Yves Lafort1, Ross Greener2, Anuradha Roy3, Letitia Greener2, Wilkister Ombidi4, Faustino Lessitala5, Hassan Haghparast-Bidgoli6, Mags Beksinska2, Peter Gichangi7,4,8, Sushena Reza-Paul9, Jenni A Smit2,10, Matthew Chersich7,11, Wim Delva7,12,13. 1. International Centre for Reproductive Health, Ghent University, Gent, Belgium. yves.lafort@ugent.be. 2. MatCH Research Unit, University of the Witwatersrand, Durban, South Africa. 3. Ashodaya Samithi, Mysore, India. 4. International Centre for Reproductive Health-Kenya, Mombasa, Kenya. 5. International Centre for Reproductive Health-Mozambique, Maputo, Mozambique. 6. Institute for Global Health, University College London, London, UK. 7. International Centre for Reproductive Health, Ghent University, Gent, Belgium. 8. University of Nairobi, Nairobi, Kenya. 9. University of Manitoba, Winnipeg, MB, Canada. 10. Discipline of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa. 11. Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. 12. The South African DST/NRF Centre of Excellence in Epidemiological Modelling and Analysis, University of Stellenbosch, Stellenbosch, South Africa. 13. Center for Statistics, Hasselt University, Diepenbeek, Belgium.
Abstract
OBJECTIVE: To identify gaps in the use of HIV prevention and care services and commodities for female sex workers, we conducted a baseline cross-sectional survey in four cities, in the context of an implementation research project aiming to improve use of sexual and reproductive health services. METHODS: Using respondent-driven sampling, 400 sex workers were recruited in Durban, 308 in Tete, 400 in Mombasa and 458 in Mysore and interviewed face-to-face. RDS-adjusted proportions were estimated by nonparametric bootstrapping and compared across cities using post hoc pairwise comparison. RESULTS: Condom use with last client ranged from 88.3% to 96.8%, ever female condom use from 1.6% to 37.9%, HIV testing within the past 6 months from 40.5% to 70.9%, receiving HIV treatment and care from 35.5% to 92.7%, care seeking for last STI from 74.4% to 87.6% and having had at least 10 contacts with a peer educator in the past year from 5.7% to 98.1%. Many of the differences between cities remained statistically significant (P < 0.05) after adjusting for differences in FSWs' socio-demographic characteristics. CONCLUSION: The use of HIV prevention and care by FSWs is often insufficient and differed greatly between cities. Differences could not be explained by variations in socio-demographic sex worker characteristics. Models to improve use of condoms and HIV prevention and care services should be tailored to the specific context of each site. Programmes at each site must focus on improving availability and uptake of those services that are currently least used.
OBJECTIVE: To identify gaps in the use of HIV prevention and care services and commodities for female sex workers, we conducted a baseline cross-sectional survey in four cities, in the context of an implementation research project aiming to improve use of sexual and reproductive health services. METHODS: Using respondent-driven sampling, 400 sex workers were recruited in Durban, 308 in Tete, 400 in Mombasa and 458 in Mysore and interviewed face-to-face. RDS-adjusted proportions were estimated by nonparametric bootstrapping and compared across cities using post hoc pairwise comparison. RESULTS: Condom use with last client ranged from 88.3% to 96.8%, ever female condom use from 1.6% to 37.9%, HIV testing within the past 6 months from 40.5% to 70.9%, receiving HIV treatment and care from 35.5% to 92.7%, care seeking for last STI from 74.4% to 87.6% and having had at least 10 contacts with a peer educator in the past year from 5.7% to 98.1%. Many of the differences between cities remained statistically significant (P < 0.05) after adjusting for differences in FSWs' socio-demographic characteristics. CONCLUSION: The use of HIV prevention and care by FSWs is often insufficient and differed greatly between cities. Differences could not be explained by variations in socio-demographic sex worker characteristics. Models to improve use of condoms and HIV prevention and care services should be tailored to the specific context of each site. Programmes at each site must focus on improving availability and uptake of those services that are currently least used.
Keywords:
Afrique subsaharienne; HIV prevention and care; Inde; India; Sub-Saharan Africa; care-seeking behaviour; comportamiento de búsqueda de cuidados; comportement de recherche de soins; condom use; educación por pares; female sex workers; peer education; prevención y cuidados del VIH; professionnelles du sexe; prévention et traitement du VIH; trabajadoras sexuales; uso de preservativos; utilisation du préservatif; África Subsahariana; éducation par les pairs
Authors: Dunstan Achwoka; Julius O Oyugi; Regina Mutave; Patrick Munywoki; Thomas Achia; Maureen Akolo; Festus Muriuki; Mercy Muthui; Joshua Kimani Journal: PLoS One Date: 2020-07-02 Impact factor: 3.240
Authors: Yves Lafort; Faustino Lessitala; Malica Sofia Ismael de Melo; Sally Griffin; Matthew Chersich; Wim Delva Journal: Front Public Health Date: 2018-04-18
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