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Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana

OBJECTIVE. To characterize the sexual and reproductive health (SRH) services on offer to the Central American migrant population residing in shelters in Tijuana, Mexico, and identify barriers and facilitators of access to these services by this population, from the provider perspective. METHODS. An...

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Autores principales: Llanes-Díaz, Nathaly, Bojórquez-Chapela, Ietza, Odgers-Ortiz, Olga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9989548/
https://www.ncbi.nlm.nih.gov/pubmed/36895679
http://dx.doi.org/10.26633/RPSP.2023.56
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author Llanes-Díaz, Nathaly
Bojórquez-Chapela, Ietza
Odgers-Ortiz, Olga
author_facet Llanes-Díaz, Nathaly
Bojórquez-Chapela, Ietza
Odgers-Ortiz, Olga
author_sort Llanes-Díaz, Nathaly
collection PubMed
description OBJECTIVE. To characterize the sexual and reproductive health (SRH) services on offer to the Central American migrant population residing in shelters in Tijuana, Mexico, and identify barriers and facilitators of access to these services by this population, from the provider perspective. METHODS. An observational, mixed, cross-sectional study was conducted. Different information collection techniques—consisting of 16 semi-structured interviews with civil-society providers of SRH services to the migrant population, as well as direct observation in 10 shelters in Tijuana—were employed and triangulated. A two-stage, open, selective coding process was carried out. Content analysis was then performed, using an interpretive approach based on five dimensions: approachability, acceptability, availability, affordability, and appropriateness. RESULTS. The provision of SRH services is composed of four elements: target population, nature of providing organization (religious or secular), services offered, and venue of care. The main barriers to access involve irregular migrant status, the low priority given to SRH services, and the discrepancy between user preferences and the services offered. Among facilitating elements, lay/secular orientation of providers and inter-institutional coordination stood out. CONCLUSIONS. The provision of SRH services by civil society organizations is wide-ranging and heterogeneous. It ranges from strictly medical attention to other services that affect SRH indirectly, with a view to providing comprehensive care. This represents an opportunity in terms of aspects to facilitate access.
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spelling pubmed-99895482023-03-08 Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana Llanes-Díaz, Nathaly Bojórquez-Chapela, Ietza Odgers-Ortiz, Olga Rev Panam Salud Publica Investigación Original OBJECTIVE. To characterize the sexual and reproductive health (SRH) services on offer to the Central American migrant population residing in shelters in Tijuana, Mexico, and identify barriers and facilitators of access to these services by this population, from the provider perspective. METHODS. An observational, mixed, cross-sectional study was conducted. Different information collection techniques—consisting of 16 semi-structured interviews with civil-society providers of SRH services to the migrant population, as well as direct observation in 10 shelters in Tijuana—were employed and triangulated. A two-stage, open, selective coding process was carried out. Content analysis was then performed, using an interpretive approach based on five dimensions: approachability, acceptability, availability, affordability, and appropriateness. RESULTS. The provision of SRH services is composed of four elements: target population, nature of providing organization (religious or secular), services offered, and venue of care. The main barriers to access involve irregular migrant status, the low priority given to SRH services, and the discrepancy between user preferences and the services offered. Among facilitating elements, lay/secular orientation of providers and inter-institutional coordination stood out. CONCLUSIONS. The provision of SRH services by civil society organizations is wide-ranging and heterogeneous. It ranges from strictly medical attention to other services that affect SRH indirectly, with a view to providing comprehensive care. This represents an opportunity in terms of aspects to facilitate access. Organización Panamericana de la Salud 2023-03-03 /pmc/articles/PMC9989548/ /pubmed/36895679 http://dx.doi.org/10.26633/RPSP.2023.56 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/us/Este es un artículo de acceso abierto distribuido bajo los términos de la licencia Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO, que permite su uso, distribución y reproducción en cualquier medio, siempre que el trabajo original se cite de la manera adecuada. No se permiten modificaciones a los artículos ni su uso comercial. Al reproducir un artículo no debe haber ningún indicio de que la OPS o el artículo avalan a una organización o un producto específico. El uso del logo de la OPS no está permitido. Esta leyenda debe conservarse, junto con la URL original del artículo. Crédito del logo y texto open access: PLoS, bajo licencia Creative Commons Attribution-Share Alike 3.0 Unported.
spellingShingle Investigación Original
Llanes-Díaz, Nathaly
Bojórquez-Chapela, Ietza
Odgers-Ortiz, Olga
Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana
title Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana
title_full Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana
title_fullStr Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana
title_full_unstemmed Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana
title_short Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana
title_sort oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en tijuana
topic Investigación Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9989548/
https://www.ncbi.nlm.nih.gov/pubmed/36895679
http://dx.doi.org/10.26633/RPSP.2023.56
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