RUSSIA (2010): ASSESSMENT OF THE AVAILABILITY OF MEDICAL SERVICES FOR MOST-AT-RISK POPULATIONS IN KRASNODAR AND ST. PETERSBURG

Research was conducted in two regions of the Russian Federation, Saint Petersburg and Krasnodar, where the PreventAIDS program is implemented. Research objectives were: 1) to assess the availability of medical services for most-at-risk groups of the population (with a focus on providing reproductive health services); 2) to evaluate the attitude of medical staff towards the target audience (with a focus on females involved in providing commercial sex); and 3) to compare behaviors of trusted doctors1 and regular district doctors providing services to those most vulnerable to HIV infection. The case study methodology was used to assess the availability of medical services that specialize in reproductive health services. Case study is an integrated research method involving different types of data collection. This method involves collecting information on the same issue from various sources, supplementing findings from one source with findings from another and evaluating the reliability of data by comparing the different types of information collected. In this case study, quantitative data was supplemented with data obtained from observations, field notes, and both express and in-depth interviews. Evaluated together, the data presents a complete picture of the availability of medical services pertaining to reproductive health. No priority is given to any separate source of information.

本研究在俄罗斯联邦的圣彼得堡与克拉斯诺达尔两个已实施PreventAIDS（预防艾滋病）项目的地区开展。研究目标共三项：1）评估针对高危人群的医疗服务可及性，重点聚焦生殖健康服务的供给情况；2）评价医务人员对目标人群的态度倾向，重点关注从事商业性性服务的女性群体；3）对比为人类免疫缺陷病毒（HIV）感染高风险人群提供服务的信任医师（trusted doctors）与普通地段全科医师的执业行为。本次研究采用案例研究法评估生殖健康专科医疗服务的可及性。案例研究作为一种整合式研究方法，涵盖多类数据采集手段：针对同一研究议题从多渠道获取信息，通过不同来源的研究结果相互补充，并通过比对所采集的各类信息以评估数据可靠性。在本次案例研究中，定量数据辅以观察法、实地记录、快捷访谈与深度访谈所获取的数据。综合分析上述各类数据后，可完整呈现生殖健康相关医疗服务的可及性全貌，且未对任何单一信息来源赋予优先权重。