Motivating factors associated with oral pre-exposure prophylaxis use among female sex workers in South Africa

2022 ◽  
pp. 135910532110726
Author(s):  
Nosipho Faith Makhakhe ◽  
Anna MeyerWeitz ◽  
Yvonne Sliep
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Motivating Factors ◽  
Peer Educators ◽  
Behavioral Strategies ◽  
Factors Associated ◽  
Future Aspirations ◽  
Female Sex ◽  
Exposure Prophylaxis ◽  
Oral Prep

To explore the motivating factors that encourage female sex workers to take oral PrEP, despite the challenges that come with adherence. The 39 participants in this study consisted of female sex workers, peer educators, a counselor, and a researcher. Participants took PrEP as an expression of self-love. Some participants described PrEP as empowering because they could independently prevent HIV. They were also motivated by parenting, hope and future aspirations. It is important for future PrEP interventions to incorporate behavioral strategies that appeal to the user’s personal and deeper motivations for living.

scholarly journals Understanding Issues Around Use of Oral Pre-Exposure Prophylaxis Among Female Sex Workers in India.

2021 ◽  
Author(s):  
Seema Sahay ◽  
Archana Verma ◽  
Suhas Shewale ◽  
Sampada Dipak Bangar ◽  
Athokpam Bijeshkumar ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Treatment ◽  
Theory Approach ◽  
Female Sex ◽  
Long Acting ◽  
Willingness To Use ◽  
Exposure Prophylaxis ◽  
Oral Prep

Abstract BackgroundEmpowering female sex workers (FSWs) through women controlled HIV prevention option has been in focus globally. FSWs are important target for oral PrEP (Pre Exposure Prophylaxis). A multi-centric qualitative study was conducted to explore the FSWs’ willingness to use oral PrEP in India.MethodsSeventy three qualitative interviews and 02 focus group discussions were conducted at 3 high HIV prevalent states in India during 2013-14. Study explored issues around willingness to use oral PrEP. The study was approved by the respective institutional ethics committee of the study sites. Thematic analysis using grounded theory approach was used to analyze the data in N-VIVO version 8.0. ResultsThematic analysis showed events of forced condom-less sex. FSW believed that oral PrEP could provide independence, financial gains, and privacy and therefore hoped to use it as an alternative to male condom. However, any impact on physical/ aesthetic attributes and reproductive system were not acceptable and could become a barrier. Provider initiated oral PrEP was not preferred. Providers voiced safety monitoring concerns. Adherence emerged as a challenge because of: 1) alcohol use; 2) taking PrEP tablet each day being too mundane; 3) Stigma because Oral PrEP is ARV based. Alcohol use and dread of repetitive dose brings forth the need for long acting oral PrEP. ConclusionOral PrEP is acceptable among FSWs; it should be rolled out alongside strong messages on STI protection and PrEP as compliment to condoms. PrEP roll out requires educating communities about HIV treatment versus prevention. Long-acting oral PrEP could address both ‘mundane’ and alcoholism and sustain adherence.

scholarly journals Understanding issues around use of oral pre exposure prophylaxis among female sex workers in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Seema Sahay ◽  
Archana Verma ◽  
Suhas Shewale ◽  
Sampada Bangar ◽  
Athokpam Bijeshkumar ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Thematic Analysis ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Theory Approach ◽  
Female Sex ◽  
Long Acting ◽  
Willingness To Use ◽  
Exposure Prophylaxis ◽  
Oral Prep

Abstract Background Empowering female sex workers (FSWs) through women controlled HIV prevention option has been in focus globally. FSWs are important target for oral pre exposure prophylaxis (PrEP). A multi-centric qualitative study was conducted to explore the FSWs’ willingness to use oral PrEP in India. Methods Seventy three interviews and 02 focus group discussions were conducted at 3 high HIV prevalent states in India during 2013–14. Study explored issues around willingness to use oral PrEP. The study was approved by the respective institutional ethics committee of the study sites. Thematic analysis using grounded theory approach was used to analyze the data in N-VIVO version 8.0. Results Thematic analysis showed events of forced condom-less sex. FSWs believed that oral PrEP could provide independence, financial gains, and privacy and therefore hoped to use it as an alternative to male condom. However, any impact on physical/ aesthetic attributes and reproductive system were not acceptable and could become a barrier. Provider initiated oral PrEP was not preferred. Providers voiced safety monitoring concerns. Adherence emerged as a challenge because of: (1) alcohol use; (2) taking PrEP tablet each day being boring; (3) Stigma because Oral PrEP is ARV based. Alcohol use and dread of repetitive dose brings forth the need for long acting oral PrEP. Conclusion Oral PrEP is acceptable among FSWs; it should be rolled out alongside strong messages on STI protection and PrEP as compliment to condoms. PrEP roll out requires educating communities about HIV treatment versus prevention. Long-acting oral PrEP could address both ‘boredom’ and alcoholism and sustain adherence.

scholarly journals Adherence to oral HIV pre-exposure prophylaxis among female sex workers in Kampala, Uganda

2021 ◽  
Vol 21 (3) ◽  
pp. 1048-1058
Author(s):  
Grace Kakoola Nalukwago ◽  
John Bosco Isunju ◽  
Timothy Muwonge ◽  
Thomas Katairo ◽  
Nelson Bunani ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Hiv Prevention Intervention ◽  
Female Sex ◽  
Exposure Prophylaxis ◽  
Oral Prep

