• TABLE OF CONTENTS
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 Cover
 Table of Contents
 Preamble
 Methodological framework
 Review (Literature and desk)
 Conceptualizing the reality on...
 Focus group (main findings)
 Health services providers
 Validation workshop
 Conclusion
 Recommendation
 References
 Appendix






Title: Sexual and Gender Minorities Baseline: The Situation in Guyana
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Permanent Link: http://ufdc.ufl.edu/AA00000170/00001
 Material Information
Title: Sexual and Gender Minorities Baseline: The Situation in Guyana
Physical Description: 56p ; Digital format PDF
Language: English
Creator: Magda Fiona Wills
Publisher: UNDP Guyana
Place of Publication: Guyana
Publication Date: 2010
 Subjects
Subjects / Keywords: Caribbean Area, Guyana, sexual minorities, msm, transgender, gay, homosexual   ( lcsh )
 Notes
Funding: Support for the development of the technical infrastructure and partner training provided by the United States Department of Education TICFIA program.
General Note: While the global response to HIV and AIDS has realized several successes in achieving universal access to prevention, care and treatment to date, challenges persist in ensuring equal access to these services for most at risk populations. The epidemiology of HIV reflects a stark disparity in access to prevention and treatment services for neglected most-at risk populations, such as men who have sex with men (MSM). World-wide, MSM often experience higher rates of HIV relative to the total population. The reasons for this dynamic are multi-faceted and include high risk behaviors, and cultural as well as structural barriers. For MSM in developing countries, for example, basic services for prevention and treatment of HIV infection have yet to reach the large majority of men. Homophobia and discrimination limit access of MSM to prevention services and markedly increase vulnerability, as do criminalization of same-sex behavior. Decriminalization of same-sex behavior is a structural intervention for prevention of HIV infection and has recently been embraced by a nonbinding statement from the United Nations (Beyrer C,Clin Infect Dis. 2010 May 15;50 Suppl 3:S108-13) In the Caribbean, all of the above mentioned barriers exist. In fact, recent evidence demonstrates that there is a correlation between the decriminalization of homosexuality and lower rates of HIV (UNAIDS). This correlation is attributed to improved access to services. Therefore, The United Nations Development Program (UNDP) has recently launched an initiative to address the current situation regarding men who have sex with men in Guyana where the HIV prevalence in this population is 19.4% in contrast to 1.8% in the total population. This rapid assessment has been commissioned to supplement two previous studies that were conducted in Guyana in informing the design of upcoming activities to support local capacity building to enhance access to services and respect for the human rights protections for MSM. Unfortunately, in Guyana, like much of the Caribbean, MSM tend to be a hard to reach population, perhaps due to elevated levels of stigma and discrimination and difficulty in accessing men who might participate in high risk same sex behaviors yet do not self-identify as an MSM. As a result, there is a relative paucity of data concerning the knowledge, attitudes and behaviors of this total population in Guyana. (i.e. those who self –identify and those who do not) The baseline report is organized as follows: the methodology is explained followed by the study limitations, the review (literature and desk). The report then proceeds with describing the reality of work and working with sexual and gender minorities in Guyana, the status quo and entry points. The main findings of the capacity assessment and focus groups are then discussed. Issues relating to the uniformed forces and health services providers are then presented followed by discussions and conclusions.
 Record Information
Bibliographic ID: AA00000170
Volume ID: VID00001
Source Institution: Caribbean IRN
Holding Location: Caribbean IRN
Rights Management: All rights reserved by the source institution.

Table of Contents
    Cover
        Page 1
    Table of Contents
        Page 2
        Page 3
    Preamble
        Page 4
        Page 5
        Page 6
    Methodological framework
        Page 7
        Page 8
    Review (Literature and desk)
        Page 9
        Page 10
        Page 11
        Page 12
        Page 13
        Page 14
    Conceptualizing the reality on Guyana & Capacities (main findings)
        Page 15
        Page 16
        Page 17
        Page 18
        Page 19
        Page 20
        Page 21
        Page 22
        Page 23
        Page 24
        Page 25
        Page 26
        Page 27
        Page 28
        Page 29
        Page 30
        Page 31
        Page 32
        Page 33
        Page 34
        Page 35
    Focus group (main findings)
        Page 36
        Page 37
    Health services providers
        Page 38
    Validation workshop
        Page 39
        Page 40
    Conclusion
        Page 41
    Recommendation
        Page 42
    References
        Page 43
        Page 44
    Appendix
        Page 45
        Page 46
        Page 47
        Page 48
        Page 49
        Page 50
        Page 51
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