RT Journal Article
SR Electronic
T1 Evaluation of a guideline developed to reduce HIV-related stigma and discrimination in healthcare settings and establishing consensus
JF bioRxiv
FD Cold Spring Harbor Laboratory
SP 333229
DO 10.1101/333229
A1 Feyissa, Garumma Tolu
A1 Lockwood, Craig
A1 Woldie, Mirkuzie
A1 Munn, Zachary
YR 2018
UL http://biorxiv.org/content/early/2018/05/29/333229.abstract
AB Background Developing guidelines and policies is critical to address HIV-related stigma and discrimination (SAD) in healthcare settings. To this end, a multidisciplinary panel developed a guideline to reduce SAD. This project evaluated the appropriateness of implementing the guideline in the Ethiopian context.Methods A consensus of the expert panel was established through a Delphi technique which was followed by a panel meeting. Initial tentative recommendations were distributed to experts through e-mails to be evaluated using the modified guideline implementability appraisal (GLIA) v.2.0 checklist.Results In the first round of the Delphi survey, all (13) panel members evaluated the guideline. The overall score for the general domain of the modified GLIA checklist was 96.56%. The scores for individual recommendations ranged from 68.33% to 92.76%. Maximum and minimum scores were attained for measurability (97.71%) and flexibility (59.77%) domains respectively. Percentages mean score lower than 75% was obtained for flexibility and validity domains. Participants suggested that additional tools and training should be added to the guideline. In the second round of the survey, all the recommendations received endorsement with scores above 75%. Maximum and minimum scores were attained for measurability (100%) and flexibility (86.88%) domains respectively. During the panel meeting, issues of responsibility for implementing the guideline were discussed.Conclusion The project evaluated implementability of a guideline developed to reduce HIV-related SAD in healthcare settings. The Delphi survey was followed by a half-day meeting that helped in further clarification of points.AIDSAcquired Immune-Deficiency SyndromeCDCCenters for Disease Control and Prevention,GLIAGuideline Implementability AppraisalHAPCOHIV Prevention and Control OfficeHIVHuman Immunodeficiency VirusIRBInstitutional Review BoardJIHJimma University Institute of HealthJUMCJimma University Medical CentreMDTMultidisciplinary teamORECIOffice of Research Ethics, Compliance and IntegrityPLHIVPeople Living with HIVSADStigma and discrimination