Preference and uptake of different community-based HIV testing service delivery models among female sex workers along Malaba-Kampala highway, Uganda, 2017

Pande, Gerald; Bulage, Lilian; Kabwama, Steven Ndugwa; Nsubuga, Fred; Kyambadde, Peter; Mugerwa, Shaban; Musinguzi, Joshua; Ario, Alex Riolexus

doi:10.1186/s12913-019-4610-3

Cited by 20 publications

(41 citation statements)

References 2 publications

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“…Three cross sectional studies also reported HIV testing as an outcome (34,37,40). In a study conducted in…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

“…HIV diagnosis was measured in six cross-sectional studies (27,28,32,34,37,38), two randomized controlled trials (25,35) and one quasi-experimental study (39). The quasi-experimental study (Fig.…”

Section: Hiv Diagnosismentioning

confidence: 99%

“…Two RCTs (29,35) and two cross sectional studies (37,38) reported linkage to care as an outcome. The data from pooled analysis of RCTs showed that there was improved linkage to care showing a tendency towards a positive impact of the intervention for the FSW who were provided with services in community-led drop-in centers, through venue-based peer education, introduction of social support and text messages to promote solidarity and engagement.…”

Section: Linkage To Carementioning

confidence: 99%

“…ART use was measured in three RCTs (25,29,35) and three cross sectional studies (27,37,38). One of the RCTs had a two-time point measurement at one month and four months of ART initiation (35) with one year of follow up period, while the two RCTs (25, 29) had a two-year follow up period with two-time points measurement at 0 months and 18-24 months.…”

Section: Use Of Anti-retroviral Therapymentioning

confidence: 99%

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Effect of Female Sex Work Targeted Community-based Interventions Along the HIV Treatment Cascade in Sub-Saharan Africa: A Systematic Review and Meta-analysis

Atuhaire

Adetokunboh

Shumba³

et al. 2020

Preprint

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Background: Female Sex Workers are extremely vulnerable and highly susceptibility to being infected with human immunodeficiency virus. As a result, community based targeted interventions have been recommended as one of the models of care to improve access to HIV services and continued engagement in care. However little is known about the specific community intervention packages that have optimal effect on FSWs access and retention in HIV care. This paper synthesized evidence on the effectiveness of community-based interventions that provided HIV services to FSWs across all stages of HIV care cascade.Methods: We defined the 5 steps that make up the HIV care cascade and categorized them as outcomes, namely HIV testing, HIV diagnosis, linkage to care, ART use and viral suppression. We conducted a systematic search of randomized controlled trials, cohort and cross sectional studies done in sub-Saharan African countries and published from 2004 to 2020. We reviewed studies with data on the implementation of community interventions for any of the HIV care cascade stage. The data were analyzed using random effects meta-analysis where possible and for the rest of the studies, data were synthesized using summary statistics. Results: The significant impact of the community interventions was observed on HIV testing, HIV diagnosis and ART use. However, for HIV testing and ART use, the improvement was not sustained for the entire period of implementation. There were minimal interventions that had impact on HIV diagnosis, with only one community service delivery model showing significance. Generally, the interventions that had reasonable impact are those that implemented targeted and comprehensive package of HIV services provided at one location, and with unique strategies specific to each cascade stage.Conclusions: The effect of community-based interventions varies across the different stages of HIV care cascade with impact observed in specific strategies with features unique to each cascade stage. Moreover, positive effects of these strategies were short term and with small-scale implementation. As such, the information on long-term treatment outcomes, and the extent to which FSWs remain engaged in care is sparse. There is need to conduct a further research to deepen the assessment of the effectiveness of community-based interventions on HIV care cascade for FSWs. This will enhance identification of evidence based optimal interventions that will guide effective allocation of scarce resources for strategies that would have a significant impact on HIV service delivery.Systematic review registration: PROSPERO CRD42020157623.

