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Barriers and facilitators to HIV testing among Zambian female sexwWorkers in three transit hubs

Zambia has a generalized HIV epidemic, and HIV is concentrated along transit routes. Female sex workers (FSWs) are disproportionately affected by the epidemic. HIV testing is the crucial first step for engagement in HIV care and HIV prevention activities. However, to date little work has been done w...

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Bibliographische Detailangaben
Hauptverfasser: Chanda, Michael M. (VerfasserIn) , Bärnighausen, Till (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 1 Jul 2017
In: AIDS patient care and STDs
Year: 2017, Jahrgang: 31, Heft: 7, Pages: 290-296
ISSN:1557-7449
DOI:10.1089/apc.2017.0016
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1089/apc.2017.0016
Verlag, Volltext: https://www.liebertpub.com/doi/10.1089/apc.2017.0016
Volltext
Verfasserangaben:Michael M. Chanda, Amaya G. Perez-Brumer, Katrina F. Ortblad, Magdalene Mwale, Steven Chongo, Nyambe Kamungoma, Catherine Kanchele, Andrew Fullem, Leah Barresi, Till Bärnighausen and Catherine E. Oldenburg
Beschreibung
Zusammenfassung:Zambia has a generalized HIV epidemic, and HIV is concentrated along transit routes. Female sex workers (FSWs) are disproportionately affected by the epidemic. HIV testing is the crucial first step for engagement in HIV care and HIV prevention activities. However, to date little work has been done with FSWs in Zambia, and little is known about barriers and facilitators to HIV testing in this population. FSW peer educators were recruited through existing sex worker organizations for participation in a trial related to HIV testing among FSWs. We conducted five focus groups with FSW peer educators (N = 40) in three transit towns in Zambia (Livingstone, Chirundu, and Kapiri Mposhi) to elicit community norms related to HIV testing. Emerging themes demonstrated barriers and facilitators to HIV testing occurring at multiple levels, including individual, social network, and structural. Stigma and discrimination, including healthcare provider stigma, were a particularly salient barrier. Improving knowledge, social support, and acknowledgment of FSWs and women's role in society emerged as facilitators to testing. Interventions to improve HIV testing among FSWs in Zambia will need to address barriers and facilitators at multiple levels to be maximally effective.
Beschreibung:Gesehen am 23.05.2018
Beschreibung:Online Resource
ISSN:1557-7449
DOI:10.1089/apc.2017.0016

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