Abstract

We examined health services needs from the perspective of Newly diagnosed HIV-positive MSM (NHIVMSM) in Southern China. Forty one NHIVMSM took part in in-depth interviews. In addition, 20 health care providers and 16 volunteers were also interviewed in focus groups or individual face-to-face interviews. Participant observations in local healthcare settings, MSM venues and NGO offices were also conducted. Six thematic groupings of unmet health and social service needs were identified, such as information and guidance, improvement in quality of services, quality of and access to medication, enhancement of social support, social welfare and psychological and mental health. Implications for professional training in counseling, flexible free ART distribution, closer cooperation between formal and informal health care services, and establishment of community-based AIDS service organizations are discussed.

Highlights

  • The trajectory of the HIV/AIDS has changed from a life-threatening illness/disease to a chronic condition [1]

  • Emerging needs among People Living With HIV (PLWH) need to be recognized as their utilization of primary care services has found to be associated with reduced risk of HIV transmission and improvement of disease outcomes [2]

  • The sampled Newly diagnosed HIV-positive MSM (NHIVMSM) were initially unaware of the availability of various HIV/AIDS-related health services and lacked experience of disease self management

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Summary

Introduction

The trajectory of the HIV/AIDS has changed from a life-threatening illness/disease to a chronic condition [1]. Emerging needs among People Living With HIV (PLWH) need to be recognized as their utilization of primary care services has found to be associated with reduced risk of HIV transmission and improvement of disease outcomes [2]. Previous studies have investigated unmet needs for Citation: Li HH, Lau J, Holroyd E (2015) Unmet Health Service Needs of Newly Diagnosed HIV-Positive Men Who have Sex with Men in China: Results from An Ethnography. J AIDS Clin Res Sex Transm Dis 2: 004. Understanding of holistic service needs for primary care such as risk counseling, case management, referrals and psycho-social care among PLWH [5] is warranted but remains under-studied

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