Lafort, Y;
Greener, R;
Roy, A;
Greener, L;
Ombidi, W;
Lessitala, F;
Haghparast-Bidgoli, H;
... Delva, W; + view all
(2016)
HIV prevention and care-seeking behaviour among female sex workers in four cities in India, Kenya, Mozambique and South Africa.
Tropical Medicine & International Health
, 21
(10)
pp. 1293-1303.
10.1111/tmi.12761.
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Abstract
OBJECTIVE: To identify gaps in the use of HIV prevention and care services and commodities for female sex workers, we conducted a baseline cross-sectional survey in four cities, in the context of an implementation research project aiming to improve use of sexual and reproductive health services. METHODS: Using respondent-driven sampling, 400 sex workers were recruited in Durban, 308 in Tete, 400 in Mombasa and 458 in Mysore and interviewed face-to-face. RDS-adjusted proportions were estimated by nonparametric bootstrapping and compared across cities using post hoc pairwise comparison. RESULTS: Condom use with last client ranged from 88.3% to 96.8%, ever female condom use from 1.6% to 37.9%, HIV testing within the past 6 months from 40.5% to 70.9%, receiving HIV treatment and care from 35.5% to 92.7%, care seeking for last STI from 74.4% to 87.6% and having had at least 10 contacts with a peer educator in the past year from 5.7% to 98.1%. Many of the differences between cities remained statistically significant (P < 0.05) after adjusting for differences in FSWs' socio-demographic characteristics. CONCLUSION: The use of HIV prevention and care by FSWs is often insufficient and differed greatly between cities. Differences could not be explained by variations in socio-demographic sex worker characteristics. Models to improve use of condoms and HIV prevention and care services should be tailored to the specific context of each site. Programmes at each site must focus on improving availability and uptake of those services that are currently least used.
| Type: | Article |
|---|---|
| Title: | HIV prevention and care-seeking behaviour among female sex workers in four cities in India, Kenya, Mozambique and South Africa |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/tmi.12761 |
| Publisher version: | http://doi.org/10.1111/tmi.12761 |
| Language: | English |
| Additional information: | Copyright © 2016 John Wiley & Sons Ltd. This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Female sex workers; HIV prevention and care; care-seeking behaviour; condom use; peer education; Sub-Saharan Africa; India; professionnelles du sexe; prévention et traitement du VIH; comportement de recherche de soins; utilisation du préservatif; éducation par les pairs; Afrique subsaharienne; Indetrabajadoras sexuales; prevención y cuidados del VIH; comportamiento de búsqueda de cuidados; uso de preservativos;educación por pares; África Subsahariana |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1508722 |
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