"When they know that you are a sex worker, you will be the last person to be treated": Perceptions and experiences of female sex workers in accessing HIV services in Uganda.
Identifieur interne : 000890 ( PubMed/Curation ); précédent : 000889; suivant : 000891"When they know that you are a sex worker, you will be the last person to be treated": Perceptions and experiences of female sex workers in accessing HIV services in Uganda.
Auteurs : Rhoda K. Wanyenze [Ouganda] ; Geofrey Musinguzi [Ouganda] ; Juliet Kiguli [Ouganda] ; Fred Nuwaha [Ouganda] ; Geoffrey Mujisha [Ouganda] ; Joshua Musinguzi [Ouganda] ; Jim Arinaitwe [Ouganda] ; Joseph K B. Matovu [Ouganda]Source :
- BMC international health and human rights [ 1472-698X ] ; 2017.
Abstract
HIV prevalence among female sex workers (FSWs) in high burden countries in sub-Saharan Africa varies between 24 and 72%, however their access to HIV services remains limited. This study explored FSWs' perspectives of the barriers and opportunities to HIV service access in Uganda.
DOI: 10.1186/s12914-017-0119-1
PubMed: 28476153
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Wanyenze</name><affiliation wicri:level="1"><nlm:affiliation>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda. rwanyenze@hotmail.com.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala</wicri:regionArea></affiliation></author><author><name sortKey="Musinguzi, Geofrey" sort="Musinguzi, Geofrey" uniqKey="Musinguzi G" first="Geofrey" last="Musinguzi">Geofrey Musinguzi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala</wicri:regionArea></affiliation></author><author><name sortKey="Kiguli, Juliet" sort="Kiguli, Juliet" uniqKey="Kiguli J" first="Juliet" last="Kiguli">Juliet Kiguli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Community Health & Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Community Health & Behavioral Sciences, Makerere University School of Public Health, Kampala</wicri:regionArea></affiliation></author><author><name sortKey="Nuwaha, Fred" sort="Nuwaha, Fred" uniqKey="Nuwaha F" first="Fred" last="Nuwaha">Fred Nuwaha</name><affiliation wicri:level="1"><nlm:affiliation>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala</wicri:regionArea></affiliation></author><author><name sortKey="Mujisha, Geoffrey" sort="Mujisha, Geoffrey" uniqKey="Mujisha G" first="Geoffrey" last="Mujisha">Geoffrey Mujisha</name><affiliation wicri:level="1"><nlm:affiliation>MARPs Network, Kampala, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>MARPs Network, Kampala</wicri:regionArea></affiliation></author><author><name sortKey="Musinguzi, Joshua" sort="Musinguzi, Joshua" uniqKey="Musinguzi J" first="Joshua" last="Musinguzi">Joshua Musinguzi</name><affiliation wicri:level="1"><nlm:affiliation>Ministry of Health, Kampala, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Ministry of Health, Kampala</wicri:regionArea></affiliation></author><author><name sortKey="Arinaitwe, Jim" sort="Arinaitwe, Jim" uniqKey="Arinaitwe J" first="Jim" last="Arinaitwe">Jim Arinaitwe</name><affiliation wicri:level="1"><nlm:affiliation>Ministry of Health, Kampala, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Ministry of Health, Kampala</wicri:regionArea></affiliation></author><author><name sortKey="Matovu, Joseph K B" sort="Matovu, Joseph K B" uniqKey="Matovu J" first="Joseph K B" last="Matovu">Joseph K B. Matovu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Community Health & Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Community Health & Behavioral Sciences, Makerere University School of Public Health, Kampala</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC international health and human rights</title><idno type="eISSN">1472-698X</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">HIV prevalence among female sex workers (FSWs) in high burden countries in sub-Saharan Africa varies between 24 and 72%, however their access to HIV services remains limited. This study explored FSWs' perspectives of the barriers and opportunities to HIV service access in Uganda.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28476153</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>06</Day></DateCreated><DateRevised><Year>2017</Year><Month>05</Month><Day>12</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-698X</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>May</Month><Day>05</Day></PubDate></JournalIssue><Title>BMC international health and human rights</Title><ISOAbbreviation>BMC Int Health Hum Rights</ISOAbbreviation></Journal><ArticleTitle>"When they know that you are a sex worker, you will be the last person to be treated": Perceptions and experiences of female sex workers in accessing HIV services in Uganda.</ArticleTitle><Pagination><MedlinePgn>11</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12914-017-0119-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">HIV prevalence among female sex workers (FSWs) in high burden countries in sub-Saharan Africa varies between 24 and 72%, however their access to HIV services remains limited. This study explored FSWs' perspectives of the barriers and opportunities to HIV service access in Uganda.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The cross-sectional qualitative study was conducted between October and December 2013. Twenty-four focus group discussions were conducted with 190 FSWs in 12 districts. Data were analysed using manifest content analysis, using Atlas.ti software, based on the socio-ecological model.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">FSWs indicated that HIV services were available and these included condoms, HIV testing and treatment, and management of sexually transmitted infections. However, access to HIV services was affected by several individual, societal, structural, and policy related barriers. Individual level factors included limited awareness of some prevention services, fears, and misconceptions while societal stigma was prominent. Structural and policy level barriers included inconvenient hours of operation of the clinics, inflexible facility based distribution of condoms, interuptions in the supply of condoms and other commodities, and limited package of services with virtually no access to lubricants, HIV pre- and post-exposure prophylaxis, and support following client perpetrated violence. Policies such as partner testing and involvement at antenatal care, and using only one facility for antiretroviral drug refills hindered HIV service uptake and retention in care. FSWs had major concerns with the quality of services especially discrimination and rude remarks from providers, denial or delay of services, and potential for breach of confidentiality. However, some FSWs reported positive experiences including interface with friendly providers and participated in formal and informal FSW groups, which supported them to access health services.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Despite availability of services, FSWs faced major challenges in access to services. Comprehensive multilevel interventions targeting individual, societal, structural and policy level barriers are required to increase access to HIVservices among FSWs in Uganda. Policy and institutional adjustments should emphasize quality friendly services and expanding the package of services to meet the needs of FSWs.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wanyenze</LastName><ForeName>Rhoda K</ForeName><Initials>RK</Initials><AffiliationInfo><Affiliation>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda. rwanyenze@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Musinguzi</LastName><ForeName>Geofrey</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kiguli</LastName><ForeName>Juliet</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Community Health & Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nuwaha</LastName><ForeName>Fred</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mujisha</LastName><ForeName>Geoffrey</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>MARPs Network, Kampala, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Musinguzi</LastName><ForeName>Joshua</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Ministry of Health, Kampala, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arinaitwe</LastName><ForeName>Jim</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Ministry of Health, Kampala, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matovu</LastName><ForeName>Joseph K B</ForeName><Initials>JKB</Initials><AffiliationInfo><Affiliation>Department of Community Health & Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>05</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Int Health Hum Rights</MedlineTA><NlmUniqueID>101088678</NlmUniqueID><ISSNLinking>1472-698X</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2015 Jan 3;385(9962):55-71</RefSource><PMID Version="1">25059947</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cult Health Sex. 2013;15(4):450-65</RefSource><PMID 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