Universidad Peruana Cayetano Heredia

Perceived Barriers and Facilitators to Integrating HIV Prevention and Treatment with Cross-Sex Hormone Therapy for Transgender Women in Lima, Peru

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dc.contributor.author Reisner, Sari L.
dc.contributor.author Perez-Brumer, Amaya G.
dc.contributor.author McLean, Sarah A.
dc.contributor.author Lama, Javier R.
dc.contributor.author Silva-Santisteban Portella, Alfonso Alberto
dc.contributor.author Huerta, Leyla
dc.contributor.author Sanchez, Jorge
dc.contributor.author Clark, Jesse L.
dc.contributor.author Mimiaga, Matthew J.
dc.contributor.author Mayer, Kenneth H.
dc.date.accessioned 2019-01-25T15:28:07Z
dc.date.available 2019-01-25T15:28:07Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4718
dc.description.abstract Transgender women (TW) represent a vulnerable population at increased risk for HIV infection in Peru. A mixed-methods study with 48 TW and 19 healthcare professionals was conducted between January and February 2015 to explore barriers and facilitators to implementing a model of care that integrates HIV services with gender-affirmative medical care (i.e., hormone therapy) in Lima, Peru. Perceived acceptability of the integrated care model was high among TW and healthcare professionals alike. Barriers included stigma, lack of provider training or Peruvian guidelines regarding optimal TW care, and service delivery obstacles (e.g., legal documents, spatial placement of clinics, hours of operation). The hiring of TW staff was identified as a key facilitator for engagement in health care. Working in partnership with local TW and healthcare provider organizations is critical to overcoming existing barriers to successful implementation of an integrated HIV services and gender-affirmative medical care model for this key population in Peru. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries AIDS and Behavior
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Perception en_US
dc.subject Vulnerable Populations en_US
dc.subject Transgender women en_US
dc.subject Peru/epidemiology en_US
dc.subject Health Services Accessibility en_US
dc.subject Social Stigma en_US
dc.subject Transgender Persons en_US
dc.subject Delivery of Health Care, Integrated/organization & administration en_US
dc.subject Gonadal Steroid Hormones/therapeutic use en_US
dc.subject HIV infection en_US
dc.subject HIV Infections/prevention & control/therapy en_US
dc.subject Models of care en_US
dc.subject Patient Acceptance of Health Care/psychology en_US
dc.title Perceived Barriers and Facilitators to Integrating HIV Prevention and Treatment with Cross-Sex Hormone Therapy for Transgender Women in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s10461-017-1768-8
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.12
dc.relation.issn 1573-3254


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