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Type: Journal article
Title: Evaluation of a guideline developed to reduce HIV-related stigma and discrimination in healthcare settings and establishing consensus
Author: Feyissa, G.T.
Lockwood, C.
Munn, Z.
Woldie, M.
Citation: PLoS One, 2018; 13(7):e0198781-1-e0198781-16
Publisher: Public Library of Science (PLoS)
Issue Date: 2018
ISSN: 1932-6203
Editor: Patman, S.
Statement of
Garumma Tolu Feyissa, Craig Lockwood, Mirkuzie Woldie, Zachary Munn
Abstract: 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 modified 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.
Keywords: Humans
HIV Infections
Delphi Technique
Delivery of Health Care
Practice Guidelines as Topic
Social Stigma
Social Discrimination
Surveys and Questionnaires
Black People
Description: Published: July 27, 2018
Rights: Copyright: © 2018 Feyissa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
DOI: 10.1371/journal.pone.0198781
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