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Access to HIV Services for Mobile and Migrant Populations in Antigua

Access to HIV Services for Mobile and Migrant Populations in Antigua

Access to HIV Services for Mobile and Migrant Populations in

APRIL 2012 A Mapping Study on Access to HIV Services for Mobile and Migrant Populations in Antigua Submitted to: EPOS Health Management GmbH Hindenburgring 18 61348 Bad Homburg Germany 0 KN CONSULTING

  • Page 2 and 3: This research was made possible thr
  • Page 4 and 5: TABLE OF CONTENT Table of Tables…
  • Page 6 and 7: 2. MSM Reports…………………
  • Page 8 and 9: Acknowledgements A mapping exercise
  • Page 10 and 11: PEP PITC PLHIV PMTCT PSI SRH STI TB
  • Page 12 and 13: workers, one with English-speaking
  • Page 14 and 15: Access to Care - Improved dialogue
  • Page 16 and 17: migrant populations groups, includi
  • Page 18 and 19: Healthcare services centers availab
  • Page 20 and 21: Outline A mapping exercise was cond
  • Page 22 and 23: Introduction Literature Review Alth
  • Page 24 and 25: 1946 1960 1970 1991* 2001* 2011** 4
  • Page 26 and 27: Designation Population Total % of T
  • Page 28 and 29: In Antigua, the highly controlled a
  • Page 30 and 31: Though prostitution is illegal in t
  • Page 32 and 33: egarding HIV and AIDS Only one in
  • Page 34 and 35: Current Concentrated Epidemic Figur
  • Page 36 and 37: Figure 8 - Total HIV/AIDS Deaths an
  • Page 38 and 39: population. During the 2010 carniva
  • Page 40 and 41: marginalized groups which includes
  • Page 42 and 43: Figure 10 - Map highlighting hotspo
  • Page 44 and 45: The interviewers who conducted the
  • Page 46 and 47: provided the medical interventions,
  • Page 48 and 49: • There is need for improved cust
  • Page 50 and 51: the migrant population, sex workers
  • Page 52 and 53:

    thus, an individual’s ability or

  • Page 54 and 55:

    The Gender Affairs Division hopes t

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    counseling (delivered through peer

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    At least 60% of the populations rea

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    ased on resource mobilization. The

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    are confidential and extend good cu

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    men who have sex with men and comme

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    He does not plan to offer any servi

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    Recommendations based on the stakeh

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    NGO Focus Group Report At a meeting

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    some free and bought some, while 3H

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    Discussion and Conclusions based up

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    From the survey, 70.5% of the respo

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    participants felt they were not at

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    Access to Healthcare Services Figur

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    Reasons for not recommending facili

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    • “Family abandonment” •

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    They did recognize the importance o

  • Page 88 and 89:

    CSW Survey Discussion and Focus Gro

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    within their first year in Antigua.

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    Some 59.6% of the respondents acces

  • Page 94 and 95:

    Figure 22- History of medical check

  • Page 96 and 97:

    6 out of the 7 English-speaking gir

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    They actually don’t know where to

  • Page 100 and 101:

    Discussion and Conclusions for CSW

  • Page 102 and 103:

    that they do not give in to having

  • Page 104 and 105:

    for care, but for persons who are u

  • Page 106 and 107:

    Some members of vulnerable groups w

  • Page 108 and 109:

    discrimination to marginalized grou

  • Page 110 and 111:

    HIV TESTING Create more consistent

  • Page 112 and 113:

    counselors that do not have to nece

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    NGO FOCUS GROUP REPORT Participants

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    To know To improve services for thi

  • Page 118 and 119:

    One guy explained that when he goes

  • Page 120 and 121:

    AIDS Secretariat - The participants

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    Health, Hope & HIV (3H) Network - p

  • Page 124 and 125:

    “MSM’s who are on the down low

  • Page 126 and 127:

    Demographics Education level comple

  • Page 128 and 129:

    Job Offer 7 7.3 Came alone 6 6.3 Ot

  • Page 130 and 131:

    Profession Occupation and Employmen

  • Page 132 and 133:

    Number of persons they had sex with

  • Page 134 and 135:

    Table No. 24- In the past 12 months

  • Page 136 and 137:

    eferred to as a “hook-up’). Som

  • Page 138 and 139:

    Free condoms Free condoms were avai

  • Page 140 and 141:

    Figure 30- Reasons why persons felt

  • Page 142 and 143:

    Table No. 34- Did you receive couns

  • Page 144 and 145:

    Figure 32- Where to go for HIV test

  • Page 146 and 147:

    Employer 0 0.0 From friend or famil

  • Page 148 and 149:

    Table No. 43- How was your check-up

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    The most valuable characteristic of

  • Page 152 and 153:

    Discrimination faced 50.5% of the m

  • Page 154 and 155:

    • Aids Secretariat • Family •

  • Page 156 and 157:

    sure. It is interesting that 5.2% o

  • Page 158 and 159:

    Methodology Recruitment criteria: P

  • Page 160 and 161:

    on vacation where they would be abl

  • Page 162 and 163:

    7- Which of your needs as a core gr

  • Page 164 and 165:

    competition, body image issues, sti

  • Page 166 and 167:

    Under the previous government some

  • Page 168 and 169:

    There is a support group for female

  • Page 170 and 171:

    Some College 8 7.0 Completed colleg

  • Page 172 and 173:

    money as the breadwinner. For those

  • Page 174 and 175:

    Partner History Partners in Antigua

  • Page 176 and 177:

    partners in their lives it was clea

  • Page 178 and 179:

    Random sexual activity When the par

  • Page 180 and 181:

    another 3.5% received from the hosp

  • Page 182 and 183:

    No, because I choose my partner car

  • Page 184 and 185:

    Figure 40 Showing last HIV test. (Q

  • Page 186 and 187:

    where to go to access testing. Clea

  • Page 188 and 189:

    Table 86- Indicating whether partic

  • Page 190 and 191:

    Between 3 and 6 months ago 26 22.8

  • Page 192 and 193:

    Willingness to recommend facility t

  • Page 194 and 195:

    Figure 43 - Showing the respondents

  • Page 196 and 197:

    Table 96- Showing frequency of disc

  • Page 198 and 199:

    Other 38 33.3 Total 114 99.7 Figure

  • Page 200 and 201:

    More confidential doctors More educ

  • Page 202 and 203:

    HHH 2 1.7 Other 7 6.1 Don’t know

  • Page 204 and 205:

    MSM INTERVIEW SHEET Date of Intervi

  • Page 206 and 207:

    Condom Use 17. In the past 12 month

  • Page 208 and 209:

    Access to Healthcare Services 34. W

  • Page 210 and 211:

    Knowledge of Services 51. Do you kn

  • Page 212 and 213:

    7. What social connections do you h

  • Page 214 and 215:

    27. Did you have to pay for the tes

  • Page 216 and 217:

    44. What government services did yo

  • Page 218 and 219:

    References Abbasi, S. (2008). Preve

  • Page 220 and 221:

    http://library.uwb.edu/guides/usimm

  • Page 222 and 223:

    Mueller, Chissey (2011). Preliminar

  • Page 224:

    KN Consulting P.O. Box 2788 St. Joh

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