Satisfaction with health services for STIs, HIV, AIDS among a high-risk population in West Africa

Morin, Diane; Godin, Gaston; Alary, Michel; Sawadogo, Mamadou; Bernier, Michel; Khonde, Nzambi; Kintin, Frédéric; Koné, Ahoua; Ndour, Marguerite; Pépin, Jacques; Rached, Samia Zahi; Sobela, F.; Soto, Julio C.; Sylla, Mariam; Traoré, Cheick Bougadari

doi:10.1080/09540120701583761

Cited by 7 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The West African Project to Combat AIDS and STIs provided preventive and curative care to FSWs and their clients in nine West African countries, with funding from the Canadian International Development Agency [24]. Coordination of services along several major transport routes was also noted [25-29].…”

Section: Resultsmentioning

confidence: 99%

“…Notably, innovative approaches to education activities were employed by projects in Cote d’Ivoire and along the West African highways; these activities included promoting condom use through picture albums, videos, cue cards, drawings, billboards, radio, calendars, t-shirts, and commercials. Advertisements in these projects were localized to reduce project costs [24,44]. In Malawi, nightclub disk jockeys promoted condom use and distributed safe sex messages [45].…”

Section: Resultsmentioning

confidence: 99%

“…In the West African Highways project, free ART was provided to over 500 people, but treatment was mainly offered to vehicle drivers who tested positive. A referral system was, however, established for those eligible for ART [24]. ART services in Burkina Faso did include adherence support and active tracing of women who defaulted follow-up [48].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of facility-based sexual and reproductive health services for female sex workers in Africa

et al. 2014

View full text Add to dashboard Cite

BackgroundSeveral biological, behavioural, and structural risk factors place female sex workers (FSWs) at heightened risk of HIV, sexually transmitted infections (STIs), and other adverse sexual and reproductive health (SRH) outcomes. FSW projects in many settings have demonstrated effective ways of altering this risk, improving the health and wellbeing of these women. Yet the optimum delivery model of FSW projects in Africa is unclear. This systematic review describes intervention packages, service-delivery models, and extent of government involvement in these services in Africa.MethodsOn 22 November 2012, we searched Web of Science and MEDLINE, without date restrictions, for studies describing clinical and non-clinical facility-based SRH prevention and care services for FSWs in low- and middle-income countries in Africa. We also identified articles in key non-indexed journals and on websites of international organizations. A single reviewer screened titles and abstracts, and extracted data from articles using standardised tools.ResultsWe located 149 articles, which described 54 projects. Most were localised and small-scale; focused on research activities (rather than on large-scale service delivery); operated with little coordination, either nationally or regionally; and had scanty government support (instead a range of international donors generally funded services). Almost all sites only addressed HIV prevention and STIs. Most services distributed male condoms, but only 10% provided female condoms. HIV services mainly encompassed HIV counselling and testing; few offered HIV care and treatment such as CD4 testing or antiretroviral therapy (ART). While STI services were more comprehensive, periodic presumptive treatment was only provided in 11 instances. Services often ignored broader SRH needs such as family planning, cervical cancer screening, and gender-based violence services.ConclusionsSex work programmes in Africa have limited coverage and a narrow scope of services and are poorly coordinated with broader HIV and SRH services. To improve FSWs’ health and reduce onward HIV transmission, access to ART needs to be addressed urgently. Nevertheless, HIV prevention should remain the mainstay of services. Service delivery models that integrate broader SRH services and address structural risk factors are much needed. Government-led FSW services of high quality and scale would markedly reduce SRH vulnerabilities of FSWs in Africa.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review of facility-based sexual and reproductive health services for female sex workers in Africa

et al. 2014

View full text Add to dashboard Cite

show abstract

“…These include use of night clinics [33] or taking STI treatment directly to sex workers and clients in venues such as hotels [57]. Peer educators have also been deployed to raise awareness about STIs, promote STI services, reinforce correct use of STI medications, and facilitate follow-up visits and partner education and treatment [21,58]. A cross-sectional study in Abidjan, Côte d'Ivoire, at 29 health care facilities and 10 pharmacies found that perceptions of low quality or stigmatising attitudes in the public sector meant that many FSWs preferred accessing private providers or pharmacists for STI treatment.…”

Section: Resultsmentioning

confidence: 99%

Priority interventions to reduce HIV transmission in sex work settings in sub‐Saharan Africa and delivery of these services

