PSI is an international non-governmental organisation. Through the partnership with GALZ, two PSI New Start Centres – Africa House and Bambanani – offer a broad range of SRH services to key populations, in Harare and Bulawayo respectively. PSI differs from Wilkins in several respects: it is not a public sector facility; it is not a general hospital – its service offering and strategy expand from HIV-related prevention and treatment interventions that are entry-points into other SRH services, or where specific SRH services are entry-points into HIV testing and treatment. Method a. In Harare: gay and bisexual men and other men who have sex with men (including male sex workers); lesbian and bisexual women and other women who have sex with women, The Situational Analysis applied a qualitative approach to explore perspectives and perceptions about health service provision to members of key populations, based in the experiences of both service users and service providers. Components of that process included: 1. Informal, iterative, recursive conversation with members of the senior management and programme staff of GALZ to better understand the context for facility-based healthcare provision facilitated through GALZ to its LGBT constituency. Additionally, at least one member of the GALZ team accompanied each stage of the data collection process for transparency, ownership and insight, and for process accountability. 2. Brief conversations with the Director and Programme Manager of the Sexual Rights with trans-men; trans- women; representatives of the clinical and management team of Wilkins Hospital; representatives of the clinical team of PSI Africa House. b. In Bulawayo: gay and bisexual men and other men who have sex with men; lesbian and bisexual women and other women who have sex with women; trans-women and gender non-conforming person; representatives of the clinical team of PSI Bambanani. LGBT representatives were members of GALZ, some of whom were engaged within the partnership with health facilities as Peer Mobilisers, each of whom were either service-users of one of the three health facilities or had been referred or recommended to the facility but elected not to present for treatment. Centre (SRC), a collaborating partner with GALZ, based in Bulawayo, to deepen insight into the health and rights ecology for LGBT people in Zimbabwe. 3. Unstructured interviews with the Facility Managers of PSI New Start clinics in Harare (Africa House) and Bulawayo (Bambanani), and with the KP Mobiliser at PSI Bulawayo. These discussions gave insight into the scope of services provided by the facilities, and to technical and strategic direction that informed their service offer to key populations. 4. Separate semi-structured focus group conversations, spanning 60-120 minutes each, lightly facilitated with a variety of representative stakeholders: PERCEPTIONS, PERSPECTIVES Access to facility-based health services for LGBT people in Harare & Bulawayo, Zimbabwe: A Situational Analysis 6