Safer Conception Needs for HIV Prevention among Female Sex Workers in Burkina Faso and Togo

Background. Reproductive health programming for female sex workers (FSW) may include contraceptive services but rarely addresses safer pregnancy planning.Methods. Adult FSW were enrolled into a cross-sectional study across four sites in Burkina Faso and Togo using respondent-driven sampling. Sociobehavioral questionnaires and HIV counseling and testing were administered. Sample statistics and engagement in HIV treatment were described and compared using Chi-squared statistics.Results. 1,349 reproductive-aged FSW were enrolled from January to July 2013. Overall, 267 FSW (19.8%) were currently trying to conceive. FSW trying to conceive were more likely to test positive for HIV at enrollment as compared to women not trying to become pregnant (24.5% versus 17.7%,P<0.01); however awareness of HIV status was similar across groups. Among FSW trying to conceive, 79.0% (211/267) had previously received HIV testing, yet only 33.8% (23/68) of HIV-infected FSW reported a previous HIV diagnosis. Overall 25.0% (17/68) of HIV-infected FSW trying to conceive were on antiretroviral therapy.Conclusion. FSW frequently desire children. However engagement in the HIV prevention and treatment cascade among FSW trying to conceive is poor potentiating periconception transmission risks to partners and infants. Programs to facilitate earlier HIV diagnosis for FSW and safer conception counseling are needed as components of effective combination HIV prevention services.

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

BMJ Open ◽

10.1136/bmjopen-2017-018751 ◽

2018 ◽

Vol 8 (2) ◽

pp. e018751 ◽

Cited By ~ 3

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.

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PIH77 SOCIOECONOMIC INEQUALITY IN HIV PREVENTION AMONGST FEMALE SEX WORKERS: A CROSS-SECTIONAL ANALYSIS OF ORAL PRE-EXPOSURE PROPHYLAXIS IN RURAL KENYA

Value in Health ◽

10.1016/j.jval.2020.04.471 ◽

2020 ◽

Vol 23 ◽

pp. S166

Author(s):

A.E. Achieng' ◽

E. Owiti

Keyword(s):

Hiv Prevention ◽

Sex Workers ◽

Female Sex Workers ◽

Socioeconomic Inequality ◽

Cross Sectional ◽

Female Sex ◽

Cross Sectional Analysis ◽

Rural Kenya ◽

Exposure Prophylaxis ◽

Sectional Analysis

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Prevalence and risk of HIV infection among female sex workers in Burkina Faso

International Journal of STD & AIDS ◽

10.1258/0956462981921909 ◽

1998 ◽

Vol 9 (3) ◽

pp. 146-150 ◽

Cited By ~ 33

Author(s):

Salif Lankoande Nicolas ◽

Meda Lassana Sangare ◽

Issaka P Compaore ◽

Joseph Catraye ◽

Paul T Sanou ◽

...

Keyword(s):

Hiv Infection ◽

Burkina Faso ◽

Sex Workers ◽

Female Sex Workers ◽

Hiv Transmission ◽

Cross Sectional Study ◽

World Health ◽

Cross Sectional ◽

Female Sex ◽

Bobo Dioulasso

Summary: Little information is available regarding human immunodeficiency virus (HIV) infection among female sex workers (FSW) in Burkina Faso, West Africa. A cross-sectional study was conducted in Ouagadougou and Bobo-Dioulasso, the 2 largest cities of the country, to determine the prevalence of HIV infection and other sexually transmitted diseases (STDs) among FSWs, and to investigate the factors which were associated with HIV infection in this population. From October to November 1994, 426 FSWs were recruited. The method of anonymous and unlinked HIV screening recommended by the World Health Organization (WHO) was used. The overall HIV seroprevalence was 58.2% (95% confidence interval: 53.4-62.9) and 52.6% of FSWs had at least one STD agent. The most common STDs were trichomoniasis (23%), syphilis (15%) and gonorrhoea (13%). In a logistic regression analysis, risk factors for HIV infection were high gravidity ( 2 pregnancies), low perception of personal risk of HIV infection, syphilis and the presence of genital warts. These results suggest that FSWs in Burkina Faso need better information about HIV transmission and prevention and then need better access to STD detection and management services.

