scholarly journals Access to HIV-prevention in female sex workers in Ukraine between 2009 and 2017: Coverage, barriers and facilitators

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250024
Author(s):  
Natasha Blumer ◽  
Lisa M. Pfadenhauer ◽  
Jacob Burns
Keyword(s):  
Hiv Prevention ◽  
Conceptual Framework ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Document Analysis ◽  
Barriers And Facilitators ◽  
Prevention Services ◽  
Female Sex ◽  
Behavioural Surveillance ◽  
Structural Levels

The provision of comprehensive prevention services is vital for reducing the high burden of HIV amongst Ukrainian female sex workers (FSWs). To identify barriers and facilitators that influence access to HIV prevention amongst this population between 2009 and 2017, we developed a literature-informed conceptual framework and conducted a document analysis to identify the components of the Ukrainian prevention package (PP). Using the Integrated Bio Behavioural Surveillance Surveys, we then conducted descriptive analyses to explore PP coverage from 2009 to 2017 and the influence of factors, identified by our conceptual framework. After increasing over four years, a drop in PP coverage was observed from 2013 onwards. Being a client of a non-governmental organisation, street and highway solicitation, non-condom use, and knowledge of HIV may influence access to HIV prevention in the Ukrainian context. Future interventions should consider barriers and facilitators to HIV prevention and the multiple structural levels on which they operate.

scholarly journals Access to HIV-prevention in female sex workers in Ukraine between 2009 and 2017: coverage, barriers and facilitators

2020 ◽  
Author(s):  
Natasha Blumer ◽  
Lisa M Pfadenhauer ◽  
Jacob Burns
Keyword(s):  
Hiv Prevention ◽  
Conceptual Framework ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Document Analysis ◽  
Barriers And Facilitators ◽  
Prevention Services ◽  
Female Sex ◽  
Behavioural Surveillance ◽  
Structural Levels

The provision of comprehensive prevention services is vital for reducing the high burden of HIV amongst Ukrainian female sex workers (FSWs). To identify barriers and facilitators that influence access to HIV prevention amongst this population between 2009 and 2017, we developed a literature-informed conceptual framework and conducted a document analysis to identify the components of the Ukrainian prevention package (PP). Using the Integrated Bio Behavioural Surveillance Surveys, we then conducted descriptive analyses to explore PP coverage from 2009 to 2017 and the influence of factors, identified by our conceptual framework. After increasing over four years, a drop in PP coverage was observed from 2013 onwards. Being a client of a non-governmental organisation, street and highway solicitation, non-condom use, and knowledge of HIV may influence access to HIV prevention in the Ukrainian context. Future interventions should consider barriers and facilitators to HIV prevention and the multiple structural levels on which they operate.

scholarly journals Coverage of HIV Prevention Services for Female Sex Workers in Seven Cities of Myanmar

2013 ◽  
Vol 18 (S1) ◽  
pp. 37-41 ◽  
Author(s):  
Tin Aung ◽  
Ethi Paw ◽  
Nyo Me Aye ◽  
Willi McFarland
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Prevention Services ◽  
Female Sex

scholarly journals Correlates of HIV Testing among Female Sex Workers in Iran: Findings of a National Bio-Behavioural Surveillance Survey

PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0147587 ◽  
Author(s):  
Mostafa Shokoohi ◽  
Mohammad Karamouzian ◽  
Razieh Khajekazemi ◽  
Mehdi Osooli ◽  
Hamid Sharifi ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Female Sex ◽  
Behavioural Surveillance

Correlates of HIV prevalence among female sex workers in four north and east Indian states: findings of a national bio-behavioural survey

2018 ◽  
Vol 30 (2) ◽  
pp. 120-130 ◽  
Author(s):  
Gunjika Misra ◽  
Damodar Sahu ◽  
Umenthala S Reddy ◽  
Saritha Nair
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Uttar Pradesh ◽  
Hiv Prevalence ◽  
Indian States ◽  
Factors Affecting ◽  
East Indian ◽  
Female Sex ◽  
Behavioural Surveillance

The socio-demographic, sex work characteristics and the factors affecting HIV prevalence among female sex workers (FSWs) are not well known in low prevalence states showing rising trends within the HIV epidemic. This paper studies these attributes among FSWs in three north (Punjab, Rajasthan and Uttar Pradesh) and one east Indian states (Jharkhand). Integrated Biological and Behavioural Surveillance (IBBS) data, collected from 4491 FSWs in the study states, were analysed, with HIV status as the dependent variable and several socio-demographic, sex work, knowledge and agency characteristics as independent variables. Multivariate analysis found a number of factors such as age above 25 years (adjusted odds ratio [AOR] 5.0, 95% confidence interval [CI] 1.4–18.1), client solicitation in rented rooms (AOR 2.8, 95% CI 1.2–6.4) and the use of mobile phones for client solicitation (AOR 5.1, 95% CI 1.6–16.0) to be significantly associated with HIV risk. The study found low levels of HIV programme services uptake and HIV/AIDS knowledge among FSWs in the study states. There is an urgent need to focus on these risk factors for improving the effectiveness of the ongoing HIV prevention efforts and attaining the ‘Sustainable Development Goals’ goal of ‘Ending the AIDS epidemic’ by 2030.

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.

Sign in / Sign up

Export Citation Format

Share Document