Perception and experiences of young key population on provision of responsive services for men who have sex with men & female sex workers: A case of pasada project, Dar es salaam Tanzania.
Date
2016
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mzumbe university
Abstract
Present disparities in access to HIV services among KPs are significant. Stigma and
discrimination, violence, disciplinary harassment by police and social environments are
major issues which fuel increased HIV vulnerability among KPs, thus availability, access,
and uptake of
HIV prevention, treatment, care, and support for MSM, sex workers and
their clients are limited.
In response to the problem both local and international NGOs collaborated in initiating and
implementing a responsive programme for KPs in Dar Es Salaam, Tanzania. PASADA, PSI
and the Government of Tanzania implement a programme with a focus on providing care
and treatment services to MSM and FSWs in Dar Es Salaam. A descriptive qualitative
study using in depth interviews and focus group discussions were employed. Seven KPs
(Four MSM, three FSWs) were enrolled for in depth interviews and one FGD conducted
with peers of KPs. Three service providers were recruited for in-depth interviews from
PASADA clinic centre.
We used Andersen’s Behavioral Models for vulnerable populations and a framework for
Monitoring and Evaluation for marginalized populations as a framework to interpret on the
perceptions and experiences on health seeking and influences on the provision of services
by health providers for KPs
The results highlight on the concerns of service providers lack of skills and low motivation
related to the provision of services to KPs. KPs demonstrated awareness and knowledge of
the comprehensive responsive services and issues which hinder accessibility. There was
general unawareness of Hepatitis B and C, vaccination and appropriate prevention
information among the group.
The qualitative study underscores the significance of information on both HIV risks and
acceptable, effective HIV prevention options for MSM and FSWs. Learning and skills
development should be available to the wider KPs community. Drop-centre interventions
may be excellence sites to address health problems experienced by MSM and FSWs.
Description
A dissertation submitted to Mzumbe University as a partial fulfillment of the requirements for the award of
Master's Degree of Science in Health Monitoring and Evaluation (MSc. HM&E) of Mzumbe
University.
Keywords
HIV, Health Service Providers, AIDS
Citation
APA