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Hepatitis B, C and Delta Viruses’ Infections and Correlate Factors Among Female Sex Workers in Burkina Faso, West-Africa

The Open Virology Journal ◽

10.2174/1874357901913010009 ◽

2019 ◽

Vol 13 (1) ◽

pp. 9-17

Author(s):

Henri G. Ouedraogo ◽

Seni Kouanda ◽

Sara Goodman ◽

Hermann Biènou. Lanou ◽

Odette Ky-Zerbo ◽

...

Keyword(s):

Hepatitis B ◽

Burkina Faso ◽

Viral Hepatitis ◽

Sex Workers ◽

Female Sex Workers ◽

Fourth Generation ◽

Inconsistent Condom ◽

Cross Sectional ◽

Hepatitis D ◽

Female Sex

Background:Female Sex Workers (FSW) have increased vulnerability to viral hepatitis B, C and D transmission. Our study aimed to assess the seroprevalence of hepatitis B, C and D viruses and their associated factors among FSW in Ouagadougou, Burkina Faso.Methods:This is a cross-sectional study among FSW at least 18 years old in Ouagadougou, Burkina Faso. Data were collected from February 2013 to May 2013 using Respondent-Driven Sampling (RDS). Hepatitis B, C, and D tests were performed on FSW storage serums using fourth generation ELISA kits. Survey-weighted bivariate and multivariate logistic regression analyses were performed using Stata version 14 to identify factors associated with viral hepatitis infections.Results:Population-weighted prevalence of viral hepatitis infections in FSW was respectively 18.2% (95%CI: 14.4-22.9) for Hepatitis B Virus (HBV), 10.6% (95%CI: 07.5-14.8) for Hepatitis C Virus (HCV) and 1.5% (95Cl: 0.2-10.3) for Hepatitis D Virus (HDV). Factors independently associated with HCV include positive HIV status, inconsistent condom use during the last 12 months, condom reuse with clients, sex with clients in the street, bars or public gardens. No sociodemographic or behavioral factors were independently associated with HBV infection.Conclusion:The prevalence of HBV and HCV was high among FSW and the prevalence of HDV was relatively low in this group in Burkina Faso. These findings suggest urgent and comprehensive prevention of these viruses through education for safer sex and behaviors, and immunization against HBV for FSW.

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Syphilis among Female Sex Workers: Results of Point-of-Care Screening during a Cross-Sectional Behavioral Survey in Burkina Faso, West Africa

International Journal of Microbiology ◽

10.1155/2018/4790560 ◽

2018 ◽

Vol 2018 ◽

pp. 1-10 ◽

Cited By ~ 2

Author(s):

Henri Gautier Ouedraogo ◽

Ivlabehire Bertrand Meda ◽

Issaka Zongo ◽

Odette Ky-Zerbo ◽

Ashley Grosso ◽

...

Keyword(s):

West Africa ◽

Burkina Faso ◽

Sex Workers ◽

Female Sex Workers ◽

Health Concern ◽

Serological Markers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Female Sex ◽

Active Syphilis

Background. Syphilis among female sex workers (FSW) remains a public health concern due to its potential impact on their health and the possibility of transmission to their clients, partners, and children. Recent data on the prevalence of syphilis in the population in West Africa are scarce. The objective of this study was to measure the seroprevalence of syphilis serological markers among female sex workers in Burkina Faso. Methods. We conducted a cross-sectional survey among FSW between February 2013 and May 2014. Participants were recruited using respondent-driven sampling (RDS) methods in five cities of Burkina Faso (Ouagadougou, Bobo-Dioulasso, Koudougou, Ouahigouya, and Tenkodogo). FSW were enrolled and screened for syphilis using a syphilis serological rapid diagnostic test. Data from all cities were analyzed with Stata version 14.0. Results. A total of 1045 FSW were screened for syphilis. Participants’ mean age was 27.2 ± 0.2 years. The syphilis serological markers were detected in 5.6% (95% CI: 4.4–7.2) of the participants whereas active syphilis was seen in 1.4% (95% CI: 0.9–2.4). RDS weighted prevalence of syphilis serological markers and active syphilis by city were, respectively, estimated to be 0.0% to 11.0% (95% CI: 8.1–14.7) and 0.0% to 2.2% (95% CI: 1.1–4.4). No syphilis markers were found among Ouahigouya FSW. Low education level and high number of clients were factors associated with syphilis markers among the FSW. Conclusion. The prevalence of syphilis markers was high during this study among FSW. This highlights the need to reinforce the comprehensive preventive measures and treatment of syphilis in this population.

