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Table 2 Pull and Push Factors Affecting Health Services Access among Key Populations

From: Effectiveness of health care workers and peer engagement in promoting access to health services among population at higher risk for HIV in Tanzania (KPHEALTH): study protocol for a quasi experimental trial

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