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<p>Systemic inequities create barriers to person-centred healthcare for cisgender and transgender women living with HIV. Building on the evidence-based Women-Centred HIV Care Model, the Women-Centred HIV Care Pocketbook was developed as a communication tool to support health self-advocacy and strengthen patient–provider communication. This pre-implementation study examined barriers and facilitators influencing its use in clinical and community settings. We conducted a community-based qualitative study to explore factors shaping implementation. Semi-structured interviews were conducted from January to July 2024 with 35 participants: 15 women living with HIV, 10 healthcare providers, and 10 community-based organization providers. Interviews were audio-recorded, supplemented by a demographic survey, and analyzed using a hybrid rapid and traditional qualitative approach. Themes were mapped to the Consolidated Framework for Implementation Research 2.0. Themes spanned all Consolidated Framework for Implementation Research 2.0 domains. Participants viewed the Women-Centred HIV Care Pocketbook as relevant and acceptable but recommended revisions, including content on aging, infant feeding, and newcomer health. Women emphasized collaborative use with providers rather than placing responsibility solely on them. Across outer and inner settings, participants noted the Women-Centred HIV Care Pocketbook could strengthen connections between agencies, and providers and women expressed willingness to integrate it into practice. Key considerations included limited appointment time, challenges building community connections, and the need for organizational support. Stakeholders expressed strong support for the Women-Centred HIV Care Pocketbook but highlighted factors shaping implementation readiness. Addressing these factors through structured training, leadership engagement, and peer-supported introduction may support successful uptake and long-term sustainability.</p>

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Preparing for Implementation: A Qualitative Study of Community-Based Planning for the Women-Centred HIV Care Pocketbook

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月24日

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  • Amy Ly,
  • V Logan Kennedy,
  • Asha Ulusow,
  • Siya Sharma,
  • Negin Masoudifar,
  • Jillian Koebel,
  • Molly Bannerman,
  • Asli Mahdi,
  • Wangari Tharao,
  • Carmen H Logie,
  • Mona Loutfy

摘要

Systemic inequities create barriers to person-centred healthcare for cisgender and transgender women living with HIV. Building on the evidence-based Women-Centred HIV Care Model, the Women-Centred HIV Care Pocketbook was developed as a communication tool to support health self-advocacy and strengthen patient–provider communication. This pre-implementation study examined barriers and facilitators influencing its use in clinical and community settings. We conducted a community-based qualitative study to explore factors shaping implementation. Semi-structured interviews were conducted from January to July 2024 with 35 participants: 15 women living with HIV, 10 healthcare providers, and 10 community-based organization providers. Interviews were audio-recorded, supplemented by a demographic survey, and analyzed using a hybrid rapid and traditional qualitative approach. Themes were mapped to the Consolidated Framework for Implementation Research 2.0. Themes spanned all Consolidated Framework for Implementation Research 2.0 domains. Participants viewed the Women-Centred HIV Care Pocketbook as relevant and acceptable but recommended revisions, including content on aging, infant feeding, and newcomer health. Women emphasized collaborative use with providers rather than placing responsibility solely on them. Across outer and inner settings, participants noted the Women-Centred HIV Care Pocketbook could strengthen connections between agencies, and providers and women expressed willingness to integrate it into practice. Key considerations included limited appointment time, challenges building community connections, and the need for organizational support. Stakeholders expressed strong support for the Women-Centred HIV Care Pocketbook but highlighted factors shaping implementation readiness. Addressing these factors through structured training, leadership engagement, and peer-supported introduction may support successful uptake and long-term sustainability.