Demographic characteristics, self-identification, and sexual orientation among MSM who answered an online survey in Peru (N = 1301).

<p>*Numbers may not add to the total because of missing data.</p>&<p>Includes transvestite, transgender and transsexual.</p

Comparison of the main reasons for not getting tested for HIV among MSM who had not tested for HIV within the last year, stratified by level of risk (n = 801).

<p>*Numbers may not add to the total because of missing data.</p>&<p>The low-risk group included participants whose last sexual partner was stable (regardless of whether they used a condom or not) and participants whose last sexual partner was not stable but who used a condom in their last sexual intercourse. The high-risk group included participants who had a non-stable last sexual partner with whom they did not use a condom during their last sexual intercourse.</p

Sexual and non-sexual risk behaviors for HIV/STI among MSM who answered an online survey in Peru (N = 1301).

<p>*Numbers may not add to the total because of missing data.</p

Demographic data of household members who participated in the study.

Demographic data of household members who participated in the study.</p

Demographic data of households members who did and did not seek care at the AH program.

Demographic data of households members who did and did not seek care at the AH program.</p

Healthcare provided by Amazon Hope and Ministry of Health, divided by age group and gender.

AH: Amazon Hope, MoH: Ministry of Health.</p

The Amazon Hope: A qualitative and quantitative assessment of a mobile clinic ship in the Peruvian Amazon

<div><p>The Loreto region of the Peruvian Amazon faces many obstacles to health care delivery. The majority of the population is river-bound and lives below the poverty line, with some of the worst health indicators in Peru. To overcome these barriers and fill a gap in health services, an NGO-based provider known as the Vine Trust has been providing care since 2001 via a mobile ship clinic called the Amazon Hope. This study presents an assessment of the Amazon Hope, first reporting health indicators of the program´s catchment area, services provided, and program utilization. It then describes perceptions of the program by community members and health workers, the program’s strengths and weaknesses in contributing to health service delivery, and provides recommendations addressing limitations. The qualitative analysis included 20 key informant interviews with community members and health service providers. In the quantitative analysis, 4,949 residents of the catchment area were surveyed about medical histories, experiences with the program, and suggestions for improvement. The survey showed poor indicators for reproductive health. The AH clinic was the main provider of health care among those surveyed. Community members reported satisfaction with the program’s quality of care, and health workers felt the program provided a unique and necessary service. However, community members requested prior notification and additional services, while health workers described misunderstandings in community-tailored care, and difficulties with continuity of care and coordination. Data show that the program has been successful in providing quality health care to a population but has room to improve in its health service delivery. Suggested improvements are provided based on participant suggestions and relevant literature. The study sheds light on the important role of mobile clinics in Peru, and the methodology can serve as a model for assessing the role of mobile clinics in other remote settings.</p></div

Amazon Hope’s performance within the WHO components of service delivery.

<p>Amazon Hope’s performance within the WHO components of service delivery.</p

Demographic characteristics and sexual history among HIV positive and negative men who have sex with men.

<p>^&Includes transvestite, transgender and transsexual</p><p>Demographic characteristics and sexual history among HIV positive and negative men who have sex with men.</p

Representation of the seeds and their referred participants.

<p>Representation of the seeds and their referred participants.</p