Addressing Vulnerable Population Needs in the Last Mile to the elimination of mother to child transmission of HIV: (Re)Claiming the HIV Response for Female Sex Workers and Their Children

Hakim, Avi; Callahan, Tegan; Benech, Irene; Patel, Monita R.; Adler, Michelle; Modi, Surbhi; Bateganya, Moses; Parris, Kae Anne; Bingham, Trista

doi:10.1186/s12889-020-09114-5

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…3 Condomless sex, limited access to family planning services, and having multiple sex partners are factors that increase the risk of unintended pregnancy in FSW. 4,5 One of the unfavourable results of unintended pregnancy is abortion. 6 There are no reliable data on the rate of abortions among Iranian sex workers.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictor factor of lifetime abortion in female sex workers in Iran: results of the national rapid assessment and response in 2017

et al. 2023

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Female sex workers are at a high risk of abortion. This cross-sectional study included 855 female sex workers to determine the prevalence of lifetime abortion and its related factors. Logistic regression models were used to identify the factors related to lifetime abortion. The prevalence of lifetime abortion was reported at 40.8%. The chance of having a lifetime abortion was 7.8 times higher in women aged >35 years and 2.4 times higher in financially dependent women. The high prevalence of lifetime abortion indicates that these women's health and fertility needs are not met.

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Section: Introductionmentioning

confidence: 99%

Prevalence and predictor factor of lifetime abortion in female sex workers in Iran: results of the national rapid assessment and response in 2017

et al. 2023

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“…In Côte d’Ivoire, the unmet HIV prevention needs of FSW were estimated to account for 95% of all new HIV infections during the early years of the HIV epidemic between 1976 and 1985, declining to an estimated one in five new infections from 2005 to 2015 [ 10 ]. Although HIV prevention campaigns that focus on supporting FSW have been implemented regionally since 1991 [ 11 ], FSW remain particularly vulnerable to HIV infection due to multiple intersecting stigmas and suboptimal programming that has not sufficiently met the SRH and HIV needs of FSW [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health

Elmi,

Marquez,

Rucinski

et al. 2023

Reprod Health

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The sexual and reproductive health needs of female sex workers (FSW) are often understudied and underserved in the context of HIV-related research in countries across Sub-Saharan Africa and West Africa. We assessed the lived experiences of FSW across Côte d’Ivoire to characterize unmet reproductive health needs and opportunities to address them. From February-August, 2020, ENDA Santé, Côte d’Ivoire conducted 75 in-depth interviews and 15 focus group discussions with FSW and community informants in five cities in Côte d'Ivoire. Themes that emerged included the inconsistent use of contraception services, a history of unintended pregnancies, and experiences of stigma at public healthcare facilities. Opportunities to increase the impact of both SRH and HIV services included strengthening existing HIV and family planning service integration for FSW. Taken together, the results highlight the importance of addressing the unmet reproductive health needs of FSW to both optimize the HIV response and increase the delivery of human-rights affirming sexual and reproductive health services for sex workers.

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“…Female sex workers (FSW), including girls aged < 18 years who are commercially sexually exploited (CSE), 1 are highly vulnerable and at-risk of HIV and other sexually transmitted infections (STI). They are also at risk of other adverse sexual and reproductive health (SRH) outcomes, including unintended pregnancies, induced abortions, and low levels of antenatal care (ANC) [1,2]. Globally, the HIV prevalence among FSW and CSE girls is estimated to be 13.5 times greater compared to other women and girls [3].…”

Section: Introductionmentioning

confidence: 99%

Sexual and reproductive health needs and practices of female sex workers in Papua New Guinea: findings from a biobehavioral survey Kauntim mi tu (‘Count me too’)

Weikum

Kelly‐Hanku²,

Neo-Boli³

et al. 2022

Arch Public Health

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Background Little research has explored the sexual and reproductive health (SRH) experience of female sex workers (FSW), including girls aged < 18 years who are commercially sexually exploited (CSE), in Papua New Guinea (PNG). This paper describes the SRH history of FSW and CSE girls and factors associated with their use of moderately or highly effective contraceptive methods in three settings in PNG. Methods From 2016 to 2017, respondent-driven sampling (RDS) surveys were conducted among FSW and CSE girls in Port Moresby, Lae, and Mt. Hagen. FSW and CSE girls who were born female, aged ≥12 years, sold or exchanged vaginal sex in the past 6 months, spoke English or Tok Pisin, and had a valid RDS study coupon were eligible to participate. Interviews were conducted face-to-face and participants were offered rapid routine HIV and syphilis testing. Survey logistic regression procedures were used to identify factors associated with the use of moderately or highly effective contraceptive methods. Weighted data analysis was conducted. Results A total of 2901 FSW and CSE girls (Port Moresby, 673; Lae, 709; and Mt. Hagen, 709) were enrolled. The proportion using moderately or highly effective contraceptive methods was 37.7% in Port Moresby, 30.9% in Lae, and 26.5% in Mt. Hagen. After adjusting for covariates, factors significantly associated with the use of moderately or highly effective contraceptive methods in Port Moresby were being age 20–24, being married, being divorced or separated, having one or more dependent children, being away from home for more than 1 month in the last 6 months, and having tested HIV negative. No factors were significantly associated in Lae or Mt. Hagen. ANC attendance amongst FSW and CSE girls who gave birth in last 3 years was highest in Port Moresby at 91.2%. HIV testing was inconsistently and inadequately offered at ANC across the three cities. Conclusions Kauntim mi tu provides much-needed insight into the SRH experiences of FSW and CSE girls in PNG, where their use of moderately or highly effective contraceptive methods is low. We hope to shed light on the complicated reality they face due to illegality of sex work and multitude of complex healthcare experiences.

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Addressing Vulnerable Population Needs in the Last Mile to the elimination of mother to child transmission of HIV: (Re)Claiming the HIV Response for Female Sex Workers and Their Children

Cited by 5 publications

References 25 publications

Prevalence and predictor factor of lifetime abortion in female sex workers in Iran: results of the national rapid assessment and response in 2017

Prevalence and predictor factor of lifetime abortion in female sex workers in Iran: results of the national rapid assessment and response in 2017

Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health

Sexual and reproductive health needs and practices of female sex workers in Papua New Guinea: findings from a biobehavioral survey Kauntim mi tu (‘Count me too’)

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