Regional Migrant Health Survey on Tuberculosis and HIV and Health Service Response for Migrants in Armenia, Azerbaijan and Georgia

Number of Pages: 
128
Year: 
2019
Electronic copy only
Description: 

This regional survey report presents findings from qualitative and quantitative surveys among migrants in the South Caucasus countries of Armenia, Azerbaijan and Georgia. The objective of the qualitative survey was to assess experiences with and access to public health-care services related to HIV and tuberculosis (TB) in migrants’ own countries and abroad. Specific goals were to clarify barriers in availability, accessibility, acceptability and quality (AAAQ) of TB and HIV health services for migrants within the countries of origin and destination, as well as collect recommendations and opinions for improving AAAQ of TB and HIV health services for migrants. The objective of the quantitative surveys was to measure HIV prevalence and TB signs and symptoms among migrant populations. Other goals were to determine the study participants’ migration experiences, living and working conditions, sexual behaviour, and HIV testing and TB screening history in their own country and abroad. This evidence will help to ensure the development of adequate migrant-inclusive policies and public health interventions, especially related to TB and HIV.

Table of contents: 
  • ACKNOWLEDGEMENTS
  • LIST OF TABLES AND FIGURES
  • ABBREVIATIONS/ACRONYMS
  • EXECUTIVE SUMMARY
  • BACKGROUND
    • Tuberculosis in the South Caucasus
    • HIV in the South Caucasus
    • Increased risk of tuberculosis and HIV among migrants
    • Migration in the South Caucasus
  • RESEARCH METHODS
    • Qualitative methods
    • Quantitative methods
  • QUALITATIVE DATA FINDINGS
    • Domain 1: General information about the population
    • Domain 2: HIV knowledge and access to HIV-related health care
    • Domain 3: Tuberculosis knowledge and access to tuberculosis-related health care
    • Discussion
  • QUANTITATIVE FINDINGS
    • Sociodemographic factors
    • Nationality, citizenship and primary residence among all migrants
    • Migration patterns among all migrants
    • Living and working conditions at home and abroad among all migrants
    • Sexual life and condom use among all migrants
    • Intravenous drug use among all migrants, Georgia
    • HIV/AIDS testing
    • Knowledge about tuberculosis and tuberculosis health-seeking behaviours
    • Access to services
    • HIV and hepatitis B/hepatitis C test findings
  • FINDINGS: DATA DISAGGREGATED BY
  • INBOUND AND OUTBOUND MIGRANTS
    • Sociodemographic factors among inbound/outbound migrants, Azerbaijan and Georgia
    • Nationality, citizenship and primary residence among inbound/outbound migrants, Azerbaijan and Georgia
    • Sexual life and condom use among inbound/outbound migrants, Azerbaijan and Georgia
    • Drug use among inbound/outbound migrants, Georgia
  • FINDINGS: DISAGGREGATED BY SEX
  • FINDINGS: DISAGGREGATED BY AGE
  • DISCUSSION OF KEY FINDINGS
    • Less knowledge about tuberculosis risks, screening and treatment among migrants
    • Less knowledge about HIV risks among migrants
    • Low awareness about HIV testing services among migrants
    • Stigma as a potential barrier to HIV testing for migrants
    • Easy access to health-care services at home and abroad; good quality at home
    • Low condom distribution coverage at home and abroad for migrants
    • Higher level of HIV infection among migrants
  • RECOMMENDATIONS
    • Improve access to tuberculosis and HIV services for inbound and outbound migrants at the national and regional levels
    • Encourage HIV testing and tuberculosis screening among migrants
    • Increase knowledge of migrants and health service providers about HIV and tuberculosis in the context of migration
    • Improve tuberculosis case detection, diagnosis, care and treatment, particularly in terms of inclusivity, sensitivity and coverage of hard to reach and marginalized population
    • Gather more evidence and actionable data on the health of migrants to inform strategies, policies and programmes that put migrants in the national and regional HIV and tuberculosis agenda
  • APPENDICES
    • Appendix A: In-depth interview guide
    • Appendix B: Interview guide – Focus group discussions
    • Appendix C: Qualitative survey findings: Azerbaijan and Georgia
    • Appendix D: Screening form
    • Appendix E: Informed consent form
    • Appendix F: Questionnaire
    • Appendix G: Data disaggregated by sex
    • Appendix H: Data disaggregated by age groups