Chersich

Luchters

Ntaganira

et al. 2013

Journal of the International AIDS Society

120

122

View full text Add to dashboard Cite

IntroductionVirtually no African country provides HIV prevention services in sex work settings with an adequate scale and intensity. Uncertainty remains about the optimal set of interventions and mode of delivery.MethodsWe systematically reviewed studies reporting interventions for reducing HIV transmission among female sex workers in sub-Saharan Africa between January 2000 and July 2011. Medline (PubMed) and non-indexed journals were searched for studies with quantitative study outcomes.ResultsWe located 26 studies, including seven randomized trials. Evidence supports implementation of the following interventions to reduce unprotected sex among female sex workers: peer-mediated condom promotion, risk-reduction counselling and skills-building for safer sex. One study found that interventions to counter hazardous alcohol-use lowered unprotected sex. Data also show effectiveness of screening for sexually transmitted infections (STIs) and syndromic STI treatment, but experience with periodic presumptive treatment is limited. HIV testing and counselling is essential for facilitating sex workers’ access to care and antiretroviral treatment (ART), but testing models for sex workers and indeed for ART access are little studied, as are structural interventions, which create conditions conducive for risk reduction. With the exception of Senegal, persistent criminalization of sex work across Africa reduces sex workers’ control over working conditions and impedes their access to health services. It also obstructs health-service provision and legal protection.ConclusionsThere is sufficient evidence of effectiveness of targeted interventions with female sex workers in Africa to inform delivery of services for this population. With improved planning and political will, services – including peer interventions, condom promotion and STI screening – would act at multiple levels to reduce HIV exposure and transmission efficiency among sex workers. Initiatives are required to enhance access to HIV testing and ART for sex workers, using current CD4 thresholds, or possibly earlier for prevention. Services implemented at sufficient scale and intensity also serve as a platform for subsequent community mobilization and sex worker empowerment, and alleviate a major source of incident infection sustaining even generalized HIV epidemics. Ultimately, structural and legal changes that align public health and human rights are needed to ensure that sex workers on the continent are adequately protected from HIV.

show abstract

“…First, a systematic review of the English literature identified from PubMed searches was conducted to explore candidate measure items of patient satisfaction with HIV/AIDS care and treatment services [11], [17], [20], [23]–[28]. We found a number of instruments, which were applied in both developed and developing countries.…”

Section: Methodsmentioning

confidence: 99%

Patient Satisfaction with HIV/AIDS Care and Treatment in the Decentralization of Services Delivery in Vietnam

Tran

Nguyen

2012

PLoS ONE

View full text Add to dashboard Cite

ObjectiveWe evaluated the patient satisfaction with HIV/AIDS care and treatment and its determinants across levels of health service administration in Vietnam.MethodsWe interviewed 1016 patients at 7 hospitals and health centers in three epicenters, including Hanoi, Hai Phong, and Ho Chi Minh City. The Satisfaction with HIV/AIDS Treatment Interview Scale (SATIS) was developed, and 3 dimensions were constructed using factor analysis, namely “Quality and Convenience”; “Availability and Responsiveness”; and “Competence of health care workers”.ResultsIn a band score of (0; 10), the mean scores of all domains were large; it was the highest in “Competence of health workers” (9.34±0.84), and the lowest in “Quality and Convenience” (9.03±1.04). The percentages of respondents completely satisfied with overall service quality and treatment outcomes were 42.4% and 18.8%, respectively. In multivariate analysis, factors related to higher satisfaction included female sex, older age, and living with spouses or partners. Meanwhile, lower satisfaction was found among patients who were attending provincial and district clinics; in the richest group; had higher CD4 count; and drug users.ConclusionThis study highlights the importance of improving the quality of HIV/AIDS services at the provincial and district clinics. Potential strategies include capacity building for health workers, integrative service delivery, engagements of family members in treatment supports, and additional attention and comprehensive care for drug users with HIV/AIDS.

show abstract

Satisfaction with health services for STIs, HIV, AIDS among a high-risk population in West Africa

Cited by 7 publications

References 25 publications

Systematic review of facility-based sexual and reproductive health services for female sex workers in Africa

Systematic review of facility-based sexual and reproductive health services for female sex workers in Africa

Priority interventions to reduce HIV transmission in sex work settings in sub‐Saharan Africa and delivery of these services

Patient Satisfaction with HIV/AIDS Care and Treatment in the Decentralization of Services Delivery in Vietnam

Contact Info

Product

Resources

About