scholarly journals The effect of HIV prevention products on incentives to supply condomless commercial sex among female sex workers in South Africa

2018 ◽  
Vol 27 (10) ◽  
pp. 1550-1566 ◽  
Author(s):  
Matthew Quaife ◽  
Peter Vickerman ◽  
Shanthi Manian ◽  
Robyn Eakle ◽  
Maria A. Cabrera-Escobar ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Commercial Sex ◽  
Female Sex

Antiretroviral Therapy Based Hiv Prevention Targeting Young Female-Sex Workers: A Mixed Method Approach to Understand the Implementation of Prep in a Rural Area of Kwazulu-Natal, South Africa

2020 ◽  
Author(s):  
Natsayi Chimbindi ◽  
Nondumiso Mthiyane ◽  
Thembelihle Zuma ◽  
Kathy Baisley ◽  
Deenan Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Young People ◽  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Community Members ◽  
Long Distance ◽  
Female Sex ◽  
Kwazulu Natal ◽  
Prep Awareness

Abstract Introduction: Pre-exposure prophylaxis (PrEP) has the potential to alter the HIV epidemic in South Africa. Between 2016 and 2018 PrEP was rolled-out for 18-24 year-old female-sex workers (FSW) in a rural KwaZulu-Natal subdistrict with very high HIV incidence among adolescent girls and young women (AGYW). Using a ‘framework of access’ model, we describe PrEP access, awareness and uptake for AGYW, including community members’ attitudes towards PrEP for young people.Methods: We enrolled a cohort of 2184 AGYW aged 13-22 living within the subdistrict and quantitatively measured their eligibility, awareness and uptake of PrEP and other HIV prevention interventions in 2017 and 2018. We supplemented this insight with in depth exploration by conducting 19 group discussions with young people and community members, nine stakeholder key informant interviews, 58 in-depth interviews with 15-24 year-olds and 33 with implementing partners, and participatory observations. All interviews were recorded, transcribed and analysed using thematic analysis.Results: PrEP awareness increased from 2% to 9% from 2017 to 2018. Among 965 AGYW sexually-active by 2018, 13.4% (95%CI: 11.4-15.7%) reported transactional sex and 10.6% (95%CI: 8.8-12.7%) sex for money. Of these latter 194 PrEP-eligible AGYW, 21 were aware of PrEP, but none had ever used it. Wider community members were generally unaware of PrEP but imagined it would benefit young people, HIV-serodiscordant couples and those in long-distance relationships. Youth saw PrEP as a positive alternative to condoms since it “will be in their system” and not get in the way of sex. Teachers and healthcare providers were more apprehensive: worrying that PrEP would lower personal responsibility for sexual health.Conclusions: Although PrEP awareness increased and it was generally acceptable, uptake was low even among eligible AGYW, i.e., who reported FSW activity. Condom use remained undesirable suggesting a need to include PrEP in offers of alternative HIV prevention technologies to comdoms. The targeted nature of public-sector PrEP for FSW may have limited the reach, and the future broader roll-out, of PrEP in this setting. Inclusive approaches to PrEP provision integrated with wider sexual healthmay help improve demand and access to PrEP.

scholarly journals HIV prevention and care-seeking behaviour among female sex workers in four cities in India, Kenya, Mozambique and South Africa

2016 ◽  
Vol 21 (10) ◽  
pp. 1293-1303 ◽  
Author(s):  
Yves Lafort ◽  
Ross Greener ◽  
Anuradha Roy ◽  
Letitia Greener ◽  
Wilkister Ombidi ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Care Seeking ◽  
Female Sex ◽  
Care Seeking Behaviour

scholarly journals “I am still negative”: Female sex workers’ perspectives on uptake and use of daily pre-exposure prophylaxis for HIV prevention in South Africa

PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0212271 ◽  
Author(s):  
Robyn Eakle ◽  
Rutendo Bothma ◽  
Adam Bourne ◽  
Sanele Gumede ◽  
Keneilwe Motsosi ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Female Sex ◽  
Exposure Prophylaxis

scholarly journals Sexual IPV and non-partner rape of female sex workers: findings of a cross-sectional community-centric national study in South Africa

