The HIV Care Continuum for Transgender Women in Three Metropolitan Municipalities in South Africa: Findings From the 2018-2019 Bio-Behavioral Survey

Cloete, Allanise; Mabaso, Musawenkosi; Wabiri, Njeri; Savva, Helen; Merwe, L Leigh-Ann van der; Simbayi, Leickness C.; Naidoo, Dhee; Petersen, Zaino; Kose, Zamakayise; Mthembu, Jacqueline; Skinner, Donald G.; Jooste, Sean; Mwandingi, Leonard

doi:10.2139/ssrn.3962122

Cited by 6 publications

(9 citation statements)

References 7 publications

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“…In South Africa (SA), HIV prevalence is estimated at 29.9% among MSM, 45.5-63.4% among TG, 57.9% among SW and 21.8% in PWID [4][5][6]. Key populations face many social and legal barriers, including stigmatization and discrimination, which challenge their engagement in healthcare and as a result, access to and uptake of health services among KPs remains low and HIV incidences continue to be high [7].…”

Section: Introductionmentioning

confidence: 99%

The status quo on existing routine health information management systems that have incorporated key population unique identifier codes in Sub-Saharan Africa: Protocol for systematic review

Rampilo,

Phalane,

Phaswana-Mafuya

2024

Preprint

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Introduction: Despite having the world's largest HIV epidemic, Sub-Saharan Africa (SSA) including South Africa (SA) has not yet achieved the 95-95-95 targets. To meet these targets, accurate and reliable key populations (KPs) disaggregated data is critical for guiding the HIV response. The inclusion of KPs Unique Identifier Code (UIC) on country routine health information management systems (RHIMS) can improve targeted resource allocation, reporting, and accountability. There is a gap in comprehensive review on how countries that implemented the unique identifier code went about in doing so. Methods and analysis A three-step search strategy will be utilized to get both published and unpublished documents. First, an initial search of MEDLINE identified keywords and MeSH terms. Second, a systematic search of electronic bibliographic databases including MEDLINE, PubMed, Scopus, PLOS ONE and Google Scholar, and thirdly, searching the reference list of all included reviews (hand-searching journals and reference tracking). Studies that meet the following PICO (Population, Intervention, Comparison, Outcome) criteria will be included: P: Published and unpublished materials reporting on key populations, namely men who have sex with men (MSM), sex workers (SW), people who inject/use drugs (PWI/UD), and transgender (TG); I: biometric fingerprint, alphanumeric code and any KPs UIC system; C: no unique identifier system; and O: KPs-specific 95-95-95 HIV cascade, KPs knowing HIV status, KPs on ART, ART adherence and Viral load suppression. This protocol was prepared using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). References will be managed through ENDNOTE version 21 software. Two authors will screen the studies using Covidence software version 2.0 for inclusion according to the prescribed eligibility criteria. Differences will be addressed by consensus and with the assistance of an experienced third reviewer. Ethics and dissemination: This review will summarize findings from published studies containing non-identifiable data. The results will be disseminated via preprints, open-access peer-reviewed journals, and conference presentations. PROSPERO registration number: CRD42023440656

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Section: Introductionmentioning

confidence: 99%

The status quo on existing routine health information management systems that have incorporated key population unique identifier codes in Sub-Saharan Africa: Protocol for systematic review

Rampilo,

Phalane,

Phaswana-Mafuya

2024

Preprint

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“…In Uganda, 56.3% of individuals disclosed their HIV-positive status [5], while in Southeast Ethiopia, the disclosure rate was 37.6% [6]. A study conducted in Cape Town, South Africa found that 95% of HIV-positive individuals disclosed their status [7], while a similar study in Kenya found that 83.7% of HIV-positive individuals disclosed their status [8].…”

Section: Introductionmentioning

confidence: 99%

Nondisclosure of HIV-positive Status: A Cross-sectional Survey in the Greater Accra Region of Ghana

Quayson,

Ametefe,

Afful-Mensah

2024

Preprint

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The disclosure of HIV-positive status in Ghana's Greater Accra Region is dangerously low, which could be related to a variety of socioeconomic conditions. Because ignoring this occurrence for mitigation may be hazardous to public health, this study aimed to assess the factors that influence the nondisclosure of HIV-positive status among HIV patients in the La Nkwantanan Madina Metropolis of the Greater Accra Region. The study was conducted using a quantitative cross-sectional design. A convenient sampling technique was used to select 376 clients who had tested positive for HIV and accessed healthcare services at facilities located within the La Nkwantanang Madina Municipality. Data were collected using a closed-ended questionnaire and were analyzed using frequency and percentage, correlation coefficient, and multinomial regression. Marriage strongly predicted (OR=9.923 [95% CI: 1.289-76.411]; p=0.028) HIV-positive nondisclosure to partners; female gender (OR=8.178 [95% CI: 1.048-63.830]; p=0.045) and public sector of employment (OR=8.786 [1.631-47.338]; p=0.011) predicted HIV-positive nondisclosure to family; and marriage (OR=6.458 [95% CI: 0.564-20.716]; p=0.042), public sector of employment (OR=8.000 [95% CI: 1.140-50.132]; p=0.036) and private sector work (OR=7.943 [1.304-48.392]; p=0.025) strongly predicted HIV-positive nondisclosure to friends. Marriage, female gender, and sector of work were strong predictors of HIV non-disclosure by people living with HIV in the La Nkwantanan Madina Metropolis.

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“…In addition to the added financial burden, there is a suspicion amongst TGW that they might not receive monetary compensation for taking part in research [ 23 ]. Given this social context, engaging TGW in health research poses a challenge not only for estimating HIV prevalence but also for defining the HIV care continuum for transgender women, which can inform programmatic efforts needed to curb new HIV infections or improve treatment services [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…The BBS used RDS to recruit TGW from July 2018 to March 2019 in the South African metro municipalities of Buffalo City, Cape Town, and Johannesburg [ 24 ]. RDS has become a feasible option for a rigorous sampling of 'hard-to-reach' populations [ 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

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Engaging transgender women in HIV research in South Africa

Merwe¹,

Cloete

Savva³

et al. 2023

BMC Public Health

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The Botshelo Ba Trans study was the first HIV bio-behavioral survey conducted with transgender women in South Africa. Engaging research with marginalized communities requires clear points of entry, reference points for understanding the internal culture, and establishing trust and understanding. The community-based participatory research approach guided the development and implementation of this study. We conducted a rapid qualitative and pre-surveillance formative assessment between August 2017 to January 2018 and a bio-behavioral survey between July 2018 and March 2019. At the start, a Steering Committee, comprising primarily of transgender women, was established and subsequently provided substantial input into the mixed methods study conducted in Buffalo City, Cape Town, and Johannesburg. Key to the study's success was building trust and establishing ownership of the survey by transgender women recognized as expert knowledge holders. Thus, a community-based participatory research-informed approach enhanced the validity of the data and ensured that we addressed relevant issues.

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The HIV Care Continuum for Transgender Women in Three Metropolitan Municipalities in South Africa: Findings From the 2018-2019 Bio-Behavioral Survey

Cited by 6 publications

References 7 publications

The status quo on existing routine health information management systems that have incorporated key population unique identifier codes in Sub-Saharan Africa: Protocol for systematic review

The status quo on existing routine health information management systems that have incorporated key population unique identifier codes in Sub-Saharan Africa: Protocol for systematic review

Nondisclosure of HIV-positive Status: A Cross-sectional Survey in the Greater Accra Region of Ghana

Engaging transgender women in HIV research in South Africa

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