Attracting female sex workers to HIV testing and counselling in Ethiopia: a qualitative study with sex workers in Addis Ababa

Ameyan, Wole; Jeffery, Caroline; Negash, Kassahun; Biruk, Etsegenet; Taegtmeyer, Miriam

doi:10.2989/16085906.2015.1040809

Cited by 25 publications

(62 citation statements)

References 6 publications

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“…Low perceived risk was associated with lower likelihood to test [31, 45, 47], and FSWs would be less likely to test if they believed that HIV prevalence to be decreasing and no one in their social network was infected [41]. Conversely, high perceived risk was associated with HIV testing [19, 23, 26, 33–35, 39, 41, 45, 50].…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen articles examined HIV knowledge, including knowledge of available HIV testing sites in the area [19, 29, 31, 33–36, 38–41, 45, 47–51]. FSWs who had heard prevention messages in HIV communication campaigns were more likely to test [33, 47, 51].…”

Section: Resultsmentioning

confidence: 99%

“…FSWs who had heard prevention messages in HIV communication campaigns were more likely to test [33, 47, 51]. Similarly, FSWs were reluctant to test if they had poor HIV-related knowledge [29, 36, 41, 48, 49, 51] and were not well informed about local testing sites [31, 41, 48, 50–52].…”

Section: Resultsmentioning

confidence: 99%

“…About half of the articles reviewed assessed how FSWs’ social interactions influenced their decision to test for HIV [18–20, 24, 26, 29, 34, 38, 40, 41, 43, 45, 47–51]. Positive attitudes and support from peers, family and partners facilitated HIV testing [19, 20, 24, 26, 29, 34, 40, 41, 45, 48–51].…”

Section: Resultsmentioning

confidence: 99%

“…Fears of being identified as HIV+ [24, 26, 31, 34, 36, 41, 47–51] or as a sex worker [20, 26, 31, 34, 41, 46–52] were reported as barriers to testing in a number of studies. FSWs could refuse HIV testing [29, 36, 41, 48, 50, 52] or fail to collect test results [48] if afraid of receiving an HIV+ diagnosis.…”

Section: Resultsmentioning

confidence: 99%

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HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

et al. 2018

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HIV testing uptake continues to be low among Female Sex Workers (FSWs). We synthesizes evidence on barriers and facilitators to HIV testing among FSW as well as frequencies of testing, willingness to test, and return rates to collect results. We systematically searched the MEDLINE/PubMed, EMBASE, SCOPUS databases for articles published in English between January 2000 and November 2017. Out of 5036 references screened, we retained 36 papers. The two barriers to HIV testing most commonly reported were financial and time costs—including low income, transportation costs, time constraints, and formal/informal payments—as well as the stigma and discrimination ascribed to HIV positive people and sex workers. Social support facilitated testing with consistently higher uptake amongst married FSWs and women who were encouraged to test by peers and managers. The consistent finding that social support facilitated HIV testing calls for its inclusion into current HIV testing strategies addressed at FSW.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

et al. 2018

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Demand for self‐tests: Evidence from a Becker–DeGroot–Marschak mechanism field experiment

et al. 2020

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Self‐tests offer one approach for reducing frictions underlying low demand for preventive health inputs, yet there is little evidence on demand for self‐tests. We used the Becker–DeGroot–Marschak mechanism—an incentive‐compatible approach—to elicit exact willingness to pay (WTP) for HIV self‐tests in a field experiment with 822 participants at 66 health clinics/pharmacies in Kenya. Our analysis reveals substantial demand at low prices and highly elastic demand at a wide range of prices above this range. We find few participants with nonpositive WTP. We examine correlates of WTP and discuss policy and research implications of our findings.

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Achieving the first 90 for key populations in sub‐Saharan Africa through venue‐based outreach: challenges and opportunities for HIV prevention based on PLACE study findings from Malawi and Angola

Herce

Miller

Bula³

et al. 2018

J Intern AIDS Soc

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IntroductionProviding outreach HIV prevention services at venues (i.e. “hotspots”) where people meet new sex partners can decrease barriers to HIV testing services (HTS) for key populations (KP) in sub‐Saharan Africa (SSA). We offered venue‐based HTS as part of bio‐behavioural surveys conducted in urban Malawi and Angola to generate regional insights into KP programming gaps and identify opportunities to achieve the “first 90” for KP in SSA.MethodsFrom October 2016 to March 2017, we identified and verified 1054 venues in Luanda and Benguela, Angola and Zomba, Malawi and conducted bio‐behavioural surveys at 166 using the PLACE method. PLACE interviews community informants to systematically identify public venues where KP can be reached and conducts bio‐behavioural surveys at a stratified random sample of venues. We present survey results using summary statistics and multivariable modified Poisson regression modelling to examine associations between receipt of outreach worker‐delivered HIV/AIDS education and HTS uptake. We applied sampling weights to estimate numbers of HIV‐positive KP unaware of their status at venues.ResultsWe surveyed 959 female sex workers (FSW), 836 men who have sex with men (MSM), and 129 transgender women (TGW). An estimated 71% of HIV‐positive KP surveyed were not previously aware of their HIV status, receiving a new HIV diagnosis through PLACE venue‐based HTS. If venue‐based HTS were implemented at all venues, 2022 HIV‐positive KP (95% CI: 1649 to 2477) who do not know their status could be reached, including 1666 FSW (95% CI: 1397 to 1987), 274 MSM (95% CI: 160 to 374), and 82 TG (95% CI: 20 to 197). In multivariable analyses, FSW, MSM, and TGW who received outreach worker‐delivered HIV/AIDS education were 3.15 (95% CI: 1.99 to 5.01), 3.12 (95% CI: 2.17 to 4.48), and 1.80 (95% CI: 0.67 to 4.87) times as likely, respectively, as those who did not to have undergone HTS within the last six months. Among verified venues, <=68% offered any on‐site HIV prevention services.ConclusionsAvailability of HTS and other HIV prevention services was limited at venues. HIV prevention can be delivered at venues, which can increase HTS uptake and HIV diagnosis among individuals not previously aware of their status. Delivering venue‐based HTS may represent an effective strategy to reach the “first 90” for KP in SSA.

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Attracting female sex workers to HIV testing and counselling in Ethiopia: a qualitative study with sex workers in Addis Ababa

Cited by 25 publications

References 6 publications

HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

Demand for self‐tests: Evidence from a Becker–DeGroot–Marschak mechanism field experiment

Achieving the first 90 for key populations in sub‐Saharan Africa through venue‐based outreach: challenges and opportunities for HIV prevention based on PLACE study findings from Malawi and Angola

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