2021 ◽  
pp. 100012
Author(s):  
Rachel Jewkes ◽  
Kennedy Otwombe ◽  
Kristin Dunkle ◽  
Minja Milovanovic ◽  
Khuthadzo Hlongwane ◽  
...  
Keyword(s):  
South Africa ◽  
Sex Workers ◽  
Female Sex Workers ◽  
National Study ◽  
Cross Sectional ◽  
Female Sex

Occupational barriers to accessing and adhering to antiretroviral therapy for female sex workers living with HIV in South Africa

2020 ◽  
Vol 77 (2) ◽  
pp. 100-106 ◽  
Author(s):  
Lauren E Parmley ◽  
Carly A Comins ◽  
Katherine Young ◽  
Mfezi Mcingana ◽  
Deliwe Rene Phetlhu ◽  
...  
Keyword(s):  
South Africa ◽  
Antiretroviral Therapy ◽  
Coping Strategies ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Disclosure ◽  
Female Sex ◽  
Adherence Support ◽  
Wage Loss ◽  
Living With Hiv

ObjectivesWhile female sex workers (FSW) are nearly 14 times more likely to be living with HIV than non-FSW, less than 40% of FSW living with HIV are on antiretroviral therapy (ART). We sought to understand how the work environment influences ART access and adherence for FSW in preparation for the Siyaphambili trial.MethodsFSW living with HIV (n=24) and key informants (n=15) were recruited to participate in semistructured in-depth interviews using maximum variation and snowball sampling, respectively. FSW were recruited on key variants including type of sex work venue, primary work time and history of ART use. Data were collected between September and November 2017 in Durban, South Africa. Interviews were audio-recorded, transcribed and translated. Data were then coded applying grounded theory in Atlas.ti.ResultsFSW experienced occupational barriers to adherence including work-related migration, substance use and theft of ART on the job. Fear of wage loss due to HIV disclosure to clients and brothel managers prevented some FSW from accessing ART at their clinic and taking medications while working. FSW employed coping strategies to overcome barriers including sharing ART with colleagues, carrying small supplies of ART and visiting the clinic prior to appointments for ART refills. Further, some FSW received adherence support from colleagues who were also living with HIV.ConclusionsConsidering these occupational pressures on FSW and supporting positive coping strategies are important when designing and implementing HIV treatment programmes. Findings suggest strengthening social cohesion and supporting differentiated care efforts to improve HIV outcomes among FSW living with HIV.

scholarly journals “The Drug Will Help Protect My Tomorrow”: Perceptions of Integrating PrEP into HIV Prevention Behaviors Among Female Sex Workers in Lilongwe, Malawi

2019 ◽  
Vol 31 (5) ◽  
pp. 421-432
Author(s):  
Jaclyn Shea ◽  
Agatha Bula ◽  
Wezzie Dunda ◽  
Mina C. Hosseinipour ◽  
Carol E. Golin ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sexual Behaviors ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Economic Effects ◽  
Sub Saharan Africa ◽  
Prevention Strategies ◽  
Female Sex ◽  
Hiv Prevention Strategies ◽  
Hiv Acquisition

Female sex workers (FSW) are disproportionately at risk for HIV. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method, yet approaches for incorporating PrEP within prevention strategies used by FSW are lacking. Semistructured focus group discussions were conducted with 44 HIV-negative FSW in Lilongwe, Malawi to explore perceptions of PrEP: acceptability, integration within HIV prevention behaviors, and barriers to use. Acceptability of PrEP was high. Motivation to use PrEP was rooted in love for one's life, anticipated negative economic effects associated with HIV acquisition. PrEP was viewed as complementary to existing norms for engaging in healthy sexual behaviors. Many felt PrEP may provide extra protection from HIV, along with condoms and frequent STI testing. Unpredictable daily lives, stigma, and side effects were barriers that could affect PrEP use. Leveraging existing HIV prevention strategies and social norms surrounding HIV prevention behaviors may positively impact PrEP uptake among FSW in Malawi and sub-Saharan Africa.

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