Access to HIV Services for Mobile and Migrant Populations in Antigua

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The Gender Affairs Division hopes to improve its services by continuing to network with regional and international organizations to look at best practices, continue with programmes so as to make clients more self-reliant and empowered, build the capacity of staff members and social partners so as to help provide better services to the general public and target population. While there are some repeat clients, most clients are encouraged to work on their own after a stipulated period of time but are welcome to return if new issues arise or old issues are not resolved. Some places were referrals are made include: • Antigua Planned Parenthood Association • Welfare division • AIDS Secretariat • Legal Aid • Police Department The majority of their referrals come from: • Clients • Magistrate’s court • 911 emergency line • Attorneys • Churches • Police Department • Other agencies and organizations. • Hospital social worker 53
Non-Governmental Organizations (NGO) Health Hope and HIV Network (3H) Ramco Building Independence Avenue The Health, Hope & HIV Network located in the Ramco building on Independence Drive is an HIV/AIDS organization furnished with staff and volunteers who have been formally trained in diversity and cultural competence. Their services are offered to the general population in Antigua. These services include HIV education/prevention: for example IEC material & face to face discussions to mention a few. Also offered are HIV counselling, peer counselling, PITC –provider initiated testing and counseling and referral to the NAP for testing, advocacy, Human Rights Desk (S&D/HR violations complaints), condom distribution and demonstration, lubricant distribution, psychosocial support, HIV case management, nutritional counselling, an efficient referral system and behavior change, harm reduction and adherence counselling. The main target for these services are people living with and are affected by HIV, men who have sex with men, gays and transgender, commercial sex workers and youth. The position of executive director & programme manager enables one to be a part of the planning and decision making processes of the organization. Though the services offered by the Health, Hope & HIV Network are all free for the migrant and most at risk populations, there are other organizations which also cater to them where their inability to pay for services is a barrier. This can be changed if the cost associated is minimal or totally absorbed by the agency itself or the government. A great deal of persons from the most at risk population is affected by the cost of services. The services that are offered to the most at risk population are HIV counselling, training, advocacy, support group (provide a safe space), personal development initiative (Volunteer at the office are trained to conduct focus group discussion- prepare, develop and present topics - conduct interviews etc.), peer counselling, psychosocial support, hospital visitation, community-based peer education and outreach, risk reduction 54
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APRIL 2012 A Mapping Study on Acces
Page 3 and 4: FACTS ABOUT ANTIGUA • Capital - S
Page 5 and 6: 5. Design of Survey Tools………
Page 7 and 8: 3.2.4. HIV Information and Testing
Page 9 and 10: List of Acronyms AIDS ABHAN APPA AR
Page 11 and 12: Executive Summary Background Due to
Page 13 and 14: There is clearly a lot of stigma an
Page 15 and 16: Background to Study A quick search
Page 17 and 18: Table 1 - Population by Parishes Pa
Page 19 and 20: Relevance of Study Several reports
Page 21 and 22: ‣ Desk Review - a compilation of
Page 23 and 24: This review attempts to examine som
Page 25 and 26: Kempadoo (2010) recalls that “Ant
Page 27 and 28: Table 6 - Remittances as Percentage
Page 29 and 30: members of the sex-worker populatio
Page 31 and 32: use of intravenous drugs. She state
Page 33 and 34: population about their role in the
Page 35 and 36: CHAA, based on an Inter-American Pa
Page 37 and 38: The Government of Antigua and Barbu
Page 39 and 40: Population Services International (
Page 41 and 42: MAPPING METHODOLOGY Population Due
Page 43 and 44: Design of Survey Tools The survey f
Page 45 and 46: STAKEHOLDERS REPORT For this projec
Page 47 and 48: AIDS Secretariat/NAP office Redclif
Page 49 and 50: Mount St. John’s Medical Centre M
Page 51 and 52: suspicion in the department of some
Page 53: services as this does act as a barr
Page 57 and 58: and MSM’s are referred to Directo
Page 59 and 60: in navigating the health care syste
Page 61 and 62: Questionnaires are issued and there
Page 63 and 64: There are costs attached to the pro
Page 65 and 66: to her by the social worker at the
Page 67 and 68: funding, but they are still very fu
Page 69 and 70: Encouragement should be made to civ
Page 71 and 72: Where are the places that you provi
Page 73 and 74: Do you collaborate with any other a
Page 75 and 76: MSM Survey and Focus Group Report M
Page 77 and 78: Free Condoms Figure 13- Free condom
Page 79 and 80: Table 9- Reasons for not having an
Page 81 and 82: care. Some had no answer as they ha
Page 83 and 84: coming out or dealing with the stig
Page 85 and 86: Misconceptions At least 90% of the
Page 87 and 88: Create a job bank - having a job co
Page 89 and 90: 57.8% of the young ladies work on t
Page 91 and 92: them to read. “Only CHAA really w
Page 93 and 94: It is quite evident that fear has c
Page 95 and 96: care and an inviting friendly atmos
Page 97 and 98: They need to be able to access a gy
Page 99 and 100: Type of facility frequented for tre
Page 101 and 102: Their expectations for their core g
Page 103 and 104: General Discussion and Conclusion T
Page 105 and 106:
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
Page 129 and 130:
their country as a group. 5.2% of t
Page 131 and 132:
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
Page 137 and 138:
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
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oyfriends. One participant also sai
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Marital Status: All were unmarried
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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
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Table 70- Showing how clients are c
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Condom Supply When asked where they
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How to use condoms /Instructional c
Page 183 and 184:
Table 79- Showing amount of persons
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discrimination. Some 59.6% of the r
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Reasons for not having had a recent
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Availability of HIV testing or educ
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Table 90- Showing their perception
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Reasons for not recommending facili
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DISCRIMINATION Discrimination faced
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“They call me Spanish and they al
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Back to school program Back to scho
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Training center where we can learn
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Disagree 91 79.8 Don’t know 20 17
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7. What social connections do you h
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c. Between 1and 3 months ago g. Nev
Page 209 and 210:
. Stigma and discrimination e. Faci
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CSW INTERVIEW SHEET Date of Intervi
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18. In the past 12 months, have you
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36. Would you go back yourself or r
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52. If you could implement a progra
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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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