Table 2 Pull and Push Factors Affecting Health Services Access among Key Populations
Individual | Societal/community | Health system |
|---|---|---|
• Economic status • Socio-demographic characteristics (e.g. education, marital status, age) • Knowledge about CHIP • Individual stigma • Perception of health care worker’s/health system • Attitude towards health care system • Access to health related media • Medical history • Individual experience with health care workers • KP service satisfaction • Experience with violence • Experience with service integration • Opinion on CHIP integration | • Stigma and discrimination • Community perception about KP • Community support to KP • Community opinion on the health needs of KPs • Social connectedness • Community opinions on sharing health services /facilities with members of the KP • Availability of safe KP congregation areas • Community violence and abuse towards KPs | • Distance to health facility • Patient load • Number of health care workers • Health care workers training on sexual and reproductive health issues • Availability of CHIP guidelines • Health care worker’s knowledge on the CHIP guidelines • Health care worker’s perception on KP • Health care worker’s stigma towards KP • Health care worker’s attitude towards KP • Commodity (condom, antibiotics for STI, antiretroviral, contraceptives etc.) stock out • Opinion on KP service integration • Experience with other service integration |