Reaching the unreached: Performance of an enhanced peer outreach approach to identify new HIV cases among female sex workers and men who have sex with men in HIV programs in West and Central Africa
| Autor: | Navindra Persaud, Meghan C. DiCarlo, Tiffany A. Lillie, Maria C. Au, Didier R. Kamali, Hally Mahler, Lirica Nishimoto, Magda Cheron, R. Cameron Wolf, Dismas Gashobotse, Christopher Akolo |
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| Rok vydání: | 2019 |
| Předmět: |
RNA viruses
Male Epidemiology Human immunodeficiency virus (HIV) Social Sciences 030312 virology Pathology and Laboratory Medicine medicine.disease_cause Men who have sex with men Geographical Locations Sexual and Gender Minorities 0302 clinical medicine Immunodeficiency Viruses Sociology HIV Seropositivity Medicine and Health Sciences Medicine 030212 general & internal medicine 0303 health sciences Multidisciplinary virus diseases Female sex HIV diagnosis and management Community-Institutional Relations Outreach Social Networks Medical Microbiology HIV epidemiology Viral Pathogens Viruses Democratic Republic of the Congo Female Pathogens Network Analysis Research Article Computer and Information Sciences medicine.medical_specialty Science Burundi HIV prevention Men WHO Have Sex with Men Microbiology Peer Group 03 medical and health sciences Retroviruses Humans Microbial Pathogens Preventive medicine Sex Workers business.industry Public health Lentivirus Organisms Community Participation Biology and Life Sciences HIV Central africa Peer group Quarter (United States coin) Diagnostic medicine Public and occupational health Cote d'Ivoire People and Places Africa Population Groupings business Sexuality Groupings Demography |
| Zdroj: | PLoS ONE PLoS ONE, Vol 14, Iss 4, p e0213743 (2019) |
| ISSN: | 1932-6203 |
| Popis: | Finding new HIV-positive cases remains a priority to achieve the UNAIDS goals. An enhanced peer outreach approach (EPOA) was implemented to expand the delivery of HIV services to female sex workers (FSWs) and men who have sex with men (MSM) in three countries in West and Central Africa. The aim of EPOA is to identify new HIV-positive cases. EPOA was implemented in Burundi among FSWs, and in Cote d'Ivoire and Democratic Republic of the Congo (DRC) among both FSWs and MSM. Implementation ranged from five to nine weeks and was nested within a three-month reporting period. Standard outreach was suspended for the duration of EPOA implementation but was resumed thereafter. Summary service statistics were used to compare HIV seropositivity during standard outreach and EPOA. Trends were analyzed during the quarter in which EPOA was implemented, and these were compared with the two preceding quarters. Differences in proportions of HIV seropositivity were tested using Pearson's chi-square test; p-values of less than 0.05 were considered statistically significant. Overall, EPOA resulted in a higher proportion of new HIV-positive cases being found, both within and between quarters. In Burundi, HIV seropositivity among FSWs was significantly higher during EPOA than during standard outreach (10.8% vs. 4.1%, p |
| Databáze: | OpenAIRE |
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