R9282HML
type: UserItem
resource: Sexual health needs of female sex workers in Côte d’Ivoire: a mixed-methods study to prepare the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention
access date: 2020-01-09 12:06:47
repository: bmjopen.bmj.com
rights: © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
tagged: AutoTag
  label: HIV & AIDS
tagged: AutoTag
  label: demography
tagged: AutoTag
  label: epidemiology
tagged: AutoTag
  label: public health
tagged: AutoTag
  label: qualitative research

Sexual health needs of female sex workers in Côte d’Ivoire: a mixed-methods study to prepare the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention
type: AcademicArticle
abstract: Objective To describe sexual and reproductive health (SRH) needs of female sex workers (FSWs) to inform the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention in this population. Design and setting The ANRS 12361 PrEP-CI cross-sectional and mixed-methods study was designed and implemented with two community-based organisations in Côte d’Ivoire. Participants A convenience sample of 1000 FSWs aged ≥18, not known as HIV-positive, completed a standardised questionnaire assessing sociodemographic characteristics, sexual practices, use of community health services and a priori acceptability of PrEP. Twenty-two indepth interviews and eight focus group discussions were also conducted to document FSWs’ risky practices and sexual behaviours, experiences with violence and discrimination, attitudes regarding HIV and sexually transmitted infections (STIs), and barriers to SRH services. Results Although 87% described consistent condom use with clients, more than 22% declared accepting condomless sexual intercourse for a large sum of money. Furthermore, condom use with their steady partner and knowledge of their partner’s HIV status were low despite their acknowledged concurrent sexual partnerships. While inconsistent condom use exposed FSWs to STIs and undesired pregnancies, the prevalence of contraceptive strategies other than condoms was low (39%) due to fear of contraception causing sterility. FSWs faced obstacles to accessing SRH care and preferred advice from their peers or self-medication. Conclusions Despite adoption of preventive behaviour in most cases, FSWs are still highly exposed to HIV. Furthermore, FSWs seem to face several barriers to accessing SRH. Implementing PrEP among FSWs in West Africa, such as in Côte d’Ivoire, constitutes an opportunity to consider the regular follow-up of HIV-negative FSWs. PrEP initiation should not condition access to SRH services; conversely, SRH services could be a way to attract FSWs into HIV prevention. Our …
doi: 10.1136/bmjopen-2018-028508
citation key: becquetSexualHealthNeeds2020
short title: Sexual health needs of female sex workers in Côte d’Ivoire
language: en
creator: Person
author list: Person
author list: ANRS 12361 PrEP-CI Study group
creator: ANRS 12361 PrEP-CI Study group
is part of: Issue
  date: 2020/01/01
  volume: 10
  issue: 1
  is part of: BMJ Open
    type: Journal
    issn: 2044-6055, 2044-6055

Person
given name: Valentine
surname: Becquet

Person
given name: Marcellin
surname: Nouaman

Person
given name: Mélanie
surname: Plazy

Person
given name: Jean-Marie
surname: Masumbuko

Person
given name: Camille
surname: Anoma

Person
given name: Soh
surname: Kouame

Person
given name: Christine
surname: Danel

Person
given name: Serge Paul
surname: Eholie

Person
given name: Joseph
surname: Larmarange

ANRS 12361 PrEP-CI Study group
type: Organization