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02 Oct 2015

Migration Patterns Survey and HIV Vulnerability Assessment Mapping in Selected Districts of Timor-Leste

Timor-Leste, the world’s newest democracy, has extremely poor health indicators and high levels of endemic poverty. Information about migration patterns, mobility and HIV prevalence and knowledge in the country are limited. This study attempted to identify migration patterns and HIV vulnerability in 6 districts of Timor-Leste.

A household survey, using a structured questionnaire and multi-stage, random cluster sampling, was administered to 1213 households. Vulnerability Assessment Mapping (VAM) workshops with key informants were carried out in 6 of the country’s 13 districts in late 2005.

The VAM workshops revealed that there is hardly any commercial sex industry and low numbers of IDUs in Timor-Leste. Several highly mobile groups were identified by workshop participants. The study documented that HIV knowledge was extremely low amongst survey respondents. The traditional role of women, domestic violence, and a high fertility rate were identified as possible factors increasing HIV vulnerability.

Strong grassroots communities, intact family networks, comparative low levels of violence and religion act as protective and resilience factors. Cultural factors such as sex being a taboo topic and misconceptions about health, impede health promotion efforts. Movement within and out of East Timor is limited due to endemic poverty, and poor infrastructure in the country. The study recommends a co-ordinated multi-sectoral approach to health promotion and interventions and provision of comprehensive reproductive heath services closer to communities to improve the health of the population especially the most vulnerable.

  • List of Abbreviations
  • Table of Contents
  • List of Figures
  • List of Maps
  • List of Tables
  • Chapter 1: Introduction & Overview
  • Chapter 2: Context of the Study: A Background to East Timor
  • Chapter 3: The Global Context of HIV/AIDS and Dissemination of Vulnerability and Mobility
  • Chapter 4: Methodology
  • Chapter 5: Programmatic Vulnerability Assessment and Mapping of Mobility Patterns
  • Chapter 6: Societal and Personal Vulnerability
  • Chapter 7: Results of the Migration Patterns and HIV/AIDS Awareness Household Survey
  • Chapter 8: Discussion, Recommendations and Conclusions
  • References