Cook Islands
"This research was carried out as a response to the need for greatly increased, contextualised information about the vulnerability to HIV of MSM/TG and sex workers and seafarers in many Pacific countries. The study provides: 1. An operational baseline for the implementation of the Integrated HIV/TB Multi-Country Grant in the Pacific and for the Pacific Regional Sexual and Reproductive Health Programme. 2. Quantitative and qualitative data to inform relevant interventions aimed at reducing the HIV and STI risk vulnerability of key populations. 3. Specific evidence of barriers to prevention, in order to improve the effectiveness of prevention interventions and develop a strong advocacy case for legal and social transformation. The key specific aims that the Multi-Country Mapping and Behavioural Study: HIV and STI Risk Vulnerability among Key Populations must achieve in order to fulfil the objectives in each country are to: · Estimate population sizes of vulnerable groups – sex workers, MSM/TG and, in some countries, seafarers – through a variety of methodologies. · Identify demographic and behavioural factors (for example, sexual behaviours, mobility, drug use, history of STIs, and so on) that represent risk practices in each of these groups, as well as access to services and experiences of stigma, discrimination and violence, through a quantitative survey design. This survey must include baseline values for quantitative indicators for reporting obligations. · Identify through in-depth interviews the social and structural determinants influencing these risk factors, including stigma, human rights violation, all forms of violence, discrimination, and socio-economic marginalisation and exclusion, as well as community norms, expectations and subcultures that can be facilitators or barriers for the uptake of HIV and STI prevention, care and support services"--Introduction.