HIV outreach among
Amazonian indigenous migrants living in Lima-Peru
I. Alva1,2, M. Blas1,2, R. Orellana3, C. Medrano2, E. Hurley4, J.C. Bartolo2, C. Zavaleta5, N. Cueva5, J. Reategui6, S. Santos2, R. Cabello2
1Universidad Peruana Cayetano Heredia, School of Public Health, Lima, Peru, 2Via Libre, Lima, Peru, 3Portland State University, Portland, United States, 4University of Washington, Seatlle, United States, 5Centro Nacional de Salud Intercultural, Lima, Peru, 6Asociación Interétnica de Desarrollo de la Selva Peruana, Lima, Peru
Most residents of Lima, the capital of Peru,
are migrants from other parts of the country. Many migrate from or pass through
Amazonian cities with HIV prevalences higher than the national average. While
there are a few programs focusing on HIV prevention with indigenous people in
their communities of origin, there currently exist no programs focused on
HIV/STI prevention among Amazonian indigenous populations living in Lima.
Description: From 2008-2009, we identified approximately 200 Amazonian indigenous
migrants in Lima.
We approached gay and heterosexual males to offer them HIV testing, condoms and
HIV/STI information. We also contacted traditional midwives, healers, college
students, and community leaders to interview them about their knowledge and
perceptions of HIV.
work with their closest health providers from the Ministry of Health and with
their local and national indigenous leaders favored the success of our
field work activities
2) The majority of Amazonian indigenous migrants we identified in Lima belonged to the
Shipibo-Konibo and Awajun ethnic groups. These populations need customized approaches according to their cultural beliefs and migration patterns.
3) Understanding the interests and experiences
of Amazonian migrants, involving local and national indigenous leaders and
collaborating with Ministry of Health providers is critical for the design and
acceptance of health intervention with this population
4) Culturally appropriate approaches for
HIV-prevention among indigenous peoples are needed not only in rural but
also in urban settings.
Next steps: We plan to
expand beyond HIV services, implementing STI prevention
and testing for other more frequent infections including human papilloma virus,
hepatitis B and genital herpes; and beyond Lima to other coastal cities with sizable
populations of indigenous migrants. Furthermore,
more advocacy is needed to improve access to health care and other social
services in neglected migrant populations.
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