A Short History of HIV Prevention Programs for Female Sex Workers in Ghana

UNSTRUCTURED Programmatic mapping (PM) is a rapid and efficient mechanism to develop size estimates of key populations including female sex workers (FSWs) and geolocate them at physical locations in a systematic and scientific manner. At the macro level, this information forms the basis for allocating program resources, setting performance targets, and assess coverage. At a micro level, PM data provide specific information on hot spots, estimates of FSWs at those spots, and hot spot typology and days and times of operation, all of which provides targeted service delivery strategies. This information can provide a reliable platform to plan HIV prevention and treatment services to considerable scale and intensity. Above all, the entire PM process requires deep involvement of FSWs, which increases community ownership of the data and can lead to an increased uptake of services. Despite a few limitations, the approach is versatile and can be used in varied country contexts to generate important information about sex work and its dynamics. In this paper, we describe experiences and lessons learned from using evidence generated from PM of FSWs in multiple countries to develop HIV prevention programs at scale.

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Differentiated Typology of Sex Work and Implication for HIV Prevention Programs among Female Sex Workers in Nepal

Frontiers in Public Health ◽

10.3389/fpubh.2015.00036 ◽

2015 ◽

Vol 3 ◽

Cited By ~ 1

Author(s):

Shiva Raj Mishra ◽

Sanjeev Raj Neupane

Keyword(s):

Hiv Prevention ◽

Sex Work ◽

Sex Workers ◽

Female Sex Workers ◽

Prevention Programs ◽

Female Sex

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History of sex trafficking, recent experiences of violence, and HIV vulnerability among female sex workers in coastal Andhra Pradesh, India

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2011.03.005 ◽

2011 ◽

Vol 114 (2) ◽

pp. 101-105 ◽

Cited By ~ 29

Author(s):

Jhumka Gupta ◽

Elizabeth Reed ◽

Trace Kershaw ◽

Kim M. Blankenship

Keyword(s):

Sex Workers ◽

Sex Trafficking ◽

Andhra Pradesh ◽

Female Sex Workers ◽

Female Sex ◽

History Of ◽

Hiv Vulnerability

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Lifetime and past-month substance use and injection among street-based female sex workers in Iran

Harm Reduction Journal ◽

10.1186/s12954-021-00477-5 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Payam Roshanfekr ◽

Mehrdad Khezri ◽

Salah Eddin Karimi ◽

Meroe Vameghi ◽

Delaram Ali ◽

...

Keyword(s):

Alcohol Use ◽

Drug Use ◽

Injection Drug Use ◽

Sex Workers ◽

Female Sex Workers ◽

Injection Drug ◽

Logistic Regression Models ◽

Female Sex ◽

History Of ◽

Group Sex

Abstract Background Street-based female sex workers (FSWs) are highly at risk of HIV and other harms associated with sex work. We assessed the prevalence of non-injection and injection drug use and their associated factors among street-based FSWs in Iran. Methods We recruited 898 FSWs from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Correlates of lifetime and past-month non-injection and injection drug use were assessed through multivariable logistic regression models. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were reported. Results Lifetime and past-month non-injection drug use were reported by 60.3% (95% CI 51, 84) and 47.2% (95% CI 38, 67) of FSWs, respectively. The prevalence of lifetime and past-month injection drug use were 8.6% (95% CI 6.9, 10.7) and 3.7% (95% CI 2.6, 5.2), respectively. Recent non-injection drug use was associated with divorced marital status (AOR 2.00, 95% CI 1.07, 3.74), temporary marriage (AOR 4.31 [1.79, 10.40]), had > 30 clients per month (AOR 2.76 [1.29, 5.90]), ever alcohol use (AOR 3.03 [1.92, 6.79]), and history of incarceration (AOR 7.65 [3.89, 15.30]). Similarly, lifetime injection drug use was associated with ever alcohol use (AOR 2.74 [1.20–6.20]), ever incarceration (AOR 5.06 [2.48–10.28]), and ever group sex (AOR 2.44 [1.21–4.92]). Conclusions Non-injection and injection drug use are prevalent among street-based FSWs in Iran. Further prevention programs are needed to address and reduce harms associated with drug use among this vulnerable population in Iran.

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Identifying Barriers to Condom Use Among Female Sex Workers: a Systematic Review and Meta-analysis

10.21203/rs.3.rs-48093/v1 ◽

2020 ◽

Author(s):

Tahereh Omidi ◽

Maryam Mohammadian-khoshnoud ◽

Younes Mohammadi

Keyword(s):

Sexual Abuse ◽

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Meta Analysis ◽

Sex Worker ◽

Female Sex ◽

History Of ◽

Hiv Risk Perception ◽

History Of Violence

Abstract Background: Many studies have shown a lot of factors which are as barriers to the condom use among female sex workers (FSWs). However, there is not a comprehensive study to report the number and magnitude of these barriers. This study aimed to resolve this gap by comprehensive systematic review and meta-analysis. Methods: We have searched the electronic databases include Web of Science, PubMed, and Scopus until September 2019. For each database we formulated a separate search strategy using keywords such as “condom use” and “sex worker” and the related synonyms. Epidemiological epidemiology addressed the factors associated with unprotected sex for the female sex worker. The heterogeneity across studies and probability of publication bias was investigated by I2 statistic and Begg's and Egger's tests respectively. The pooled effect size were expressed as odds ratio (OR) with 95% confidence intervals (CI) using a random-effects model.Results: Out of 5854 studies obtained in initial search, 35 studies with sample size 14218 participants had eligibility criteria which were included in the final analysis. Ten factors include marital status, alcohol use, history of violence, history of sexual abuse, history of STIs, STIs knowledge, HIV risk perception, drug use, knowledge about the condom use, condom use self-efficacy were identified in those studies. History of sexual abuse with OR=1.87 and the knowledge on AIDS with OR=1.07 had the strongest association and weakest association with condom use respectively. Conclusion: Many factors with different degrees of association influence on the condom use among female sex workers. However, history of sexual abuse, a history of violence, and HIV risk perception were considered as the major determinants of the condom use. The structural interventions, policy change and empowerment of female sex workers are recommended to increase consistent condom use in FSWs.

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“The Drug Will Help Protect My Tomorrow”: Perceptions of Integrating PrEP into HIV Prevention Behaviors Among Female Sex Workers in Lilongwe, Malawi

AIDS Education and Prevention ◽

10.1521/aeap.2019.31.5.421 ◽

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.

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