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

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dc.contributor.authorLafort, Yvesen_ZA
dc.contributor.authorJocitala, Osvaldoen_ZA
dc.contributor.authorCandrinho, Balthazaren_ZA
dc.contributor.authorGreener, Letitiaen_ZA
dc.contributor.authorBeksinska, Magsen_ZA
dc.contributor.authorSmit, Jenni A.en_ZA
dc.contributor.authorChersich, Matthewen_ZA
dc.contributor.authorDelva, Wimen_ZA
dc.date.accessioned2017-08-28T08:55:30Z
dc.date.available2017-08-28T08:55:30Z
dc.date.issued2016
dc.descriptionCITATION: Lafort, Y. 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, 16:301, doi:10.1186/s12913-016-1551-y.
dc.descriptionThe original publication is available at https://bmchealthservres.biomedcentral.com
dc.description.abstractBackground 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.en_ZA
dc.description.versionPublishers' Version
dc.format.extent9 pages
dc.identifier.citationLafort, Y. 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, 16:301, doi:10.1186/s12913-016-1551-y
dc.identifier.issn1472-6963 (online)
dc.identifier.otherdoi:10.1186/s12913-016-1551-y
dc.identifier.urihttp://hdl.handle.net/10019.1/102150
dc.language.isoen_ZAen_ZA
dc.provenanceBMC Health Services Research
dc.provenanceOpen Access journal
dc.provenancehttps://bmchealthservres.biomedcentral.com
dc.provenanceCreative Commons Attribution 4.0 International License
dc.provenanceA Boyce 2017-06
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectFemale sex workers -- Health and hygiene -- Mozambiqueen_ZA
dc.subjectHIV-positive persons -- Services for -- Mozambiqueen_ZA
dc.subjectReproductive health services -- Mozambiqueen_ZA
dc.subjectHIV-positive persons -- Government policy -- Mozambiqueen_ZA
dc.titleAre HIV and reproductive health services adapted to the needs of female sex workers? results of a policy and situational analysis in Tete, Mozambiqueen_ZA
dc.typeArticleen_ZA
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