Abstract

Early diagnosis is a critical component of the global response to the human immunodeficiency virus (HIV). In Australia, more than two-thirds of women from Southeast Asia are diagnosed late with HIV. There is limited evidence regarding the barriers to HIV testing and which interventions work to increase an uptake among migrants living in high-income countries. This participatory action research (PAR) project will work with women from Indonesia to co-design an intervention to increase HIV testing uptake in Western Australia. The project will involve trained community researchers, representatives from relevant organizations, and community women born in Indonesia. We will conduct three PAR cycles. Phase one will use focus groups to understand enablers for HIV testing among community members. In phase two, data will be presented back to members of the participating communities who will be invited to co-design an intervention to increase HIV testing. The final cycle will focus on implementing and evaluating the resulting intervention. This project will add to the small body of literature on pathways and enablers to HIV testing, and to new insights regarding interventions that work for women from migrant communities and why.

Highlights

  • Notifications of human immunodeficiency virus (HIV) in Australia have increased among people born overseas, predominately from Northeast Asia (NEA) and Southeast Asia (SEA) [1,2]

  • With the difficulties for migrant communities, in particular women, and the experience in accessing culturally acceptable health interventions and services [33,38,39], it is critical that they are active participants in research and prevention efforts [40]. This project will work with Indonesian women in Western Australia to develop a multi-strategic intervention to increase HIV testing, and further explore the intersection between migration and HIV [9,15,18,41,42]

  • Twenty participants will be involved across four focus groups, with 10 people who have previously voluntarily tested for HIV in Australia and 10 who have not

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Summary

Introduction

Notifications of human immunodeficiency virus (HIV) in Australia have increased among people born overseas, predominately from Northeast Asia (NEA) and Southeast Asia (SEA) [1,2]. Migrant women experience a number of intersecting factors that influence their health, including gender inequalities, cultural norms, and lack of social support, which may increase difficulties in accessing appropriate resources and services [37]. With the difficulties for migrant communities, in particular women, and the experience in accessing culturally acceptable health interventions and services [33,38,39], it is critical that they are active participants in research and prevention efforts [40] This project will work with Indonesian women in Western Australia to develop a multi-strategic intervention to increase HIV testing, and further explore the intersection between migration and HIV [9,15,18,41,42]. PAR seeks to understand real world problems and develop solutions in collaboration with participants and stakeholders, exploring relationships and

Methods
Aims and Objectives
Methods and Analysis
Phase One
Review of Resources
Focus Groups
Data Collection
Data Analysis
Phase Two
Sampling Strategy and Participants
Data Collection and Analysis
Phase Three
Ethical Considerations
Findings
Conclusions
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