scholarly journals Successful integration of HIV pre-exposure prophylaxis into a community-based HIV prevention program for female sex workers in Kolkata, India

2021 ◽  
Vol 32 (7) ◽  
pp. 638-647
Author(s):  
Smarajit Jana ◽  
Protim Ray ◽  
Soma Roy ◽  
Abhijit Kadam ◽  
Raman R Gangakhedkar ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Prevention Program ◽  
Female Sex Workers ◽  
Community Support ◽  
Final Visit ◽  
Community Based ◽  
Female Sex ◽  
Exposure Prophylaxis ◽  
The Impact

We assessed the impact of pre-exposure prophylaxis (PrEP) in the context of a community-based HIV program among female sex workers (FSWs) in Kolkata, India. This was an open-label, uncontrolled demonstration trial. HIV seronegative FSWs over 18 years were eligible. Participants were administered daily tenofovir/emtricitabine (TDF-FTC) with follow-up visits at months 1, 3, 6, 9, 12, and 15. Drug adherence was monitored by self-report, and a random subset of participants underwent plasma TDF testing. 843 women were screened and 678 enrolled and started on PrEP. Seventy-nine women (11%) did not complete all scheduled visits: four women died of reasons unrelated to PrEP and 75 withdrew, for a 15-month retention rate of 89%. Self-reported daily adherence was over 70%. Among those tested for TDF, the percentage of women whose level reached ≥40 ng/mL was 65% by their final visit. There were no HIV seroconversions, and no evidence of significant changes in sexual behavior. This study demonstrated the feasibility and effectiveness of PrEP for FSWs in Kolkata, with very high levels of adherence to PrEP and no HIV seroconversions. The integration of PrEP into an existing community-based HIV prevention program ensured community support and facilitated adherence.

scholarly journals Acceptability of microbicidal vaginal rings and oral pre-exposure prophylaxis for HIV prevention among female sex workers in a high-prevalence US city

AIDS Care ◽  
2017 ◽  
Vol 29 (11) ◽  
pp. 1453-1457 ◽  
Author(s):  
Sarah M. Peitzmeier ◽  
Catherine Tomko ◽  
Erin Wingo ◽  
Anne Sawyer ◽  
Susan G. Sherman ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Female Sex ◽  
High Prevalence ◽  
Vaginal Rings ◽  
Exposure Prophylaxis

scholarly journals Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?

2011 ◽  
Vol 11 (Suppl 6) ◽  
pp. S3 ◽  
Author(s):  
S Thilakavathi ◽  
K Boopathi ◽  
CP Girish Kumar ◽  
A Santhakumar ◽  
R Senthilkumar ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Prevention Program ◽  
Tamil Nadu ◽  
Female Sex Workers ◽  
Female Sex

scholarly journals Increased HIV Prevention Program Coverage and Decline in HIV Prevalence Among Female Sex Workers in South India

2014 ◽  
Vol 41 (6) ◽  
pp. 380-387 ◽  
Author(s):  
Michel Alary ◽  
Pradeep Banandur ◽  
Subramanian Potty Rajaram ◽  
Usha K. Thamattoor ◽  
Mandar K. Mainkar ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Prevention Program ◽  
Female Sex Workers ◽  
South India ◽  
Hiv Prevalence ◽  
Female Sex

scholarly journals P6.068 Effect of an HIV Prevention Program Among Female Sex Workers on the Decline in Syphilis Prevalence Among Their Clients in South India

2013 ◽  
Vol 89 (Suppl 1) ◽  
pp. A390.2-A390
Author(s):  
S Rajaram ◽  
M Alary ◽  
P Banandur ◽  
U K Thammattoor ◽  
T Thomas ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Prevention Program ◽  
Female Sex Workers ◽  
South India ◽  
Female Sex

scholarly journals Facilitators and Barriers to Linkage to HIV Care and Treatment among Female Sex Workers in a Community-based HIV Prevention Intervention in Tanzania: a qualitative study

2019 ◽  
Author(s):  
Daniel Nyato ◽  
Soori Nnko ◽  
Albert Komba ◽  
Evodius Kuringe ◽  
Marya Plotkin ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
System Level ◽  
Hiv Care ◽  
Care Providers ◽  
Community Based ◽  
Infected Female ◽  
Female Sex ◽  
Linkage To Hiv Care

AbstractBackgroundHIV-infected female sex workers (FSWs) have poor linkage to HIV care in sub-Sahara Africa.MethodsWe conducted 21 focus group discussions (FGDs) to explore factors influencing linkage to HIV care among FSWs tested for HIV through a comprehensive community-based HIV prevention project in Tanzania.ResultsInfluences on linkage to care were present at the system, societal and individual levels. System-level factors included unfriendly service delivery environment, including lengthy pre-enrolment sessions, concerns about confidentiality, stigmatising attitudes of health providers. Societal-level factors included myths and misconceptions about ART and stigma. On the individual level, most notable was fear of not being able to continue to have a livelihood if one’s status were to be known. Facilitators were noted, including the availability of transport to services, friendly health care providers and peer-support referral and networks.ConclusionFindings of this study underscore the importance of peer-supported linkages to HIV care and the need for respectful, high-quality care.

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