title: Strengthening capacity for local evidence to inform local responses to HIV in a remote Solomon Islands health service.
abstract: BACKGROUND
  Documenting specific knowledge and attitudes about HIV in the culturally diverse nation of Solomon Islands is essential to inform locally targeted public health responses. As part of a large capacity-strengthening project at Atoifi Adventist Hospital in East Kwaio, Solomon Islands, researchers, using a 'learn-by-doing' process, worked with participants in public health research methods.
  
  
  METHODS
  Overall, 43 people attended research capacity building workshops in 2011; eight joined the HIV study group. A cross-sectional survey including semi-structured interviews on HIV was conducted by the group. In February 2014, a hospital administrator was interviewed about how the 2011 study informed local HIV responses.
  
  
  RESULTS
  Of the 53 survey participants, 64% self-assessed as having little or no HIV knowledge, but 90% knew HIV could be transmitted between men and women during sex. Less than 50% knew HIV could be transmitted between two men having sex, 45% thought HIV could be transmitted by mosquitoes and 55% agreed condoms help protect from HIV. Most participants reported negative attitudes towards people with HIV. Three years later the health administrator reported ad hoc responses to HIV because of low HIV prevalence, increasing noncommunicable diseases, staff turnover and resource shortages.
  
  
  CONCLUSIONS
  This HIV study was used to strengthen research skills in local health professionals and community members in Solomon Islands. It showed that community members require accurate information about HIV transmission and that entrenched stigma is an issue. Although results provided local evidence for local response, ongoing health system challenges and little local HIV transmission meant HIV services remain rudimentary.
authors: College of Medicine and Dentistry, James Cook University, McGregor Road, Smithfield, Cairns, Australia .
authors: David
authors: D
authors: MacLaren
authors: College of Medicine and Dentistry, James Cook University, McGregor Road, Smithfield, Cairns, Australia .
authors: Michelle
authors: M
authors: Redman-MacLaren
authors: Atoifi Adventist Hospital, East Kwaio, Malaita, Solomon Islands .
authors: Relmah
authors: R
authors: Timothy-Harrington
authors: Atoifi Adventist Hospital, East Kwaio, Malaita, Solomon Islands .
authors: Rowena
authors: R
authors: Asugeni
authors: Atoifi Adventist Hospital, East Kwaio, Malaita, Solomon Islands .
authors: Elmah
authors: E
authors: Muse
authors: Atoifi Adventist Hospital, East Kwaio, Malaita, Solomon Islands .
authors: Emmy
authors: E
authors: Jimuru
authors: Atoifi Adventist Hospital, East Kwaio, Malaita, Solomon Islands .
authors: Kenny
authors: K
authors: Moutoa
authors: College of Public Health, Medical and Veterinary Sciences, James Cook University, James Cook Drive, Douglas, Townsville, Australia . ; Tropical Health Solutions, 72 Kokoda Street, Idalia, Townsville Australia .
authors: Rick
authors: R
authors: Speare
mesh_terms: D000328:Adult; D057191:Capacity Building / Q000379:methods; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008542:Melanesia; D008875:Middle Aged; D011287:Prejudice; D062486:Public Health Surveillance / Q000379:methods*