Provision of sexual and reproductive health services to Central American migrants in Tijuana/Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana/Oferta de servicos de saude sexual e reprodutiva para migrantes da America Central em Tijuana

Objective. To characterize the sexual and reproductive health (SRH) services on offer to the Central American migrant population residing in shelters in Tijuana, Mexico, and identify barriers and facilitators of access to these services by this population, from the provider perspective. Methods. An observational, mixed, cross-sectional study was conducted. Different information collection techniques--consisting of 16 semi-structured interviews with civil-society providers of SRH services to the migrant population, as well as direct observation in 10 shelters in Tijuana--were employed and triangulated. A two-stage, open, selective coding process was carried out. Content analysis was then performed, using an interpretive approach based on five dimensions: approachability, acceptability, availability, affordability, and appropriateness. Results. The provision of SRH services is composed of four elements: target population, nature of providing organization (religious or secular), services offered, and venue of care. The main barriers to access involve irregular migrant status, the low priority given to SRH services, and the discrepancy between user preferences and the services offered. Among facilitating elements, lay/secular orientation of providers and inter-institutional coordination stood out. Conclusions. The provision of SRH services by civil society organizations is wide-ranging and heterogeneous. It ranges from strictly medical attention to other services that affect SRH indirectly, with a view to providing comprehensive care. This represents an opportunity in terms of aspects to facilitate access. Keywords Human migration; reproductive health; health services accessibility. Objetivo. Caracterizar la oferta de servicios en salud sexual y reproductiva (SSR) para la poblacion migrante centroamericana que se encuentra en albergues de Tijuana, Mexico; e, identificar las barreras y facilitadores del acceso a estos servicios para esta poblacion, desde la perspectiva de los proveedores. Metodos. Se realizo un estudio con un diseno observacional, mixto, transversal. Se considero una triangulacion de tecnicas de recoleccion de informacion que consistio en 16 entrevistas semiestructuradas a proveedores de servicios de SSR de la sociedad civil para poblacion en movilidad, y observacion directa en 10 albergues de Tijuana. Se realizo una doble codificacion, abierta y selectiva. El tipo de analisis fue de contenido con un enfoque interpretativo a partir de cinco dim