Access to HIV Services for Mobile and Migrant Populations in Antigua

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27. Did you have to pay for the test? a. No, everything is free b. Yes, test is free but I pay for condoms c. Yes, I pay for everything 28. Is your ability to pay a problem? a. No b. Yes, I can’t afford it 29. Where would you go for HIV testing? a. MSJMC c. Medical doctor e. Other (specify)_________ b. AIDS Secretariat d. Clinic f. Don’t know where to go 30. If you did not do an HIV test recently, what is the most likely reason? a. Did not know where to go b. Afraid of the answer c. I do not need one d. They don’t speak my language e. Can’t afford it f. Didn’t think about it g. Other reason _________________________________________________ 31. In the past 12 months, did you receive any information on HIV/AIDS? a. Yes b. No c. don’t recall 32. If yes, from where? a. AIDS Secretariat d. CHAA g. From friend or family b. Media e. Private physician h. Hospital c. District Clinic f. Employer i. Other 33. Do you think that HIV testing or education is readily available? a. Yes b. No c. Don’t know Access to Healthcare Services 34. When was your last medical check-up? a. This past week d. Between 3 and 6 months ago g. Never b. This past month e. Between 6 and 12 months ago h. Don’t recall c. Between 1and 3 months ago f. Between 1 and 2 years ago 35. What was your experience like there? a. Excellent, because_____________________________________________ b. Good, because _______________________________________________ c. Poor, because ________________________________________________ d. Other (specify) _______________________________________________ 213
36. Would you go back yourself or recommend this place to friends? a. Yes b. No 37. If yes, why? a. Price e. speak my language b. Friendly helpful staff f. good medical care c. Location g. Other foreigners are there d. Other reason _________________________________________________ 38. If no, why not? a. Price e. Don’t speak my language b. Unfriendly/not helpful staff f. Medical care not good c. Location g. Don’t treat foreigners well d. Other reason _________________________________________________ 39. Do you think that the staff at the health service facilities had enough skills to give care? a. Yes, because _________________________________________________ b. No, because _________________________________________________ c. Don’t know 40. What do you think would be the characteristics of an excellent health facility? a. Free or inexpensive? b. Better opening hours c. Staff who speak my language d. Friendly and helpful staff e. Confidentiality f. Other ______________________________________________________ 41. What do other persons in your core group complain about as it relates to medical or HIV care? a. Price d. staff not helpful b. Stigma and discrimination e. Facility not clean and tidy c. Geographical location f. other (specify) ______________________ 42. How do you cover your medical bills? a. I have health insurance d. My employer pays for me b. I use my medical benefit card e. I only go where I get free care c. I pay out of pocket f. Other _______________________ 43. What other health centers/clinics have you visited in the past 12 months? _____________________________________________________________________ 214
Page 1 and 2:
APRIL 2012 A Mapping Study on Acces
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FACTS ABOUT ANTIGUA • Capital - S
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5. Design of Survey Tools………
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3.2.4. HIV Information and Testing
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List of Acronyms AIDS ABHAN APPA AR
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Executive Summary Background Due to
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There is clearly a lot of stigma an
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Background to Study A quick search
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Table 1 - Population by Parishes Pa
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Relevance of Study Several reports
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‣ Desk Review - a compilation of
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This review attempts to examine som
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Kempadoo (2010) recalls that “Ant
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Table 6 - Remittances as Percentage
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members of the sex-worker populatio
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use of intravenous drugs. She state
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population about their role in the
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CHAA, based on an Inter-American Pa
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The Government of Antigua and Barbu
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Population Services International (
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MAPPING METHODOLOGY Population Due
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Design of Survey Tools The survey f
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STAKEHOLDERS REPORT For this projec
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AIDS Secretariat/NAP office Redclif
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Mount St. John’s Medical Centre M
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suspicion in the department of some
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services as this does act as a barr
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Non-Governmental Organizations (NGO
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and MSM’s are referred to Directo
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in navigating the health care syste
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Questionnaires are issued and there
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There are costs attached to the pro
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to her by the social worker at the
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funding, but they are still very fu
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Encouragement should be made to civ
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Where are the places that you provi
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Do you collaborate with any other a
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MSM Survey and Focus Group Report M
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Free Condoms Figure 13- Free condom
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Table 9- Reasons for not having an
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care. Some had no answer as they ha
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coming out or dealing with the stig
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Misconceptions At least 90% of the
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Create a job bank - having a job co
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57.8% of the young ladies work on t
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them to read. “Only CHAA really w
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It is quite evident that fear has c
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care and an inviting friendly atmos
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They need to be able to access a gy
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Type of facility frequented for tre
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Their expectations for their core g
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General Discussion and Conclusion T
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Many of the ladies expressed a desi
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Policy Aspects The National
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target population. Purpose: this wo
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information on existing testing sit
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ANNEX _____________________________
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Support Clothes Populations Served
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Demographic 8 participants Sex: Mal
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3. Where are the places/spots that
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that most MSM’s are very particul
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‣ Men’s health care clinic - wh
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‣ Confidential organizations wher
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French 3 3.1 Other 0 0.0 Total 105
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their country as a group. 5.2% of t
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Partner History Partners in Antigua
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Sex for pay (how many of the sexual
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Table No. 25- Partner has spouse or
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Condom Supply The majority of the p
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How to use condoms/Instructional co
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percentage when one considers that
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Ability to pay for HIV testing Tabl
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They don’t speak my language 0 0.
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Never 15 15.7 Don’t recall 24 25.
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Other foreigners are there 12 12.6
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Facility not clean and tidy 4 4.2 O
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Sometimes 24 25.2 Rarely 16 16.8 Ne
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Responses Number Percentage Public
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No response 1 1.0 Total 95 99.8 Tab
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Focus Group Responses 1- What are s
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5- What are some of the factors tha
Page 163 and 164: oyfriends. One participant also sai
Page 165 and 166: Marital Status: All were unmarried
Page 167 and 168: They face a lot of difficulties whe
Page 169 and 170: Figure35 - Breakdown of country of
Page 171 and 172: Table No. 61- Length of time in Ant
Page 173 and 174: groups of other persons from their
Page 175 and 176: Number of Respondents Number of Res
Page 177 and 178: Table 70- Showing how clients are c
Page 179 and 180: Condom Supply When asked where they
Page 181 and 182: How to use condoms /Instructional c
Page 183 and 184: Table 79- Showing amount of persons
Page 185 and 186: discrimination. Some 59.6% of the r
Page 187 and 188: Reasons for not having had a recent
Page 189 and 190: Availability of HIV testing or educ
Page 191 and 192: Table 90- Showing their perception
Page 193 and 194: Reasons for not recommending facili
Page 195 and 196: DISCRIMINATION Discrimination faced
Page 197 and 198: “They call me Spanish and they al
Page 199 and 200: Back to school program Back to scho
Page 201 and 202: Training center where we can learn
Page 203 and 204: Disagree 91 79.8 Don’t know 20 17
Page 205 and 206: 7. What social connections do you h
Page 207 and 208: c. Between 1and 3 months ago g. Nev
Page 209 and 210: . Stigma and discrimination e. Faci
Page 211 and 212: CSW INTERVIEW SHEET Date of Intervi
Page 213: 18. In the past 12 months, have you
Page 217 and 218: 52. If you could implement a progra
Page 219 and 220: The CARICOM single Market and Econo
Page 221 and 222: CHAA (2012) International Day: Stop
Page 223 and 224: Thomas-Hope, Elizabeth (1986),”Tr
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Access to HIV Services for Mobile and Migrant Populations in Antigua

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