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A cross-sectional study aimed to identify the existence of geographic barriers to health care and to conduct an inventory of health care institutions in Nariño with information from the sixtyfour municipalities in the state. Methods: A measurement system was developed to identify the travel time from a municipality to Pasto in different means of transportation. A travel time of more than 4 hours or a distance longer than 25 km were considered access barriers. Results: Nariño has 305 providers in public sector, 1062 in private sector; 670 oral health providers was identify. Nariño has primary health care providers in the entire state, second level in four and third level only in Pasto. From the 64 municipalities analyzed, 3 did not have access barriers in terms of travel time or distance. Conclusions: The travel time and the means of transportation generate access barriers to health care services in Nariño, accentuated in pacific area. [ABSTRACT FROM AUTHOR]

This paper begins whit the evidence about the re-emergence, worldwide, of HIV infection in MSM. According to unaids, Latin America contributed the largest number of new HIV infections in MSM, after the United States of America. Also, 35 % of people living with HIV in Latin America are MSM. In addition, to reflect on the behaviours front the unprotected sex, built on beliefs or personal assumptions based on: intuition, trust and emotions. The unprotected sex in MSM could become, unconsciously, in a symbolic act of rebellion and transgression pleasurable. It concludes that nonsexual needs of MSM, that lead them to have unprotected sex, comprise several situations, sensations and feelings. The prevention programs must include and emphasize in the multiple processes involved in decision making, and accepting the vulnerabilities of MSM. [ABSTRACT FROM AUTHOR]

This investigation sought to identify the most significant ways in which sexuality is represented and imagined within the culture of transgender women in Colombia. We performed an exploratory descriptive study using surveys, in-depth interviews, focus groups and ethnographic strategies with 18 transgender women. The collected information was analyzed, taking into account the following dimensions of interpretation: 1. Love, erotic, and sexual relations. 2. Gender and sexual identities. 3. Sexual behavior and practices. 4. Self-care, Human Inmunodeficiency Virus (HIV) risk perception and life goals. The transgender women reached in this investigation expressed the belief that adopting a feminine identity involved taking sexual risks because the space socially assigned for them is that of street prostitution in conditions of vulnerability. We propose interventions with transgender women that favor autonomy, joy, and self-care as the central elements of a quality life and equal citizenship focused on reducing stigma. [ABSTRACT FROM AUTHOR]

This article gives a gender perspective of the analysis of the health situation, as well as the articulation between the categories of gender and health, in order to understand the differences between women's and men's health and also the specificities that not normative gender identity has, such as the transgender people have. The epidemiological information masks a high proportion of problems with a greater prevalence and incidence on one of the sexes. The recommendations are, to lend special attention to the disparate processes underlying the unhealthy lives of women and men, to transcend biomedical individualism, as well as to study the social and historical forces which generate gender-related health disadvantages, and to pass from the individual to the collective level. [ABSTRACT FROM AUTHOR]