Advanced search
1 file | 383.56 KB

Are HIV and reproductive health services adapted to the needs of female sex workers? : results of a policy and situational analysis in Tete, Mozambique

Author
Organization
Abstract
Background: In the context of an implementation research project aiming at improving use of HIV and sexual and reproductive health (SRH) services for female sex workers (FSWs), a broad situational analysis was conducted in Tete, Mozambique, assessing if services are adapted to the needs of FSWs. Methods: Methods comprised (1) a policy analysis including a review of national guidelines and interviews with policy makers, and (2) health facility assessments at 6 public and 1 private health facilities, and 1 clinic specifically targeting FSWs, consisting of an audit checklist, interviews with 18 HIV/SRH care providers and interviews of 99 HIV/SRH care users. Results: There exist national guidelines for most HIV/SRH care services, but none provides guidance for care adapted to the needs of high-risk women such as FSWs. The Ministry of Health recently initiated the process of establishing guidelines for attendance of key populations, including FSWs, at public health facilities. Policy makers have different views on the best approach for providing services to FSWs-integrated in the general health services or through parallel services for key populations - and there exists no national strategy. The most important provider of HIV/SRH services in the study area is the government. Most basic services are widely available, with the exception of certain family planning methods, cervical cancer screening, services for victims of sexual and gender-based violence, and termination of pregnancy (TOP). The public facilities face serious limitations in term of space, staff, equipment, regular supplies and adequate provider practices. A stand-alone clinic targeting key populations offers a limited range of services to the FSW population in part of the area. Private clinics offer only a few services, at commercial prices. Conclusion: There is a need to improve the availability of quality HIV/SRH services in general and to FSWs specifically, and to develop guidelines for care adapted to the needs of FSWs. Access for FSWs can be improved by either expanding the range of services and the coverage of the targeted clinic and/or by improving access to adapted care at the public health services and ensure a minimum standard of quality.
Keywords
CARE, PREVENTION, BURDEN, AFRICA, COTE-DIVOIRE, Availability, Mixed methods, Health services, Mozambique, Female sex workers, Reproductive health, HIV, COUNTRIES

Downloads

  • Lafort Are HIV and reproductive health services adapted to the needs of female sex workers Results of a policy and situational analysis in Tete Moza.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 383.56 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Lafort, Yves, Osvaldo Jocitala, Balthazar Candrinho, Letitia Greener, Mags Beksinska, Jenni A Smit, Matthew Chersich, and Wim Delva. 2016. “Are HIV and Reproductive Health Services Adapted to the Needs of Female Sex Workers? : Results of a Policy and Situational Analysis in Tete, Mozambique.” Bmc Health Services Research 16.
APA
Lafort, Y., Jocitala, O., Candrinho, B., Greener, L., Beksinska, M., Smit, J. A., Chersich, M., et al. (2016). Are HIV and reproductive health services adapted to the needs of female sex workers? : results of a policy and situational analysis in Tete, Mozambique. BMC HEALTH SERVICES RESEARCH, 16.
Vancouver
1.
Lafort Y, Jocitala O, Candrinho B, Greener L, Beksinska M, Smit JA, et al. Are HIV and reproductive health services adapted to the needs of female sex workers? : results of a policy and situational analysis in Tete, Mozambique. BMC HEALTH SERVICES RESEARCH. 2016;16.
MLA
Lafort, Yves, Osvaldo Jocitala, Balthazar Candrinho, et al. “Are HIV and Reproductive Health Services Adapted to the Needs of Female Sex Workers? : Results of a Policy and Situational Analysis in Tete, Mozambique.” BMC HEALTH SERVICES RESEARCH 16 (2016): n. pag. Print.
@article{8080214,
  abstract     = {Background: In the context of an implementation research project aiming at improving use of HIV and sexual and reproductive health (SRH) services for female sex workers (FSWs), a broad situational analysis was conducted in Tete, Mozambique, assessing if services are adapted to the needs of FSWs. 
Methods: Methods comprised (1) a policy analysis including a review of national guidelines and interviews with policy makers, and (2) health facility assessments at 6 public and 1 private health facilities, and 1 clinic specifically targeting FSWs, consisting of an audit checklist, interviews with 18 HIV/SRH care providers and interviews of 99 HIV/SRH care users. 
Results: There exist national guidelines for most HIV/SRH care services, but none provides guidance for care adapted to the needs of high-risk women such as FSWs. The Ministry of Health recently initiated the process of establishing guidelines for attendance of key populations, including FSWs, at public health facilities. Policy makers have different views on the best approach for providing services to FSWs-integrated in the general health services or through parallel services for key populations - and there exists no national strategy. The most important provider of HIV/SRH services in the study area is the government. Most basic services are widely available, with the exception of certain family planning methods, cervical cancer screening, services for victims of sexual and gender-based violence, and termination of pregnancy (TOP). The public facilities face serious limitations in term of space, staff, equipment, regular supplies and adequate provider practices. A stand-alone clinic targeting key populations offers a limited range of services to the FSW population in part of the area. Private clinics offer only a few services, at commercial prices. 
Conclusion: There is a need to improve the availability of quality HIV/SRH services in general and to FSWs specifically, and to develop guidelines for care adapted to the needs of FSWs. Access for FSWs can be improved by either expanding the range of services and the coverage of the targeted clinic and/or by improving access to adapted care at the public health services and ensure a minimum standard of quality.},
  articleno    = {301},
  author       = {Lafort, Yves and Jocitala, Osvaldo and Candrinho, Balthazar and Greener, Letitia and Beksinska, Mags and Smit, Jenni A and Chersich, Matthew and Delva, Wim},
  issn         = {1472-6963},
  journal      = {BMC HEALTH SERVICES RESEARCH},
  keyword      = {CARE,PREVENTION,BURDEN,AFRICA,COTE-DIVOIRE,Availability,Mixed methods,Health services,Mozambique,Female sex workers,Reproductive health,HIV,COUNTRIES},
  language     = {eng},
  pages        = {9},
  title        = {Are HIV and reproductive health services adapted to the needs of female sex workers? : results of a policy and situational analysis in Tete, Mozambique},
  url          = {http://dx.doi.org/10.1186/s12913-016-1551-y},
  volume       = {16},
  year         = {2016},
}

Altmetric
View in Altmetric
Web of Science
Times cited: