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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/22005

Title: HIV prevention and care-seeking behaviour among female sex workers in four cities in India, Kenya, Mozambique and South Africa
Authors: Lafort, Yves
Greener, Ross
Roy, Anuradha
Greener, Letitia
Ombidi, Wilkister
Lessitala, Faustino
Haghparast-Bidgoli, Hassan
Beksinska, Mags
Gichangi, Peter
Reza-Paul, Sushena
Smit, Jenni A.
Chersich, Matthew
Delva, Wim
Issue Date: 2016
Citation: TROPICAL MEDICINE & INTERNATIONAL HEALTH, 21 (10), pag. 1293-1303
Status: Early View
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.
Notes: Lafort, Y (reprint author), Pintelaan 185 UZP114, B-9000 Ghent, Belgium. yves.lafort@ugent.be
URI: http://hdl.handle.net/1942/22005
DOI: 10.1111/tmi.12761
ISI #: 000387592800008
ISSN: 1360-2276
Category: A1
Type: Journal Contribution
Validation: ecoom, 2017
Appears in Collections: Research publications

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