scholarly journals P163 HIV care and treatment services for female sex workers: utilisation of and satisfaction with the services in kampala, uganda

2019 ◽  
Author(s):  
Gertrude Namale ◽  
Agnes Ssali ◽  
Onesmus Kamacooko ◽  
Daniel Bagiire ◽  
Yunia Mayanja ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Care ◽  
Female Sex ◽  
Treatment Services ◽  
Care And Treatment

scholarly journals Challenges and Support to HIV Care and Treatment of Female Sex Workers Living with HIV in Indonesia: A Mixed Method Study

2021 ◽  
Vol 10 (2) ◽  
pp. 169-179
Author(s):  
Lia Andriyani ◽  
Arina Arina ◽  
Asti Widihastuti ◽  
Adi Nugroho
Keyword(s):  
Mixed Method ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Qualitative Interviews ◽  
Hiv Treatment ◽  
Load Test ◽  
Hiv Care ◽  
Female Sex ◽  
Care And Treatment ◽  
Living With Hiv

This study aims to describe the experience of female sex workers (FSWs) living with HIV in Indonesia during the care and treatment cascade, including the challenges and support associated with them. It was initiated by a trained community study team from OPSI, a national network for FSW community in the country. A mixed-method design was used, consisting of a cross-sectional survey and qualitative interviews conducted in four large cities in May and June 2019. Quantitative data were collected from 80 FSWs living with HIV, while qualitative interviews were conducted for 9 FSWs previously involved in the survey. Most of the FSWs were diagnosed with HIV at facility-based HIV testing services. While most FSWs delayed initiating their treatment, majority eventually commenced it. Overall treatment retention was fairly good, but some were being inconsistent or even stopped. However, individuals that have access to viral load test was low, leading to a small number of those confirming their viral suppression status. Conclusively, interventions directed to strengthen individuals’ literacy in HIV treatment and stigma management is recommended, as well as identification of maximum potential support systems around the FSWs.

scholarly journals The experiences of sex workers accessing HIV care services in Bulawayo, Zimbabwe

2021 ◽  
Vol 21 (2) ◽  
pp. 593-602
Author(s):  
Idah Moyo ◽  
Margaret Macherera
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Retention In Care ◽  
Hiv Care ◽  
Female Sex ◽  
Enabling Environment ◽  
Care Services ◽  
Treatment Services ◽  
Key Population

Background: Although sub-Saharan African countries have rolled out massive HIV treatment and care programmes, there is little evidence of these having embraced key population groups particularly female sex workers. Due to the criminalisation of sex work in countries like Zimbabwe, research on HIV and its impact on this group is sparse. The absence of an enabling environment has hindered access to HIV care and treatment services for female sex workers. Objectives: To gain an in-depth understanding of the experiences of female sex workers accessing HIV care and treatment services to enhance programming and planning for this key population group. Methods: This study was qualitative and phenomenological. Data saturation determined the sample size of 20 participants. Data was collected using in-depth interviews that were audio recorded, transcribed, and subjected to thematic content anal- ysis. Results: Our findings demonstrate varying dynamics between the private and public sector HIV care services for sex work- ers, with facilitators and barriers to access to care. Conclusion: Health workers need sensitization and training in the provision of differentiated care. For effective linkage to and retention in care an enabling environment is critical. Keywords: Linkage to care; retention in care; enabling environment; facilitators; barriers.

High Drop-off Along the HIV Care Continuum and ART Interruption Among Female Sex Workers in the Dominican Republic

2015 ◽  
Vol 69 (2) ◽  
pp. 216-222 ◽  
Author(s):  
Rose Zulliger ◽  
Clare Barrington ◽  
Yeycy Donastorg ◽  
Martha Perez ◽  
Deanna Kerrigan
Keyword(s):  
Dominican Republic ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Female Sex

scholarly journals Do female sex workers have lower uptake of HIV treatment services than non-sex workers? A cross-sectional study from east Zimbabwe

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018751 ◽  
Author(s):  
Rebecca Rhead ◽  
Jocelyn Elmes ◽  
Eloghene Otobo ◽  
Kundai Nhongo ◽  
Albert Takaruza ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Household Survey ◽  
Hiv Treatment ◽  
Sample Survey ◽  
Physical And Mental Health ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Female Sex ◽  
Treatment Services

ObjectiveGlobally, HIV disproportionately affects female sex workers (FSWs) yet HIV treatment coverage is suboptimal. To improve uptake of HIV services by FSWs, it is important to identify potential inequalities in access and use of care and their determinants. Our aim is to investigate HIV treatment cascades for FSWs and non-sex workers (NSWs) in Manicaland province, Zimbabwe, and to examine the socio-demographic characteristics and intermediate determinants that might explain differences in service uptake.MethodsData from a household survey conducted in 2009–2011 and a parallel snowball sample survey of FSWs were matched using probability methods to reduce under-reporting of FSWs. HIV treatment cascades were constructed and compared for FSWs (n=174) and NSWs (n=2555). Determinants of service uptake were identified a priori in a theoretical framework and tested using logistic regression.ResultsHIV prevalence was higher in FSWs than in NSWs (52.6% vs 19.8%; age-adjusted OR (AOR) 4.0; 95% CI 2.9 to 5.5). In HIV-positive women, FSWs were more likely to have been diagnosed (58.2% vs 42.6%; AOR 1.62; 1.02–2.59) and HIV-diagnosed FSWs were more likely to initiate ART (84.9% vs 64.0%; AOR 2.33; 1.03–5.28). No difference was found for antiretroviral treatment (ART) adherence (91.1% vs 90.5%; P=0.9). FSWs’ greater uptake of HIV treatment services became non-significant after adjusting for intermediate factors including HIV knowledge and risk perception, travel time to services, physical and mental health, and recent pregnancy.ConclusionFSWs are more likely to take up testing and treatment services and were closer to achieving optimal outcomes along the cascade compared with NSWs. However, ART coverage was low in all women at the time of the survey. FSWs’ need for, knowledge of and proximity to HIV testing and treatment facilities appear to increase uptake.

scholarly journals The HIV Care Cascade Among Female Sex Workers in Zimbabwe

2017 ◽  
Vol 74 (4) ◽  
pp. 375-382 ◽  
Author(s):  
Frances M. Cowan ◽  
Calum B. Davey ◽  
Elizabeth Fearon ◽  
Phillis Mushati ◽  
Jeffrey Dirawo ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Care ◽  
Hiv Care Cascade ◽  
Female Sex ◽  
Care Cascade
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