Guatemala (2012): Assessment of Quality of Service Provision to Most-at-Risk Population by Private Sector Providers in Central America

In Central America, HIV/AIDS is remains concentrated among most-at-risk populations (MARPs), primarily in and around networks of men who have sex with men (MSM), transgender populations, male and female sex workers (SW), and certain mobile and ethnic groups (e.g., migrants, uniformed services, individuals of Afro-Caribbean descent). A USAID-funded HIV Combination Prevention Program for MARPs in Central America and Mexico is being implemented by PSI/PASMO, together with partners IPPF/WHR, Cicatelli Associates and Milk'An Cookies in the period 2010-15, which aims to i) reduce prevalence of high-risk behaviors among MARPs and people living with HIV, ii) decrease homophobia, stigma and discrimination related to sexual orientation, occupation or HIV status, iii) increase access by MARPs to a minimum package of essential health services, and iv) use strategic information to design or modify prevention activities. As part of the Program, we plan to assess the quality of service provision to MARPs at health facilities participating in the program with the goal of ensuring that these populations receive high-quality care, free of stigma and discrimination . Our descriptive study will use mystery clients to collect data. Our findings will provide guidance to participating facilities on improving services to MARPs.在中美洲地区，艾滋病病毒/艾滋病（HIV/AIDS）的传播仍集中于高危人群（most-at-risk populations, MARPs）之中，主要分布在男男性行为者（men who have sex with men, MSM）、跨性别群体、男女性工作者（sex workers, SW）以及部分流动群体与族裔群体（如移民、军警人员、非裔加勒比裔人群）的社交网络内及其周边区域。 由美国国际开发署（USAID）资助的中美洲及墨西哥地区针对高危人群的艾滋病综合预防项目，由PSI/PASMO联合合作伙伴IPPF/WHR、西卡泰利联合咨询公司（Cicatelli Associates）与Milk'An Cookies于2010至2015年期间实施。该项目的目标包括：一、降低高危人群及艾滋病病毒感染者的高危行为发生率；二、减少因性取向、职业或艾滋病病毒感染状况引发的恐同情绪、污名化与歧视行为；三、提升高危人群获取基本卫生服务包的可及性；四、依托战略信息规划或优化预防干预活动。 作为本项目的组成部分，我们计划对参与项目的医疗卫生机构向高危人群提供的服务质量开展评估，旨在确保上述群体能够获得无污名化、无歧视的高质量医疗服务。本描述性研究将采用神秘顾客法收集数据，其研究结果将为参与项目的医疗卫生机构优化针对高危人群的服务提供指导依据。