Engagement in the HIV care cascade and barriers to antiretroviral therapy uptake among female sex workers in Port Elizabeth, South Africa: findings from a respondent-driven sampling study

Schwartz, Sheree; Lambert, Andrew; Phaswana‐Mafuya, Nancy; Kose, Zamakayise; Mcingana, Mfezi; Holland, Claire; Ketende, Sosthenes; Yah, Clarence S.; Sweitzer, Stephanie; Hausler, Harry; Baral, Stefan

doi:10.1136/sextrans-2016-052773

Cited by 69 publications

(85 citation statements)

References 19 publications

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“…We also did not vary our input costs in the uncertainty analysis, and the costs of the novel testing modalities that have not been implemented at scale in the public sector (in particular self-test distribution) are currently based on assumptions regarding staff time, linkage and the number of tests that can be performed per day. Rates of linkage to ART after diagnosis are difficult to determine in the context of community-based models of HIV testing, which generally suffer from lower rates of linkage than facility-based testing 18,[49][50][51] . In our uncertainty analyses, we found that in most community-based testing scenarios the cost per life year saved declined substantially as the rate of linkage to ART increased (Table S3.11), and it is therefore important to quantify linkage rates more precisely.…”

Section: Discussionmentioning

confidence: 99%

Optimal HIV testing strategies for South Africa: a model-based evaluation of population-level impact and cost-effectiveness

Johnson

Rensburg

Govathson

et al. 2019

Sci Rep

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Although many African countries have achieved high levels of HIV diagnosis, funding constraints have necessitated greater focus on more efficient testing approaches. We compared the impact and cost-effectiveness of several potential new testing strategies in South Africa, and assessed the prospects of achieving the UNAIDS target of 95% of HIV-positive adults diagnosed by 2030. We developed a mathematical model to evaluate the potential impact of home-based testing, mobile testing, assisted partner notification, testing in schools and workplaces, and testing of female sex workers (FSWs), men who have sex with men (MSM), family planning clinic attenders and partners of pregnant women. In the absence of new testing strategies, the diagnosed fraction is expected to increase from 90.6% in 2020 to 93.8% by 2030. Home-based testing combined with self-testing would have the greatest impact, increasing the fraction diagnosed to 96.5% by 2030, and would be highly cost-effective compared to currently funded HIV interventions, with a cost per life year saved (LYS) of $394. Testing in FSWs and assisted partner notification would be cost-saving; the cost per LYS would also be low in the case of testing MSM ($20/LYS) and self-testing by partners of pregnant women ($130/LYS).

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Section: Discussionmentioning

confidence: 99%

Optimal HIV testing strategies for South Africa: a model-based evaluation of population-level impact and cost-effectiveness

Johnson

Rensburg

Govathson

et al. 2019

Sci Rep

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“…Challenges in uptake of and adherence to HIV services for FSWs have been well-documented. 26,27 There are additional challenges facing younger women, including lack of knowledge, limited social/economic empowerment, and autonomy. [28][29][30] In addition, there may be competition and mistrust between older and younger FSWs, which may result in younger women failing to access services designed for adults.…”

Section: Discussionmentioning

confidence: 99%

Engagement in HIV Care Among Young Female Sex Workers in Zimbabwe

Napierala

Chabata

Fearon

et al. 2018

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Globally, female sex workers (FSWs) living with HIV have sub-optimal usage of antiretroviral treatment (ART); approximately 38 to 52 percent of FSWs living with HIV are on treatment (Mountain et al 2014;Lancaster et al 2016;Schwartz et al 2017). Research in Tanzania has documented the challenges FSWs face in accessing HIV care and treatment services, including out-of-pocket costs associated with care, reaching distant clinics, lack of awareness and misperceptions of treatment, and dual stigma associated with sex work and HIV (Tomori et al 2014).…”

Section: Executive Summarymentioning

confidence: 99%

Community-based HIV treatment service delivery model for female sex workers in Tanzania: Evaluation findings

Vu¹,

Tun²,

Apicella³

et al. 2020

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We greatly appreciate the collaboration with our former and current Jhpiego/Sauti Programme colleagues (Albert Komba, Hally Mahler) who co-designed the community-based ART model; and Denis Bikaru, Aggrey Kasalama, all the clinicians, counselors, and peer educators who led the implementation of the pilot. We would like to acknowledge the hard work of the field research coordinators, Catherine Bunga and Erick Mgina; the data manager, Charles Mangya; and the laboratory supervisor, Eric Lyimo from NIMR, Mwanza Research Centre. This study would not be possible without the support of Tanzania's National AIDS Control Programme, which provided technical support, recommendations, and government buy-in for this study, as well as the Njombe Regional Health Medical Team, which provided objective and supportive supervision of the service activities. Lastly, we would like to thank the study participants for their willingness to participate and lead the way for the future of ART in Tanzania.

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Engagement in the HIV care cascade and barriers to antiretroviral therapy uptake among female sex workers in Port Elizabeth, South Africa: findings from a respondent-driven sampling study

Cited by 69 publications

References 19 publications

Optimal HIV testing strategies for South Africa: a model-based evaluation of population-level impact and cost-effectiveness

Optimal HIV testing strategies for South Africa: a model-based evaluation of population-level impact and cost-effectiveness

Engagement in HIV Care Among Young Female Sex Workers in Zimbabwe

Community-based HIV treatment service delivery model for female sex workers in Tanzania: Evaluation findings

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