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“…Three cross sectional studies also reported HIV testing as an outcome (34,37,40). In a study conducted in…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

Section: Hiv Diagnosismentioning

confidence: 99%

Section: Linkage To Carementioning

confidence: 99%

Section: Use Of Anti-retroviral Therapymentioning

confidence: 99%

See 2 more Smart Citations

Effect of Female Sex Work Targeted Community-based Interventions Along the HIV Treatment Cascade in Sub-Saharan Africa: A Systematic Review and Meta-analysis

Atuhaire

Adetokunboh

Shumba³

et al. 2020

Preprint

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“…However, no published data are available on STI and HIV testing practices among HMSW in Uganda. Despite paucity of data on STI testing practices, up to 86% of FSW in Uganda report taking an HIV test in the prior 12 months [29,30]. Our study aimed to assess and compare recent HIV and syphilis screening practices among HMSW, relative to FSW, in selected urban centers in Uganda.…”

Section: Introductionmentioning

confidence: 99%

HIV and syphilis testing behaviors among heterosexual male and female sex workers in Uganda

et al. 2020

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Background: In Sub-Saharan Africa where HIV disproportionately affects women, heterosexual male sex workers (HMSW) and their female clients are at risk of acquiring or transmitting HIV and other STIs. However, few studies have described HIV and STI risk among HMSW. We aimed to assess and compare recent HIV and syphilis screening practices among HMSW and female sex workers (FSW) in Uganda. Methods: Between August and December 2019, we conducted a cross-sectional study among 100 HMSW and 240 female sex workers (FSW). Participants were enrolled through snowball sampling, and an interviewer-administered questionnaire used to collect data on HIV and syphilis testing in the prior 12 and 6 months respectively. Integrated change model constructs were used to assess intentions, attitudes, social influences, norms and self-efficacy of 3-monthly Syphilis and 6-monthly HIV testing. Predictors of HIV and syphilis recent testing behaviors were estimated using negative binomial regression. Results: We enrolled 340 sex workers of whom 100 (29%) were HMSW. The median age was 27 years [interquartile range (IQR) 25-30] for HMSW and 26 years [IQR], (23-29) for FSW. The median duration of sex work was 36 and 30 months for HMSW and FSW, respectively. HMSW were significantly less likely than FSW to have tested for HIV in the prior 12 months (50% vs. 86%; p = 0.001). For MSW, non-testing for HIV was associated with higher education [adjusted prevalence ratio (aPR) 1.66; 95% confidence interval (CI) 1.09-2.50], poor intention to seek HIV testing (aPR 1.64; 95% CI 1.35-2.04), perception that 6-monthly HIV testing was not normative (aPR 1.33; 95% CI 1.09-1.67) and low self-efficacy (aPR 1.41; 95% CI 1.12-1.79). Not testing for syphilis was associated with low intention to seek testing (aPR 3.13; 95% CI 2.13-4.55), low self-efficacy (aPR 2.56; 95% CI 1.35-4.76), negative testing attitudes (aPR 2.33; 95% CI 1.64-3.33), and perception that regular testing was not normative (aPR 1.59; 95% CI 1.14-2.22). Conclusions: Non-testing for HIV and syphilis was common among HMSW relative to FSW. Future studies should evaluate strategies to increase testing uptake for this neglected sub-population of sex workers.

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Factors associated with adherence to HIV testing guidelines among HIV-negative female sex workers in Kampala, Uganda

et al. 2022

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Preference and uptake of different community-based HIV testing service delivery models among female sex workers along Malaba-Kampala highway, Uganda, 2017

Cited by 20 publications

References 2 publications

Effect of Female Sex Work Targeted Community-based Interventions Along the HIV Treatment Cascade in Sub-Saharan Africa: A Systematic Review and Meta-analysis

Effect of Female Sex Work Targeted Community-based Interventions Along the HIV Treatment Cascade in Sub-Saharan Africa: A Systematic Review and Meta-analysis

HIV and syphilis testing behaviors among heterosexual male and female sex workers in Uganda

Factors associated with adherence to HIV testing guidelines among HIV-negative female sex workers in Kampala, Uganda

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