Characterising unmet HIV prevention and treatment needs among young female sex workers and young men who have sex with men in Cameroon: a cross-sectional analysis

Bowring, Anna L; Ketende, Sosthenes; Rao, Amrita; Njindam, Iliassou Mfochive; Decker, Michele R.; Lyons, Carrie; Levitt, Daniel; Olawore, Oluwasolape; Turpin, Gnilane; Fako, Guy H.; Fouda, Ghislaine; Tamoufé, Ubald; Billong, Serge Clotaire; Njoya, Oudou; Bissek, Anne Cécile Zoung-Kanyi; Baral, Stefan

doi:10.1016/s2352-4642(19)30123-3

Cited by 33 publications

(31 citation statements)

References 30 publications

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“…Methods have been reported in more detail previously. 12,50 Briefly, 6 FSWs were purposively selected as "seeds" based on their peer networks. Seeds and subsequent participants were provided with referral coupons to recruit up to 3 other FSWs from their social network for participation.…”

Section: Study Recruitment and Proceduresmentioning

confidence: 99%

Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study

Bowring

Schwartz

Lyons

et al. 2020

Glob Health Sci Pract

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Female sex workers (FSWs) in Cameroon have unmet need for effective contraception, and experience of unintended pregnancy and pregnancy termination is common. Reducing barriers to accessing high-quality, voluntary family planning services in FSW-focused community services is a key strategy to promote clientcentered care, promote informed choice, reduce unintended pregnancies, and improve quality of life for FSWs. Résumé en français à la fin de l'article.

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Section: Study Recruitment and Proceduresmentioning

confidence: 99%

Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study

Bowring

Schwartz

Lyons

et al. 2020

Glob Health Sci Pract

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“…In the few studies with results of viral load suppression in Sub-Saharan Africa, there was a range of 11%-42 among MSM, 11.0%-49.5% among FSW and less than 5% in among PWID in Kenya. (12)(13)(14)(15)18). The differences in results may be attributed to different survey measures, recruitment methodology, policies and interventions.…”

Section: Discussionmentioning

confidence: 99%

Low Engagement in HIV Services and Progress through the Treatment Cascade among Key Populations Living with HIV in Mozambique: Alarming Gaps in Knowledge of Status

Boothe

Sathane²,

Baltazar

et al. 2020

Preprint

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Background. Mozambique has a generalized HIV epidemic of 13.5% among the general population. Early modeling exercises estimate that key populations (KPs) and their partners account for about one third of all new infections due to their sexual and drug use behaviors. The Fast Track Targets monitor key indicators along the treatment cascade. Methods. We conducted a secondary data analysis of HIV-positive participants in the first Bio-behavioral Surveillance (BBS) surveys in Mozambique in order to assess HIV service uptake and progress though the HIV treatment cascade among men who have sex with men (MSM), female sex workers (FSW) and people who inject drugs (PWID). Unweighted pooled estimates were calculated for each key population group. Results. Among HIV-positive MSM, 63.2% of participants had ever received an HIV test, 8.8% were aware of their status, 6.1% reported having been linked to care, while 3.5% initiated ART and were currently on treatment. Of the HIV-infected FSW participants, 76.5% reported a previous HIV test and 22.4% were previously aware of their status. Linkage to care was reported by 20.1%, while 12.7% reported having initiated ART and 11.8% reported being on treatment at the time of the survey. Among HIV-infected PWID participants, 79.9% had previously received an HIV test, 63.2% were aware of their HIV status, and 49.0% reported being linked to care for their HIV infection. ART initiation was reported by 42.7% of participants, while 29.4% were on ART at the time of the survey. All key population groups fell below the global targets of the HIV treatment cascade. Conclusion. Among the three high risk populations in Mozambique, losses occurred throughout critical areas of service uptake with the most alarming breakpoint occurring at knowledge of HIV status. Special attention should be given to increasing HIV testing and linkage to ART treatment. Future surveys will provide the opportunity to monitor improvements across the cascade and should include viral load testing to guarantee a more complete picture of the treatment cascade.

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“…Meanwhile, in Eastern and Southern Africa, women who sell sex are three times more likely to be living with HIV than other women of reproductive age [2]. Although less is known about young women who sell sex (YSW), a growing body of literature from SSA suggests a high incidence and burden of HIV by age 24 among YSW stemming from early experience of sexual, structural, and reproductive health vulnerabilities [3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya

Roberts

Bhattacharjee

et al. 2020

BMC Public Health

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Background: Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14-24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs related to health and gender equality) and program contact among YSW. Methods: We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14-24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14-18 years, N = 117; 19-24 years, N = 291) and by program contact (ever contacted by local program for sex workers). Results: 47.3% reported inconsistent condom use with any partner in the previous week (no difference by agegroup, p = 1.00). Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9 and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14-18 years; and 15.8% of those aged 19-24 years, p = 0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact.

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Characterising unmet HIV prevention and treatment needs among young female sex workers and young men who have sex with men in Cameroon: a cross-sectional analysis

Cited by 33 publications

References 30 publications

Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study

Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study

Low Engagement in HIV Services and Progress through the Treatment Cascade among Key Populations Living with HIV in Mozambique: Alarming Gaps in Knowledge of Status

Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya

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