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 ◽  
...  

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.

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e009774
Author(s):  
Marianne Legendre-Dugal ◽  
Janet Bradley ◽  
Subramanian Potty Rajaram ◽  
Catherine M Lowndes ◽  
Banadakoppa M Ramesh ◽  
...  

2018 ◽  
Vol 68 ◽  
pp. 01024
Author(s):  
Masayu Gemala Rabiah ◽  
Rini Mutahar ◽  
Rico Januar Sitorus

Chlamydia infection is one of the most common sexually transmitted infections worldwide. Based on data of IBBS 2015 in Indonesia, the highest prevalence of chlamydia occurred in direct female sex worker group (32.21%). This study a STIs to determine the risk factors for chlamydia infection in direct sex workers. This research uses Cross-Sectional study design. The population of this study were all direct female sex workers as many as 3,789 people with samples in accordance with inclusion and exclusion criteria as many as 3.114 people. The prevalence of direct female sex workers with chlamydia infection was 1.018 (32.4%). The result of the analysis showed that there was a relationship between age (PR: 0.541 95% CI: 0.456-0.643) and length of work as FDSW (PR: 1,.60, 95% CI: 1.087-1.512) chlamydia infection in female sex workers in Indonesia. most dominant variable has an effect on the incidence of chlamydia infection that is long working as FDSW after controlled by age (PR 1.282 95% CI: 1.087-1,.12). It is expected for the government to improve the implementation of prevention program of chlamydia not only among female sex worker but also proactive to customer.


AIDS Care ◽  
2017 ◽  
Vol 29 (11) ◽  
pp. 1453-1457 ◽  
Author(s):  
Sarah M. Peitzmeier ◽  
Catherine Tomko ◽  
Erin Wingo ◽  
Anne Sawyer ◽  
Susan G. Sherman ◽  
...  

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Jingzhen Lai ◽  
Chunwei Qin ◽  
Eric J. Nehl ◽  
Junjun Jiang ◽  
Yunxuan Huang ◽  
...  

1998 ◽  
Vol 9 (3) ◽  
pp. 146-150 ◽  
Author(s):  
Salif Lankoande Nicolas ◽  
Meda Lassana Sangare ◽  
Issaka P Compaore ◽  
Joseph Catraye ◽  
Paul T Sanou ◽  
...  

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.


PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0188606 ◽  
Author(s):  
Jenny Coetzee ◽  
Gillian Hunt ◽  
Maya Jaffer ◽  
Kennedy Otwombe ◽  
Lesley Scott ◽  
...  

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