Gender inequity in the lives of women involved in sex work in Kampala, Uganda

Mbonye, Martin; Nalukenge, Winifred; Nakamanya, Sarah; Nalusiba, Betty; King, Rachel; Vandepitte, J; Seeley, Janet

doi:10.7448/ias.15.3.17365

Cited by 55 publications

(75 citation statements)

References 37 publications

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“…Debriefs were conducted after each interview, which helped to inform the focus of subsequent interviews. This is a tried and tested approach and we have successfully conducted interviews without tape recorders with this population in our previous work (Mbonye, Nakamanya, Nalukenge, et al, 2013;Mbonye et al, 2012;Mbonye, Rutakumwa, Weiss, & Seeley, 2014). All personal identifiers were excluded from the detailed accounts.…”

Section: Methodsmentioning

confidence: 99%

Test and treat: the early experiences in a clinic serving women at high risk of HIV infection in Kampala

et al. 2016

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At the end of 2013, the Government of Uganda issued guidance recommending provision of AntiRetroviral Treatment (ART) to HIV-positive people in key populations, including female sex workers, regardless of CD4 cell count. We describe the implementation of this new guidance in a clinic serving women at high risk of HIV infection in Kampala. Between July and December 2015, we conducted repeat in-depth interviews with 15 women attending the clinic after the change in guidelines, to explore their perceptions regarding prompt ART initiation. The sample included some women who were HIV-negative and women who had both started and deferred ART. We conducted a data-led thematic analysis of the material from the interviews. A total of 257 of 445 eligible women had started ART; others were undecided or had not returned to the clinic after receiving the new information. Participants recounted varying experiences with the provision of prompt treatment. At an individual level, a history of treatment for opportunistic infections and other illnesses, coupled with relatively poor health, encouraged some to initiate ART promptly. However, knowledge of friends/relatives already on ART who had experienced side effects caused others to delay starting, fearing the same experience for themselves. A number of women questioned why they should start treatment when they were not sick. Situational factors such as work and residence (with many sharing single rooms) caused discomfort among newly diagnosed women who feared disclosure and stigma that would result from taking ART when they were not ill. Alcohol consumption and irregular working hours affected perceptions of future adherence, making prompt ART harder to embrace for some. Our findings show the challenges that influence the delay of treatment initiation, and/or the decision to defer receiving information on ART, with implications for the success of the test and treat programmes and guidelines.ARTICLE HISTORY

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Section: Methodsmentioning

confidence: 99%

Test and treat: the early experiences in a clinic serving women at high risk of HIV infection in Kampala

et al. 2016

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“…Populations at risk include adolescents, sex workers and their clients, men who have sex with men, prisoners, truck drivers, fishing communities. Additionally, compared to men, women are at an increased risk of acquiring STI, a fact attributed to gender inequity and biological predisposition 11 . Despite efforts to control the spread of STIs, reports indicate an upward surge in the incidence of new cases 1 .…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practices related to sexually transmitted infections among women of reproductive age living in Katanga slum, Kampala, Uganda

et al. 2016

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Background: Sexually transmitted infections (STIs) still stand as one of the commonest health problems affecting women of reproductive age. The knowledge and practices of STIs, among susceptible populations such as women of reproductive age, living in slums like Katanga in Kampala Uganda need to be established. Methods: This was a cross-sectional study with 339 participants in Katanga slum. Data was collected using an interviewer administered questionnaire, entered and analysed using SPSS version 17.0. Data was summarized using frequencies for categorical data and medians for continuous data. Results: Majority of the participants (71.9%) were ≥25years with a mean age of 28.0(SD ±7.0) years. The commonest symptoms known to the participants were genital itching (60%) and genital rash (14.5%). Most mentioned multiple partners (63.7%) and unprotected sex (50.7%) as predisposing factors to STIs. Knowledge on methods of prevention was high (92.3%) however, 18.8% were found positive for STIs using the syndromic approach and 82% mentioned having suffered from STIs in the past 6 months more than once. Conclusion: Most participants did not know about the systemic effects of STIs to their health and didnot follow the appropriate behavior patterns despite being knowledgeable about the various methods of prevention of STIs.

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“…8 Studies conducted in the different countries showed that the qualities of women's health were lower than that of men, and gender inequality (GI) and male dominant society are the main reasons. 9,10 Moreover, the UN has already declared the reduction of the GI as one of the developmental goals.…”

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confidence: 99%

“…Some studies reported that women being infected with HIV because of poverty and high risk affairs. 9,14 In addition, women living in developing countries have low knowledge of HIV morbidity, which is one of the factors of GI in these countries. 15 Whereas, WHO experts believe that evaluating the knowledge of HIV morbidity in communities can be helpful to reduce the number of people infected with HIV.…”

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confidence: 99%

“…24 Also, because of GI the women living in the suburbs are of higher vulnerability of AIDS. 25 A study conducted in Uganda showed that the rate of AIDS prevalence among women was 27% 26 and the most of these women were engaged in prostitution only to provide their children's needs. 13 Therefore, GI decreases women's social and economic potential and opportunity for a better life, and results in the increase of high risk behaviors and subsequently the increasing widespread of STD such as AIDS.…”

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Gender inequities and HIV prevalence and AIDS mortality: Findings from the United Nation countries

Khammarnia

Hatam

Faraji

2015

SE Asia J. Pub. Health

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In the last years, the prevalence Human immune deficiency virus (HIV) have increased worldwide, specifically in developing countries due to a number of causes. This study aimed was to determination the relationship between gender inequities, HIV prevalence and AIDS mortality in the United Nation countries. A cross-sectional retrospective study was conducted in 2013 and all the countries (187 countries) which were included in the WHO and UN Annual Reports (2012) were considered. One hundred and forty four countries were selected which had the completed indices of gender inequities (GI), HIV morbidity and AIDS mortality in the reports. The findings showed that there was direct association between the gender inequities, HIV prevalence and AIDS mortality (p=0.001). The level of GI among low-income countries (0.41) was higher than others groups, and approximately twice as much as that of high-income countries (0.19). It was noted that GI had a significant association with the AIDS mortality in the high-income countries (p=0.031). Moreover, in the upper middle income countries, the both indices (HIV morbidity and AIDS mortality) had significant positive association with the GI (p<0.05). However, the highest level of significant relationship was between being HIV/AIDS mortality and morbidity with the GI in low income countries (p<0.00l). It was observed that GI led to HIV/AIDS mortality and morbidity in all countries specifically in developing countries. Specific strategies should be implemented to decrease the gender inequities by the provision of women education and empowermen and improvement of socio-economic status to reduce HIV/AIDS morbidity and mortality.

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Gender inequity in the lives of women involved in sex work in Kampala, Uganda

Cited by 55 publications

References 37 publications

Test and treat: the early experiences in a clinic serving women at high risk of HIV infection in Kampala

Test and treat: the early experiences in a clinic serving women at high risk of HIV infection in Kampala

Knowledge and practices related to sexually transmitted infections among women of reproductive age living in Katanga slum, Kampala, Uganda

Gender inequities and HIV prevalence and AIDS mortality: Findings from the United Nation countries

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