials in Tanzania.
Url:
DOI: 10.1371/journal.pone.0168660
PubMed: 27997617
PubMed Central: 5173279
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Tarimo</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Department of Nursing Management, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Nursing Management, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Chalamilla, Guerino" sort="Chalamilla, Guerino" uniqKey="Chalamilla G" first="Guerino" last="Chalamilla">Guerino Chalamilla</name><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Management and Development for Health, Dar es Salaam, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Management and Development for Health, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Department of Health, Dar es Salaam City Council, Dar es Salaam, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Health, Dar es Salaam City Council, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Bakari, Muhammad" sort="Bakari, Muhammad" uniqKey="Bakari M" first="Muhammad" last="Bakari">Muhammad Bakari</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Internal Medicine, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Internal Medicine, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Sandstrom, Eric" sort="Sandstrom, Eric" uniqKey="Sandstrom E" first="Eric" last="Sandström">Eric Sandström</name><affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Kulane, Asli" sort="Kulane, Asli" uniqKey="Kulane A" first="Asli" last="Kulane">Asli Kulane</name><affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>Equity and Health Policy Research Group, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Equity and Health Policy Research Group, Department of Public Health Sciences, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In sub-Saharan Africa, the burden of HIV is high among young people and it is of the utmost importance that they be recruited into vaccination trials. Since community members influence the willingness of young people to participate in the vaccination trials, ascertaining their opinions is essential to overcoming barriers to such participation. Here, in seven focus group discussions we explored the views of 44 community members identified as someone they felt close by youth in Tanzania. The transcripts of these discussions were examined using content analysis. Our participants expressed that community members would be directly involved in the decisions of young people about whether or not to participate in an HIV vaccine trial. In general, they felt that community members would provide social support for youth during the trial and perceived that youth might have misconceptions concerning the vaccine and trial process. The participants pointed out structural factors such as substance use, poverty, stigma and unemployment that are barriers to participation. In conclusion, involvement of community members could be an integral part of the recruitment and retention of young people in HIV vaccine trials in Tanzania.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Harmon, Tm" uniqKey="Harmon T">TM Harmon</name></author><author><name sortKey="Fisher, Ka" uniqKey="Fisher K">KA Fisher</name></author><author><name sortKey="Mcglynn, Mg" uniqKey="Mcglynn M">MG McGlynn</name></author><author><name sortKey="Stover, J" uniqKey="Stover J">J Stover</name></author><author><name sortKey="Warren, Mj" uniqKey="Warren M">MJ Warren</name></author><author><name sortKey="Teng, Y" uniqKey="Teng Y">Y Teng</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Munseri, Pj" uniqKey="Munseri P">PJ Munseri</name></author><author><name sortKey="Kroidl, A" uniqKey="Kroidl A">A Kroidl</name></author><author><name sortKey="Nilsson, C" uniqKey="Nilsson C">C Nilsson</name></author><author><name sortKey="Joachim, A" uniqKey="Joachim A">A Joachim</name></author><author><name sortKey="Geldmacher, C" uniqKey="Geldmacher C">C Geldmacher</name></author><author><name sortKey="Mann, P" uniqKey="Mann P">P Mann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Conner, M" uniqKey="Conner M">M Conner</name></author><author><name sortKey="Norman, P" uniqKey="Norman P">P Norman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Asiki, G" uniqKey="Asiki G">G Asiki</name></author><author><name sortKey="Abaasa, A" uniqKey="Abaasa A">A Abaasa</name></author><author><name sortKey="Ruzagira, E" uniqKey="Ruzagira E">E Ruzagira</name></author><author><name sortKey="Kibengo, F" uniqKey="Kibengo F">F Kibengo</name></author><author><name sortKey="Bahemuka, U" uniqKey="Bahemuka U">U Bahemuka</name></author><author><name sortKey="Mulondo, J" uniqKey="Mulondo J">J Mulondo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suhadev, M" uniqKey="Suhadev M">M Suhadev</name></author><author><name sortKey="Nyamathi, Am" uniqKey="Nyamathi A">AM Nyamathi</name></author><author><name sortKey="Swaminathan, S" uniqKey="Swaminathan S">S Swaminathan</name></author><author><name sortKey="Suresh, A" uniqKey="Suresh A">A Suresh</name></author><author><name sortKey="Venkatesan, P" uniqKey="Venkatesan P">P Venkatesan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frew, Pm" uniqKey="Frew P">PM Frew</name></author><author><name sortKey="Archibald, M" uniqKey="Archibald M">M Archibald</name></author><author><name sortKey="Diallo, Dd" uniqKey="Diallo D">DD Diallo</name></author><author><name sortKey="Hou, S" uniqKey="Hou S">S Hou</name></author><author><name sortKey="Horton, T" uniqKey="Horton T">T Horton</name></author><author><name sortKey="Chan, K" uniqKey="Chan K">K Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Remes, P" uniqKey="Remes P">P Remes</name></author><author><name sortKey="Selestine, V" uniqKey="Selestine V">V Selestine</name></author><author><name sortKey="Changalucha, J" uniqKey="Changalucha J">J Changalucha</name></author><author><name sortKey="Ross, Da" uniqKey="Ross D">DA Ross</name></author><author><name sortKey="Wight, D" uniqKey="Wight D">D Wight</name></author><author><name sortKey="Sanjose, S" uniqKey="Sanjose S">S Sanjosé</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barrington, C" uniqKey="Barrington C">C Barrington</name></author><author><name sortKey="Moreno, L" uniqKey="Moreno L">L Moreno</name></author><author><name sortKey="Kerrigan, D" uniqKey="Kerrigan D">D Kerrigan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kakinamia, L" uniqKey="Kakinamia L">L Kakinamia</name></author><author><name sortKey="Newman, Pa" uniqKey="Newman P">PA Newman</name></author><author><name sortKey="Leec, S J" uniqKey="Leec S">S-J Leec</name></author><author><name sortKey="Duand, N" uniqKey="Duand N">N Duand</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Osamor, P" uniqKey="Osamor P">P Osamor</name></author><author><name sortKey="Kass, N" uniqKey="Kass N">N Kass</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mbunda, T" uniqKey="Mbunda T">T Mbunda</name></author><author><name sortKey="Bakari, M" uniqKey="Bakari M">M Bakari</name></author><author><name sortKey="Tarimo, Eam" uniqKey="Tarimo E">EAM Tarimo</name></author><author><name sortKey="Sandstrom, E" uniqKey="Sandstrom E">E Sandstrom</name></author><author><name sortKey="Kulane, A" uniqKey="Kulane A">A Kulane</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patton, M" uniqKey="Patton M">M. 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