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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

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AIDS Secretariat – The participants felt that this office had a high degree of<br />

confidentiality when they did test<strong>in</strong>g <strong>and</strong> they appreciated that.<br />

Private physician – Dr. Pereira who is a derma<strong>to</strong>logist <strong>and</strong> also functioned as the<br />

assistant Care Coord<strong>in</strong>a<strong>to</strong>r <strong>in</strong> the absence of Dr. Ramsey, was mentioned as be<strong>in</strong>g a<br />

physician that was MSM friendly. They felt she was non-judgmental <strong>and</strong> com<strong>for</strong>table<br />

<strong>to</strong> talk <strong>to</strong>. She is located at the Medical Surgical Associates office close <strong>to</strong> the Woods<br />

Center.<br />

Private physicians - Dr. Stevens located on Long Street <strong>and</strong> Dr. Philmore Benjam<strong>in</strong><br />

on All Sa<strong>in</strong>ts Road were also utilized by some of the guys.<br />

5. What are some of the fac<strong>to</strong>rs that make a cl<strong>in</strong>ic or health center good?<br />

a. Free health care – because some of them were unemployed, they said if<br />

health care was free, they would be able <strong>to</strong> access it more. They did not<br />

have a Medical Benefit card, so they had <strong>to</strong> pay <strong>for</strong> everyth<strong>in</strong>g.<br />

b. Confidentiality – they want <strong>to</strong> know that “their bus<strong>in</strong>ess would not leave<br />

the build<strong>in</strong>g right after they do”. They felt like <strong>Antigua</strong> was a small place<br />

<strong>and</strong> rumours got started easily, so they prefer <strong>to</strong> know their <strong>in</strong><strong>for</strong>mation<br />

will be kept privately. They stated that the health centers should hire<br />

people who were more mature as they felt that they were more likely <strong>to</strong> be<br />

confidential.<br />

c. Good cus<strong>to</strong>mer service – this meant that the staff should be nice <strong>and</strong><br />

should be car<strong>in</strong>g <strong>to</strong>ward MSM. For the participants, good cus<strong>to</strong>mer service<br />

also meant the caregivers should be helpful.<br />

d. Clean environment – the health care office should be clean <strong>and</strong> equipment<br />

used should be properly washed. One participant mentioned that gloves<br />

should be used when they are check<strong>in</strong>g people. Another participant stated<br />

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