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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Engagement with HIV Prevention Treatment and Care among Female Sex Workers in Zimbabwe: A Respondent Driven Sampling Survey
PLoS ONE, Volume 8, No. 10, Article e77080, Year 2013
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Description
Objective(S):To determine the HIV prevalence and extent of engagement with HIV prevention and care among a representative sample of Zimbabwean sex workers working in Victoria Falls, Hwange and Mutare. Design:Respondent driven sampling (RDS) surveys conducted at each site. Methods:Sex workers were recruited using respondent driven sampling with each respondent limited to recruiting 2 peers. Participants completed an interviewer-administered questionnaire and provided a finger prick blood sample for HIV antibody testing. Statistical analysis took account of sampling method. Results:870 women were recruited from the three sites. HIV prevalence was between 50 and 70%. Around half of those confirmed HIV positive were aware of their HIV status and of those 50-70% reported being enrolled in HIV care programmes. Overall only 25-35% of those with laboratory-confirmed HIV were accessing antiretroviral therapy. Among those reporting they were HIV negative, 21-28% reported having an HIV test in the last 6 months. Of those tested HIV negative, most (65-82%) were unaware of their status. Around two-thirds of sex workers reported consistent condom use with their clients. As in other settings, sex workers reported high rates of gender based violence and police harassment. Conclusions:This survey suggests that prevalence of HIV is high among sex workers in Zimbabwe and that their engagement with prevention, treatment and care is sub-optimal. Intensifying prevention and care interventions for sex workers has the potential to markedly reduce HIV and social risks for sex workers, their clients and the general population in Zimbabwe and elsewhere in the region. © 2013 Cowan et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3797143/bin/pone.0077080.s001.xlsx
Authors & Co-Authors
Cowan, Frances Mary
Unknown Affiliation
Mtetwa, Sibongile
Unknown Affiliation
Davey, Calum B.
Unknown Affiliation
Fearon, Elizabeth
Unknown Affiliation
DIrawo, Jeffrey
Unknown Affiliation
Wong-Gruenwald, Ramona
Unknown Affiliation
Ndikudze, Theresa
Unknown Affiliation
Chidiya, Samson
Unknown Affiliation
Benedikt, Clemens J.
Unknown Affiliation
Busza, Joanna
Unknown Affiliation
Hargreaves, James R.
Unknown Affiliation
Statistics
Citations: 79
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1371/journal.pone.0077080
e-ISSN:
19326203
Research Areas
Infectious Diseases
Violence And Injury
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Zimbabwe
Participants Gender
Female