We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
The HIV Cascade of Care and Service Utilisation at Sex Work Programmes Among Female Sex Workers in South Africa.
- Authors
Jaffer, Maya; Christofides, Nicola; Hlongwane, Khuthadzo; Otwombe, Kennedy; Milovanovic, Minja; Hopkins, Kathryn L.; Matuludi, Mokgadi; Mbowane, Venice; Abdullah, Fareed; Gray, Glenda; Jewkes, Rachel; Coetzee, Jenny
- Abstract
Female sex workers (FSWs) in South Africa experience a uniquely high prevalence of HIV. We describe the HIV cascade of care (CoC) in FSWs in South Africa, and explored service utilisation at sex work programmes. A cross-sectional, study enrolled FSWs across 12 sites in South Africa. Participants were recruited using chain-referral method. Inclusion criteria: ≥ 18 years, cis-gender female, sold/transacted in sex, HIV positive. 1862 HIV positive FSWs were enrolled. 92% were known positive, 87% were on antiretroviral treatment (ART). Of those on ART, 74% were virally suppressed. Younger FSWs were significantly less likely to be on ART or virally suppressed. Female sex workers using HIV services from specialised programs were 1.4 times more likely to be virally suppressed than non-program users. The pre-COVID-19 pandemic HIV CoC amongst FSWs in South Africa shows striking improvement from previous estimates, and approaches achievement of 90:90:90 goals.
- Subjects
SOUTH Africa; HIV infection epidemiology; HIV infections; EVALUATION of human services programs; CROSS-sectional method; ANTIRETROVIRAL agents; SEX work; HIV seroconversion; HUMAN services programs; DISEASE prevalence; COVID-19 pandemic; CISGENDER people
- Publication
AIDS & Behavior, 2022, Vol 26, Issue 9, p2907
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-022-03616-6