Data Sheet 1_Stakeholder mapping: advancing research on sexual and reproductive health policies and income protection for cisgender and transgender female sex workers in Buenos Aires, Argentina.docx

IntroductionIn the initial steps towards the development of an implementation project aimed to support sexual and reproductive health (SRH) policies and income protection for cisgender and transgender sex workers in the Ciudad Autónoma de Buenos Aires (CABA), we employed stakeholder mapping. This is a crucial tool in health policy and systems and research to identify, categorize, and characterize key stakeholders involved in policy planning and implementation.
MethodsProspective stakeholder mapping was conducted between February and September 2023 through a series of internal meetings and consultations with relevant community organizations to identify key stakeholders involved in SRH of female sex workers (FSWs) in CABA. The stakeholder mapping included three stages: 1. Identification and categorization of stakeholders using primary and secondary sources; 2. Analysis of stakeholder knowledge, level of agreement/interest, and level of influence/power; and 3. Characterization of stakeholder positioning. The absolute and relative frequencies of key stakeholders were estimated, and the average values of knowledge, power/influence, and interest/agreement were calculated for each category. The results were represented in a matrix identifying six types of positions (promoter, supporter, neutral, observer, high-risk blocker, low-risk blocker).
ResultsA total of 147 key actors were identified across sectors, including government, civil society, academia, abolitionist community organizations, health services, media and national and jurisdictional governments. Only four categories had detailed knowledge of the SRH situation and policies focused on FSWs. The stakeholders were categorized as 16% as promoters, 68% as supporters, 10% as blockers, 3% as observers, and 3% as neutral. Among promoters, national and jurisdictional governments stood out, while the supporters included the FSWs and the civil society organizations representing them, who also actively participated in the mapping process. Blockers mainly included abolitionist community organizations and security forces.
DiscussionStakeholder mapping proved to be a valuable tool for understanding the political landscape while ethically centering the voices of FSWs. The findings support the development of inclusive, context-sensitive policies and provide a replicable methodology for similar initiatives in other socio-political contexts.

引言：本研究为支持布宜诺斯艾利斯自治市（Ciudad Autónoma de Buenos Aires, CABA）顺性别与跨性别性工作者的性与生殖健康（sexual and reproductive health, SRH）政策及收入保障的实施项目开展前期筹备工作，采用了利益相关者图谱分析方法。利益相关者图谱分析是卫生政策与系统及研究领域的核心工具，用于识别、分类并刻画参与政策规划与实施的关键利益相关者特征。
方法：本研究于2023年2月至9月开展前瞻性利益相关者图谱分析，通过一系列内部会议与相关社区组织的咨询工作，识别布宜诺斯艾利斯自治市内关注女性性工作者（female sex workers, FSWs）性与生殖健康的关键利益相关者。本次利益相关者图谱分析包含三个阶段：1. 依托一手与二手资料对利益相关者进行识别与分类；2. 分析利益相关者的认知水平、共识/参与意愿程度与影响力/权力层级；3. 刻画利益相关者的立场定位。研究估算了关键利益相关者的绝对与相对频数，并针对每一类别的认知、权力/影响力以及兴趣/共识水平计算平均值。最终结果以矩阵形式呈现，可将利益相关者划分为六大立场类型：推动者（promoter）、支持者（supporter）、中立者（neutral）、观望者（observer）、高风险阻碍者（high-risk blocker）与低风险阻碍者（low-risk blocker）。
结果：本研究共识别出覆盖政府、公民社会、学术界、废奴主义社区组织、卫生服务机构、媒体以及国家与管辖级政府等多个领域的147名关键主体。仅4类主体对女性性工作者相关的性与生殖健康现状及政策具备详细认知。研究将利益相关者划分为：16%为推动者，68%为支持者，10%为阻碍者，3%为观望者，3%为中立者。其中推动者中以国家与管辖级政府最为突出；支持者则包括女性性工作者群体及其代表的公民社会组织，后者亦积极参与了本次图谱分析流程。阻碍者主要由废奴主义社区组织与执法力量构成。
讨论：本次利益相关者图谱分析可有效助力理解政策格局，同时以伦理视角将女性性工作者的声音置于核心地位。研究结果可为制定包容且贴合本土情境的政策提供支撑，并为其他社会政治背景下的同类项目提供可复制的研究方法。