HIV prevalence and associated factors among female sex workers in Ethiopia, east Africa: A cross-sectional study using a respondent-driven sampling technique

Abdella, Saro; Demissie, Meaza; Worku, Alemayehu; Dheresa, Merga; Berhane, Yemane

doi:10.1016/j.eclinm.2022.101540

Cited by 20 publications

(17 citation statements)

References 53 publications

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“…There are countries where huge numbers of FSW with high HIV rates are living, but their ART coverage status is not recognized. For example, one out of five FSW had a confirmed diagnosis for HIV infection in Ethiopia [ 82 ], indicating a need for critical and urgent policy intervention.…”

Section: Discussionmentioning

confidence: 99%

Universal Health Coverage for Antiretroviral Treatment: A Review

Endalamaw

Gilks

Ambaw

et al. 2022

Infectious Disease Reports

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Universal health coverage is essential for the progress to end threats of the acquired immunodeficiency syndrome epidemic. The current review assesses the publication rate, strategies and barriers for antiretroviral therapy (ART) coverage, equity, quality of care, and financial protection. We searched Web of Science, PubMed, and Google Scholar. Of the available articles, 43.13% were on ART coverage, 40.28% were on financial protection, 10.43% were on quality of care, and 6.16% were on equity. A lack of ART, fear of unwanted disclosure, lack of transportation, unaffordable health care costs, long waiting time to receive care, and poverty were barriers to ART coverage. Catastrophic health care costs were higher among individuals who were living in rural settings, walked greater distances to reach health care institutions, had a lower socioeconomic status, and were immunocompromised. There were challenges to the provision of quality of care, including health care providers’ inadequate salary, high workload and inadequate health workforce, inappropriate infrastructure, lack of training opportunities, unclear division of responsibility, and the presence of strict auditing. In conclusion, ART coverage was below the global average, and key populations were disproportionally less covered with ART in most countries. Huge catastrophic health expenditures were observed. UHC contexts of ART will be improved by reaching people with poor socioeconomic status, delivering appropriate services, establishing a proper health workforce and service stewardship.

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Section: Discussionmentioning

confidence: 99%

Universal Health Coverage for Antiretroviral Treatment: A Review

Endalamaw

Gilks

Ambaw

et al. 2022

Infectious Disease Reports

View full text Add to dashboard Cite

show abstract

“… 22 Female sex workers (FSWs) have an HIV acquisition rate that is 30 times higher than that of the overall female population. 23 In Ethiopia, 690,000 people were living with HIV in 2018, and 1% of adults were infected, which is higher than the global average report. 24 …”

Section: Introductionmentioning

confidence: 88%

“… 25 According to the research done in 2020, HIV prevalence in FSWs was 18.7% in Ethiopia and 28.2% in Bahir Dar city. 23 The national comprehensive HIV prevention guideline was endorsed from 2018–2020 in Ethiopia. 26 However, no evidence exists on the level of utilization toward HIV PrEP in female commercial sex workers in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Utilization of HIV Pre-exposure Prophylaxis and Associated Factors Among Female Sex Workers in Bahir Dar City, North-West Ethiopia, Cross-sectional Study, 2022

Ademe,

Bogale,

Anagaw

2023

IJGM

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Objective This study aimed to assess the utilization of HIV pre-exposure prophylaxis and associated factors among commercial female sex workers in Bahir Dar City, Northwest Ethiopia, in 2022. Methods An institution-based cross-sectional study was conducted in Bahir Dar City from November 1 to 30, 2022. The random sampling technique was used to select 396 commercial female sex workers. Kobo Collector was used to gather the data, which was then exported to STATA 14 for analysis. In bivariate regression analysis, all variables with a P -value of <0.2 were entered into multivariable logistic regression. Multivariable logistic regression variables with P -values ≤0.05 at a 95% confidence interval were declared to be significantly linked with the utilization of HIV pre-exposure prophylaxis. Results In this study, 183 (46.2%) (95%CI: 41.33–51.16) of respondents utilized HIV pre-exposure prophylaxis. Educational status: secondary and above (AOR: 2.18, 95%CI: 1.05–4.53). Age of sex workers 26–36 (AOR: 0.20, 95%CI: 0.17–0.84); experience of sex work 3–5 years (AOR: 0.25, 95%CI: 0.24–0.83); and having good knowledge (AOR: 4.98, 95%CI: 3.90–10.65) were significantly associated with the utilization of HIV pre-exposure prophylaxis. Conclusion In this study, HIV pre-exposure prophylaxis was not widely used by commercial female sex workers. Therefore, social and behavioral change communication strategies focus on creating awareness and building knowledge on HIV pre-exposure prophylaxis utilization.

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“…Sex workers are often marginalized, criminalized, and stigmatized by the societies in which they live, which increases their vulnerability to HIV infection ( 12 ). In Uganda, sex work is illegal, which negatively affects HIV care-seeking behaviors among FSWs ( 13 ) due to fear of stigma, discrimination, criminalization, and confidentiality issues ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Enrollment and retention of female sex workers in HIV care in health facilities in Mbarara city

Arinaitwe

Ariho

Naturinda

et al. 2023

Front. Reprod. Health

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BackgroundSex work is a global driver of the HIV epidemic, and the risk of acquiring HIV is 13 times higher for female sex workers (FSWs) compared to the general population. The enrollment and retention of FSWs in HIV care is a challenge and has been a major contributing factor to increased new HIV infections.MethodsWe conducted a qualitative study among 30 FSWs and 21 healthcare workers (HCWs) working in antiretroviral therapy (ART) clinics at the selected three primary health facilities in Mbarara City, Southwestern Uganda. The study participants were enrolled by both purposive and snowball sampling techniques. We obtained informed consent from all the participants, and data were collected using in-depth interviews and thematically analyzed.ResultsThree themes emerged as facilitators toward enrollment and retention of FSWs into HIV care, namely, (1) good health living, (2) receptive HCWs and availability of health services, and (3) community outreach services and peer support. The barriers are summarized into four major themes: (1) stigma, community discrimination, and beliefs; (2) social obstacles; (3) adverse effects of ART; and (4) inadequate services at the health facilities.ConclusionFSWs are challenged by unsupportive environments and communities where they live and work, which hinders their enrollment and retention in HIV care. Creating awareness of the utilization of HIV care services and extending such services to hotspot communities could enhance the response of HIV-positive FSWs to ART.

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HIV prevalence and associated factors among female sex workers in Ethiopia, east Africa: A cross-sectional study using a respondent-driven sampling technique

Cited by 20 publications

References 53 publications

Universal Health Coverage for Antiretroviral Treatment: A Review

Universal Health Coverage for Antiretroviral Treatment: A Review

Utilization of HIV Pre-exposure Prophylaxis and Associated Factors Among Female Sex Workers in Bahir Dar City, North-West Ethiopia, Cross-sectional Study, 2022

Enrollment and retention of female sex workers in HIV care in health facilities in Mbarara city

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