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Willingness to use pre-exposure prophylaxis for HIV prevention among female sex workers: a cross-sectional study in China

HIV/AIDS - Research and Palliative Care ◽

10.2147/hiv.s33445 ◽

2012 ◽

pp. 149 ◽

Cited By ~ 4

Author(s):

Bin Peng ◽

Yang ◽

Dai ◽

Liang ◽

Zou ◽

...

Keyword(s):

Hiv Prevention ◽

Sex Workers ◽

Female Sex Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Female Sex ◽

Willingness To Use ◽

Exposure Prophylaxis

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HIV Prevalence and the HIV Treatment Cascade Among Female Sex Workers in Cross-Border Areas in East Africa

AIDS and Behavior ◽

10.1007/s10461-021-03411-9 ◽

2021 ◽

Author(s):

Grace E. Mulholland ◽

Milissa Markiewicz ◽

Peter Arimi ◽

Freddie Ssengooba ◽

Sharon Weir ◽

...

Keyword(s):

East Africa ◽

Sex Workers ◽

Female Sex Workers ◽

Hiv Prevalence ◽

Hiv Treatment ◽

Treatment Cascade ◽

Cross Border ◽

Female Sex ◽

Hiv Treatment Cascade ◽

Border Areas

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Anal intercourse among female sex workers in East Africa is associated with other high-risk behaviours for HIV

Sexual Health ◽

10.1071/sh10047 ◽

2011 ◽

Vol 8 (2) ◽

pp. 251 ◽

Cited By ~ 18

Author(s):

Nienke J. Veldhuijzen ◽

Chantal Ingabire ◽

Stanley Luchters ◽

Wilkister Bosire ◽

Sarah Braunstein ◽

...

Keyword(s):

Hiv Prevention ◽

Sex Workers ◽

Female Sex Workers ◽

Anal Intercourse ◽

Sub Saharan Africa ◽

Risk Behaviours ◽

Cross Sectional ◽

The Past ◽

Female Sex ◽

Heterosexual Anal Intercourse

Introduction Epidemiological and HIV prevention studies in sub-Saharan Africa have almost exclusively focussed on vaginal transmission of HIV, the primary mode of transmission in the region. Little is known about the prevalence of heterosexual anal intercourse (AI), its correlates and its role in the spread of HIV. Prevention messaging seldom, if ever, includes AI. Methods: Sexual and other risk behaviours (including frequency of AI) were assessed in two cross-sectional surveys of female sex workers (FSW) in Kigali, Rwanda (n = 800) and Mombasa, Kenya (n = 820). In addition, a subset of FSW surveyed in Kigali attended seven focus group discussions and four in-depth interviews. Results: AI was reported by 5.5% and 4.3% of FSW in the cross-sectional surveys, in Kigali and Mombasa, respectively. FSW practising AI reported multiple risk factors for HIV transmission: inconsistent condom use (odds ratio (OR) Kigali 5.9 (95% CI 1.4–24.7); OR Mombasa 2.1 (1.1–4.2)); more than five sexual partners in the past week (OR Kigali 4.3 (1.5–12.4); OR Mombasa 2.2 (1.1–4.3)); alcohol use before sex (OR Kigali 2.8 (1.4–5.8)); more than 5 years of female sex work (OR Mombasa 2.4 (1.2–4.9)); and history of genital symptoms in the past year (OR Mombasa 3.6 (1.7–7.9)). AI was, however, not associated with HIV prevalence (OR Kigali 0.9 (0.5–1.9); OR Mombasa 0.5 (0.2–1.2)). Negative connotations and stigma associated with AI were expressed during qualitative interviews. Conclusions: AI was associated with several indicators of sexual risk behaviour. Prevalence of AI was probably underreported due to social desirability bias. Stigma associated with AI poses methodological challenges in obtaining valid data.

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