Introduction: In Kampala Uganda, female sex workers (FSWs) have high HIV prevalence (33%). Oral PrEP is a novel HIV prevention intervention that offers hope to decrease HIV incidence in key populations especially among FSWs. Studies have shown that with poor adherence, oral PrEP has no efficacy, and therefore adherence to PrEP is critical among FSWs to maximize HIV prevention. However, implementation data on adherence to PrEP among FSWs is limited so this study sought to assess adherence to PrEP. Specifically, we sought to 1) determine the level of adherence to PrEP among FSWs, and 2) determine factors associated with PrEP adherence. Methods: This cross-sectional study was conducted from November to December 2018; 126 FSWs using PrEP were inter- viewed using a questionnaire. Adherence was categorically defined as high adherence and low adherence. Logistic regression was done. Results: Using long-term contraception methods (OR 0.06, 95% CI: 0.04-0.77) and not using condoms with clients (OR 0.07, 95% CI: 0.01-0.42) were negatively associated with high PrEP adherence. Conclusion: Barriers to PrEP adherence need to be addressed for successful PrEP implementation to improve adherence going forward. Service care providers should reinforce positive behaviors such as use of condoms devotedly during PrEP breaks. Keywords: Oral PrEP; adherence; female sex workers.

scholarly journals FACTORS ASSOCIATED WITH THE LIKELIHOOD OF FURTHER MOVEMENT AMONG MOBILE FEMALE SEX WORKERS IN INDIA: A MULTINOMIAL LOGIT APPROACH

2015 ◽  
Vol 48 (4) ◽  
pp. 539-556 ◽  
Author(s):  
Dipak Suryawanshi ◽  
Varun Sharma ◽  
Niranjan Saggurti ◽  
Shalini Bharat
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Perceived Risk ◽  
Sexual Coercion ◽  
Female Sex Workers ◽  
Multinomial Logit ◽  
Consistent Condom ◽  
Cross Sectional Survey ◽  
Factors Associated ◽  
Female Sex

SummaryFemale sex workers (FSWs) are vulnerable to HIV infection. Their socioeconomic and behavioural vulnerabilities are crucial push factors for movement for sex work. This paper assesses the factors associated with the likelihood of movement of sex workers from their current place of work. Data were derived from a cross-sectional survey conducted among 5498 mobile FSWs in 22 districts of high in-migration across four states in southern India. A multinomial logit model was constructed to predict the likelihood of FSWs moving from their current place of work. Ten per cent of the sampled mobile FSWs were planning to move from their current place of sex work. Educational attainment, marital status, income at current place of work, debt, sexual coercion, experience of violence and having tested for HIV and collected the results were found to be significant predictors of the likelihood of movement from the current place of work. Consistent condom use with different clients was significantly low among those planning to move. Likewise, the likelihood of movement was significantly higher among those who had any STI symptom in the last six months and those who had a high self-perceived risk of HIV. The findings highlight the need to address factors associated with movement among mobile FSWs as part of HIV prevention and access to care interventions.

scholarly journals Strategi Peer Educator untuk Peningkatan Kesadaran Pekerja Seks Perempuan terhadap Kesehatan Reproduksi

2020 ◽  
Vol 6 (1) ◽  
pp. 1-11
Author(s):  
Lidya Febrina
Keyword(s):  
Reproductive Health ◽  
Social Exchange ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Social Exchange Theory ◽  
Research Approach ◽  
Peer Educators ◽  
Descriptive Research ◽  
Female Sex ◽  
Peer Educator

This article presents the results of research on peer educator strategies to raise female sex workers' awareness of reproductive health. The objectives of this study were 1) to describe the strategies used by peer educators to build sex worker awareness of workers' reproductive health; 2) Identifying barriers to peer educators in providing education on reproductive health to female sex workers. To achieve the research objectives, the theory used is the Social Exchange Theory of George C, Homans and the research approach used is qualitative with descriptive research type. To obtain data, researchers used in-depth interviews and observation techniques. The results showe that the strategies used by peer educators in providing education about reproductive health were: coercion, giving advice, and persuasion. Meanwhile, the obstacles found by peer educators in providing education on reproductive health were: the imbalance of exchanges between peer educators and female sex workers and the distrust of female sex workers in peer educators.

scholarly journals HIV pre‐exposure prophylaxis for female sex workers: ensuring women’s family planning needs are not left behind

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Anna L Bowring ◽  
Frances H Ampt ◽  
Sheree Schwartz ◽  
Mark A Stoové ◽  
Stanley Luchters ◽  
...  
Keyword(s):  
Family Planning ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Left Behind ◽  
Female Sex ◽  
Exposure Prophylaxis

HIV self-testing in Pune, India: perspectives and recommendations of female sex workers and peer educators

AIDS Care ◽  
2019 ◽  
Vol 32 (2) ◽  
pp. 182-185 ◽  
Author(s):  
Yanni M. Chang ◽  
Tejaswi Sevekari ◽  
Ann Duerr ◽  
Yamilé Molina ◽  
Trupti Gilada
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Peer Educators ◽  
Female Sex ◽  
Self Testing
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