ORIGINAL RESEARCH article
Front. Public Health
Sec. Life-Course Epidemiology and Social Inequalities in Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1585604
This article is part of the Research TopicWorld AIDS Day 2024: Take the Rights PathView all 4 articles
Service providers' perspectives on facilitators and recommendations for improving HIV care in Manitoba, Canada
Provisionally accepted
Katharina Maier1*
Margaret Haworth-Brockman2
Enrique Villacis-Alvarez2Lauren J Mackenzie2Laurie Ireland2Ken Kaspar2
Yoav Keynan2
Zulma Vanessa Rueda2*- 1University of Winnipeg, Winnipeg, Canada
- 2University of Manitoba, Winnipeg, Manitoba, Canada
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Background: We aimed to identify facilitators and recommendations for improving HIV care in Manitoba, Canada from service providers' perspectives. Methods: This study is a component of a participatory action research study examining the interrelatedness of houselessness, substance use and other factors on HIV care. We conducted based on in-depth, semi-structured interviews with 27 HIV service providers in Manitoba (Canada). Interviews were transcribed, coded, and analyzed using a thematic approach within a socioecological framework. Results: We identified 11 categories supertheme of facilitators and 15 supertheme recommendations at the intrapersonal, interpersonal, socio-cultural, institutional and structural levels. Key For the facilitators, subthemes include non-judgmental care (intrapersonal), focus on building relationships and trust (interpersonal), collaboration with other providers (socio-cultural), safe non-stigmatizing environments (institutional), and effective policies (structural). Provider recommendations highlight the need for structural changes, including with subthemes focused on policy changes, adaptations to
Keywords: HIV care, Service provider, Facilitators, recommendations, Harm Reduction, social ecological model, qualitative study
Received: 28 Feb 2025; Accepted: 19 Jun 2025.
Copyright: © 2025 Maier, Haworth-Brockman, Villacis-Alvarez, Mackenzie, Ireland, Kaspar, Keynan and Rueda. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Katharina Maier, University of Winnipeg, Winnipeg, Canada
Zulma Vanessa Rueda, University of Manitoba, Winnipeg, R3T 2N2, Manitoba, Canada
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