Nted by colleagues and community members relating to the solutions provided to
Nted by colleagues and neighborhood members concerning the services supplied to MSM customers as reflected within the category Being challenged by others for what I do (Fig 2f). Herek and colleagues, among other individuals, have discussed the role of secondary stigma inside the area of HIV and AIDS [5]. This phenomenon occurs when stigma is directed toward those who are not Fast Green FCF infected by HIV but in several capacities are related to a HIV infected particular person. Our findings imply that pharmacy workers had been targets of secondary stigma as theyPLOS 1 DOI:0.37journal.pone.06609 November 3,7 Pharmacy Solutions, STIs and Males Who have Sex with Males in Tanzaniabecame linked with their MSM customers. As a way to encourage continued engagement with MSM clients, it is actually imperative to help pharmacy workers in coping with the tension and anxiety that secondary stigma could result in.Methodological considerationsThe study provides precious details about pharmacy workers’ expertise of supplying STI solutions to MSM clientele. Several measures had been taken to consolidate the study’s trustworthiness. Before data collection, the initial author (ML) and the last author (AA) discussed the sexual wellness requires of MSM with essential informants from the MSM community and also the healthcare sector, to achieve an understanding of the culture and social setting. Moreover, to boost the credibility from the findings, the preliminary analysis was discussed with essential informants in the MSM neighborhood. [52]. Dependability and confirmability have been assured by means of documentation of every single step in the study, and by supplying detailed quotations that showed how findings had been interpreted [52]. This study was localised to selected pharmacies and drug stores in the greater Dar es 
Salaam PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/22641180 region along with the findings are exceptional for the context in which they occurred. This raises critical questions concerning the transferability from the findings [52]. Albeit qualitative research don’t try to generalise findings, their description of a phenomenon may very well be valid in one more setting, i.e. the transferability. Offered the human and economic constraints that characterise the health sector in subSaharan Africa [53] and persistent stigma against samesex sexuality [54, 55], it really is doable to assume that the findings are relevant also within the wider geographical setting. The study also had some limitations. Because we purposively chosen pharmacy workers who were already engaged in MSM care, pharmacy workers who could oppose such engagement were not incorporated. Moreover, the gender imbalance within the sample, 3 males and thirteen females, may possibly influence the transferability with the findings to other settings. Despite the fact that worldwide and regional information suggest an rising number of women in the pharmacy profession, the proportion of males remains higher [56, 57]. An explanation for the imbalance in our sample possibly stems in the recruitment technique, as we used an inventory list of pharmacy workers, provided by MSM members of our neighborhood companion organisation. Hence, the gender imbalance might be a reflection of provider preferences amongst MSM clients, and ought to be taken into consideration when transferring the findings to other settings. The language barriers faced in this study constitute an additional limitation. Even though English is widely spoken in Tanzania, Swahili is the official language and mother tongue of the majority of people. To address potential language barriers it was regarded critical to work with an interpreter to provide simultaneous translation.