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  • Capturing the HIV-related social exclusion practices experienced by key populations through photovoice: an interpretative phenomenological study.
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English
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  • Capturing the HIV-related social exclusion practices experienced by key populations through photovoice: an interpretative phenomenological study.

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Capturing the HIV-related social exclusion practices experienced by key populations through photovoice: an interpretative phenomenological study. (English)
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Key populations are defined as groups that are susceptible to HIV, including Men Sex with Men (MSM), Transgender (TG), Persons who Inject Drug (PID), and Female Sex Worker (FSW). (English)
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These key populations groups are among the fastest-growing populations in Indonesia. (English)
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These vulnerable groups are ostracized by society and health services, which makes it difficult to get treatment. (English)
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This project was carried out to investigate the different experiences and perspectives of these key populations in facing and addressing social and spiritual exclusion. (English)
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A qualitative phenomenological study using photovoice was carried out from July to December 2022. (English)
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Key populations comprising MSM, TG, PID, and FSW were recruited from community-based peer groups in West Bandung Regency using snowball sampling. (English)
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This was followed by the Photovoice stages, from workshops to focus group discussions and interviews with audio recordings. (English)
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Furthermore, thematic data analysis was carried out by interpretative participant narratives and photographs supported by Atlas.ti software. (English)
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Eighteen participants comprising four MSM, five TG, four PIDs, and five FSWs participated in this research. (English)
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Among these eighteen participants, six were HIV-negative, including 3 PIDs and 3 FSWs, while the remaining were positive. (English)
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The analysis of the collected data identified four main themes: 1) limited access like unequal treatment, disadvantage, and harassment, 2) social and spiritual impact, 3) coping mechanisms, and 4) self-reflection through photovoice. (English)
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These results showed that social exclusion occurred in an environment where community values, beliefs, and norms dehumanised these key populations, and where removal of support and care was prominent. (English)
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Despite these challenges, participant resilience was evidenced by using internal resources and peer support as coping mechanisms. (English)
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The participants considered photovoice as a tool to foster self-confidence and self-awareness through a reflective process. (English)
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The findings of this study highlight the emphasis on participants' openness in sharing their experiences, which can build empathy and promote a more inclusive community in HIV prevention efforts. (English)
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This research findings can be used to inform HIV policy and practice and inclusion of these key populations in the community. (English)
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We advocate making the photovoice efforts accessible to a wider audience through exhibitions and various media. (English)
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15 July 2024
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15 July 2024
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The authors declare no competing interests. (English)
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