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HIV-positive gay and bisexual men in Peru: Sexuality , disclosure and the disconnect between sexual health needs and access. Areas of concern. Access to Sexual and Reproductive Health services and supplies Pleasurable experience of the sexuality of PLH

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Presentation Transcript
slide1

HIV-positive gay and bisexual men in Peru: Sexuality, disclosure and the disconnect between sexual health needs and access

areas of concern
Areas of concern
  • Access to Sexual and Reproductive Health services and supplies
  • Pleasurable experience of the sexuality of PLH
  • The Peruvian Strategic Plan for HIV (2007-2011) did not include PLH within its priority populations
health dignity and prevention
Health, Dignity and Prevention
  • Highlights gaps and needs on prevention
  • Where are the links between human rights, prevention, care and disclosure?
results
RESULTS
  • Average age: 37 years in Lima / Callao, compared to 32 years in other cities.
  • A quarter earn less than the national minimum wage (about 240 dollars).
  • More than a half do not have health insurance.
  • Most educated population In Lima / Callao (38% with complete higher education).
experience of sexuality and sexual practices
EXPERIENCE OF SEXUALITY AND SEXUAL PRACTICES
  • Diagnosis and experience of sexuality

LIMA/CALLAO

OTHER CITIES

experience of sexuality and sexual practices1
EXPERIENCE OF SEXUALITY AND SEXUAL PRACTICES
  • Sex life is restricted - self-questioning on sexual behavior.
  • Undeserved sense of diagnosis
  • “Traumatic abstinence”: Sexuality is put aside on their way to adapt themselves to the condition
  • Less traumatic attitude: “life changes but we have to go on”
slide8

“They actually made me feel bad, the psychologist who was there at that time and gave me this advice ... She said "you know what? have to limit yourself because you will not have any new relationships, you can not do this, you can not do that ... "

(Focus group gay / bisexual men, Tumbes)

percentage of participants with steady partners
Percentage of participants with steady partners

Lima/Callao

Othercities

Heterosexual

men

Gay and

bisexual

men

Transwomen

Women

slide10
Serological status of the steady partner related to partner awareness of the diagnosis of the participant
conclusions
CONCLUSIONS
  • Despite ART program provided by Peruvian MoH, whose great contribution continues to be recognized, there is still stigma and discrimination and its effects.
  • Health providers do violent their own patients sexual rights, without providing social support and without offering usual sexual health services, such as anal and prostate exams.
conclusions1
CONCLUSIONS
  • Supporting patients for disclosure to partners is not effectively encouraged.
  • There no alternatives for PLH who are not able to discuss their serostatus to partners, neither notification strategies for casual partners.