The Citizen Observatory for Health (OCS) carried out a study aimed at assessing the degree to which the National Strategic Plan for the Response to HIV and AIDS (PENV) has been realized in relation to its strategic objectives and targets, using performance indicators defined for key populations and other vulnerable populations.

This work involved some organizations working with the LGBTQI+ community in Mozambique, namely Lambda, Transformar and Kwaedja, and other stakeholders working with key populations in Maputo City.

The analysis was based on three strategic objectives of the PENV, namely objective 3 “Reducing Social and Structural Barriers to HIV Prevention, Treatment and Mitigation”; objective 4 “Strengthening the HIV Response Based on Human Rights Principles and Approaches to Facilitate Access to Services”; and objective 5 “Supporting the Greater Involvement of People Living with HIV (PLHIV) and other Priority Populations.”

Among the findings of the analysis, the highlight goes to the report made by those targeted, during the administration of the surveys, about the fact that they often suffer acts of stigma and discrimination when they go to seek health services at Health Units.

“When you go to hospital with an anal fissure and you get there (health unit) and explain what you’ve got, they look at you and say, but aren’t you a man? How did this happen to you? We don’t know how we can help, but can you tell us what it was like? And they ask these questions laughing at you. It’s hard to go back to hospital after you’ve been through a situation like this (PC, 36)”, reads the analysis.

The key populations also reported a lack of secrecy and confidentiality on the part of the health workers, who always try to expose and ridicule them in front of their colleagues or other people present.

“After they give you a questionnaire about your problem, they call the whole unit to see your case. Everyone who is working that day will be in your room to see what happened to you. I don’t think that’s right, there’s no respect for my privacy and there’s no confidentiality”, they say.

According to the analysis, exposure when seeking services and care in health facilities and the need to conceal their social and/or sexual identity undermine PEN V’s efforts to improve and humanize health care and services for key populations in particular, requiring the adoption of new approaches that promote the humanization of health care and services and reinforce existing good approaches.

In this context, continuous training of healthcare providers and supportive supervision is advocated for the adoption of desired behaviors and humanized care.

The research makes the following recommendations: the need to increase the number of trainings in knowledge and defense of human rights for all key actors in the response to HIV and AIDS and in particular for key populations; expanding and strengthening Differentiated Health Models (DHM) in HIV and AIDS care units, taking into account available resources; documenting and generating evidence on cases of human rights violations for information and drawing up strategies and action plans to support key populations; among others.

Read the full analysis report at: https://www.observatoriodesaude.org/download/avaliacao-do-grau-de-realizacao-do-pen-v-em-relacao-aos-objectivos-estrategicos-e-metas-atraves-de-inidicadores-de-desempenho-definidos-para-populacoes-chave-e-outra-populacoes-vulneraveis/

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