HIV prevention programme with young women who sell sex in Mombasa, Kenya: learnings for scale‐up. Issue 8 (26th August 2022)
- Record Type:
- Journal Article
- Title:
- HIV prevention programme with young women who sell sex in Mombasa, Kenya: learnings for scale‐up. Issue 8 (26th August 2022)
- Main Title:
- HIV prevention programme with young women who sell sex in Mombasa, Kenya: learnings for scale‐up
- Authors:
- Bhattacharjee, Parinita
Musau, Abednego
Manguro, Griffins
Ongwen, Patricia
Mutegi, Jane
Kioko, Japheth
Lazarus, Lisa
Isac, Shajy
Musyoki, Helgar
Hontelez, Jan
Were, Daniel - Abstract:
- Abstract: Introduction: In 2018, the National AIDS and sexually transmitted infection (STI) Control Programme developed a national guidelines to facilitate the inclusion of young women who sell sex (YWSS) in the HIV prevention response in Kenya. Following that, a 1‐year pilot intervention, where a package of structural, behavioural and biomedical services was provided to 1376 cisgender YWSS to address their HIV‐related risk and vulnerability, was implemented. Methods: Through a mixed‐methods, pre/post study design, we assessed the effectiveness of the pilot, and elucidated implementation lessons learnt. The three data sources used included: (1) monthly routine programme monitoring data collected between October 2019 and September 2020 to assess the reach and coverage; (2) two polling booth surveys, conducted before and after implementation, to determine the effectiveness; and (3) focus group discussions and key informant interviews conducted before and after intervention to assess the feasibility of the intervention. Descriptive analysis was performed to produce proportions and comparative statistics. Results: During the intervention, 1376 YWSS were registered in the programme, 28% were below 19 years of age and 88% of the registered YWSS were active in the last month of intervention. In the survey, respondents reported increases in HIV‐related knowledge (61.7% vs. 90%, p <0.001), ever usage of pre‐exposure prophylaxis (8.5% vs. 32.2%, p < 0.001); current usage ofAbstract: Introduction: In 2018, the National AIDS and sexually transmitted infection (STI) Control Programme developed a national guidelines to facilitate the inclusion of young women who sell sex (YWSS) in the HIV prevention response in Kenya. Following that, a 1‐year pilot intervention, where a package of structural, behavioural and biomedical services was provided to 1376 cisgender YWSS to address their HIV‐related risk and vulnerability, was implemented. Methods: Through a mixed‐methods, pre/post study design, we assessed the effectiveness of the pilot, and elucidated implementation lessons learnt. The three data sources used included: (1) monthly routine programme monitoring data collected between October 2019 and September 2020 to assess the reach and coverage; (2) two polling booth surveys, conducted before and after implementation, to determine the effectiveness; and (3) focus group discussions and key informant interviews conducted before and after intervention to assess the feasibility of the intervention. Descriptive analysis was performed to produce proportions and comparative statistics. Results: During the intervention, 1376 YWSS were registered in the programme, 28% were below 19 years of age and 88% of the registered YWSS were active in the last month of intervention. In the survey, respondents reported increases in HIV‐related knowledge (61.7% vs. 90%, p <0.001), ever usage of pre‐exposure prophylaxis (8.5% vs. 32.2%, p < 0.001); current usage of pre‐exposure prophylaxis (5.3% vs. 21.1%, p <0.002); ever testing for HIV (87.2% vs. 95.6%, p <0.04) and any clinic visit (35.1 vs. 61.1, p <0.001). However, increase in harassment by family (11.7% vs. 23.3%, p <0.04) and discrimination at educational institutions (5.3% vs. 14.4%, p <0.04) was also reported. In qualitative assessment, respondents reported early signs of success, and identified missed opportunities and made recommendations for scale‐up. Conclusions: Our intervention successfully rolled out HIV prevention services for YWSS in Mombasa, Kenya, and demonstrated that programming for YWSS is feasible and can effectively be done through YWSS peer‐led combination prevention approaches. However, while reported uptake of treatment and prevention services increased, there was also an increase in reported harassment and discrimination requiring further attention. Lessons learnt from the pilot intervention can inform replication and scale‐up of such interventions in Kenya. … (more)
- Is Part Of:
- Journal of the International AIDS Society. Volume 25:Issue 8(2022)
- Journal:
- Journal of the International AIDS Society
- Issue:
- Volume 25:Issue 8(2022)
- Issue Display:
- Volume 25, Issue 8 (2022)
- Year:
- 2022
- Volume:
- 25
- Issue:
- 8
- Issue Sort Value:
- 2022-0025-0008-0000
- Page Start:
- n/a
- Page End:
- n/a
- Publication Date:
- 2022-08-26
- Subjects:
- young women who sell sex -- Kenya -- key populations -- HIV prevention -- intervention -- policy
AIDS (Disease) -- Periodicals
HIV infections -- Periodicals
616.9792005 - Journal URLs:
- http://archive.biomedcentral.com/1758-2652/content ↗
http://rave.ohiolink.edu/ejournals/issn/17582652/ ↗
http://www.jiasociety.org/ ↗
http://www.ncbi.nlm.nih.gov/pmc/journals/790/ ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1002/jia2.25969 ↗
- Languages:
- English
- ISSNs:
- 1758-2652
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
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- British Library DSC - BLDSS-3PM
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