Access to HIV Services for Mobile and Migrant Populations in Antigua

2. MSM Reports…………………………………………………………………………. 81
2.1.MSM Survey and Focus Group Reports………………………………………….. 81
2.1.1.MSMs in Antigua…………………………………………………………… 82
2.1.2.MSM Hotspot Mapping Exercise…………………………………………... 83
2.1.3.Condom Use…………………………………………………………………82
2.1.4.HIV Information……………………………………………………………. 83
2.1.5.HIV Testing………………………………………………………………… 84
2.1.6.Access to Healthcare Services……………………………………………… 86
2.1.7.Discrimination……………………………………………………………….89
2.1.8.Knowledge of HIV Services………………………………………………... 89
2.2.MSM Discussion and Conclusions……………………………………………….. 90
2.3.MSM Recommendations…………………………………………………………. 92
3. CSW Reports…………………………………………………………………………. 94
3.1.CSW Survey Discussion and Focus Group Reports……………………………… 94
3.1.1.CSW in Antigua……………………………………………………………. 94
3.1.2.SW Hotspots Mapping Exercise……………………………………………. 94
3.1.3.Condom Use…………………………………………………………………95
3.1.4.HIV Information……………………………………………………………. 96
3.1.5.HIV Test……………………………………………………………………. 97
3.1.6.Access to Healthcare Service……………………………………………….. 99
3.1.7.Discrimination………………………………………………………………103
3.1.8.Knowledge of HIV Services……………………………………………….. 104
3.2.CSW Discussion and Conclusions……………………………………………….. 106
3.3.CSW Recommendations…………………………………………………………. 107
General Discussion and Conclusion…………………………………………………… 109
General Recommendations…………………………………………………………….. 112
1. Policy Aspects………………………………………………………………. 113
2. Organization Capacity Building…………………………………………….. 113
3. Training Recommendations…………………………………………………. 114
4. HIV Prevention and Education Services……………………………………. 115
5. HIV Testing…………………………………………………………………. 116
6. Access to Care………………………………………………………………. 116
7. Treatment and Care………………………………………………………….. 117
8. Support………………………………………………………………………. 117
Annex……………………………………………………………………………………. 119
1. Stakeholder Contact Information…………………………………………………119
2. Non-Governmental Organizations Focus Group Report………………………… 120
3. MSM Reports…………………………………………………………………….. 121
3.1.Focus Group Report…………………………………………………………. 121
3.2.Survey Results……………………………………………………………….. 131
3.2.1. Demographics………………………………………………………... 132
3.2.2. Partner History……………………………………………………….. 137
3.2.3. Condom Use…………………………………………………………..141
5