Centro de Estudios para la Prevención del VIH, Universidad de California, San Francisco, Estados Unidos.
Centro de Investigación Interdisciplinaria en Sexualidad, Sida y Sociedad, Universidad Peruana Cayetano Heredia. Lima, Perú.
Rev Peru Med Exp Salud Publica. 2024 Aug 19;41(2):105-113. doi: 10.17843/rpmesp.2024.412.13198.
OBJECTIVE.: To analyze the elements of a navigation program in Lima that facilitated the linkage of men who have sex with men (MSM) and transgender women (TW) with HIV care.
MATERIAL AND METHODS.: We conducted interviews with 20 users receiving navigation services and 4 peer navigators living with HIV.
RESULTS.: The work of the navigators contributed to filling a gap in HIV services, providing personalized accompaniment to navigate the health care system and facilitating the process of engaging with care.
CONCLUSIONS.: Patient navigation based on the development of users' strengths can be a useful and feasible strategy to improve linkage to medical care for MSM and TW in Peru, incorporating peer navigators to health teams, horizontality in treatment and public health strategies with greater community participation.
Motivation for the study. In Peru, men who have sex with men (MSM) and transgender women (TW) present low levels of linkage to HIV medical care, which is crucial to consider it a chronic disease, guarantee a healthy life and prevent transmission. Main findings. We implemented a program with specialized personnel called peer navigators, which helped MSM and TW to identify personal strengths and become autonomous within a fragmented and unfriendly health system. Implications. Incorporating peer navigators is a useful and feasible strategy that contributed to filling a gap in HIV care services, providing accompaniment, education and horizontal treatment to improve linkage to medical care for MSM and TW.
分析利马的一个导航项目中的要素，这些要素促进了男男性行为者（MSM）和跨性别女性（TW）与艾滋病毒护理的联系。
我们对 20 名接受导航服务的用户和 4 名感染艾滋病毒的同行导航员进行了访谈。
导航员的工作有助于填补艾滋病毒服务的空白，为他们提供个性化的陪伴，帮助他们了解医疗保健系统，并促进他们接受护理的过程。
基于开发用户优势的患者导航可以成为一种有用且可行的策略，以改善秘鲁 MSM 和 TW 与医疗保健的联系，将同行导航员纳入卫生团队，采用横向治疗和更具社区参与度的公共卫生策略。
研究动机。在秘鲁，男男性行为者（MSM）和跨性别女性（TW）与艾滋病毒医疗保健的联系程度较低，这是将其视为慢性病、保证健康生活和预防传播的关键。主要发现。我们实施了一个名为同行导航员的专业人员项目，该项目帮助 MSM 和 TW 确定个人优势，并在一个分散和不友好的医疗体系中实现自主。
意义。纳入同行导航员是一种有用且可行的策略，有助于填补艾滋病毒护理服务的空白，提供陪伴、教育和横向治疗，以改善 MSM 和 TW 与医疗保健的联系。
