Consistent Condom Use and Dual Protection Among Female Sex Workers: Surveillance Findings from a Large-Scale, Community-Based Combination HIV Prevention Program in Tanzania

Autor: Raymond Bandio, Amasha H. Mwanamsangu, Dorica Boyee, Marya Plotkin, Ramadhani Mlange, Angella Ramadhan, Neema Makyayo, Albert Komba, Gissenge Lija, Gaspar Mbita, Caterina Casalini, Megan Christofeld, Amani Shao
Rok vydání: 2019
Předmět:
Safe Sex
Human immunodeficiency virus (HIV)
HIV Infections
Sex Education
medicine.disease_cause
urologic and male genital diseases
Tanzania
Condoms
0302 clinical medicine
Pregnancy
030212 general & internal medicine
Condom use
Female sex workers
biology
virus diseases
Pregnancy
Unplanned
Middle Aged
Outreach
Dual method use
Health psychology
Infectious Diseases
Contraception
Family planning
Scale (social sciences)
Family Planning Services
Population Surveillance
Female
0305 other medical science
Adult
medicine.medical_specialty
Social Psychology
Adolescent
HIV prevention
Sexually Transmitted Diseases
03 medical and health sciences
Young Adult
Environmental health
medicine
Humans
Acquired Immunodeficiency Syndrome
Original Paper
Sexually transmitted infection
030505 public health
Sex Workers
business.industry
Public health
Public Health
Environmental and Occupational Health
HIV
biology.organism_classification
Sex Work
business
Unintended pregnancy
Zdroj: AIDS and Behavior
ISSN: 1573-3254
Popis: In Tanzania, HIV infection remains much higher among female sex workers (FSWs) than among other adult women. In addition to HIV, sexually transmitted infections (STIs) and pregnancy prevention are major concerns for FSWs in Tanzania. This study used a programmatic surveillance approach to examine protection against STIs/HIV and unintended pregnancy (dual method use) among FSWs in an outreach-based HIV prevention, care, and treatment program in Tanzania. 119,728 FSWs made a first visit to services served by the Sauti Project from January 2016 to September 2017. Of these 79,774 were current contraceptive users—of those, 4548 (5.7%) took a contraceptive as well as condoms, the study measure of dual family planning (FP) method use. Ninety-one percent (n = 4139) of FSWs taking dual FP methods were provided with an injectable in addition to condoms. Dual method use was lower in this study than in research studies in the region, highlighting potential differences between findings from research studies and evidence from a routine service provision setting. Self-reported consistent condom use among FSWs was 16.1%. The findings call for further research and programs to address FSW agency to increase dual protection against STIs/HIV and unintended pregnancy.
Databáze: OpenAIRE
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