Facilitators and barriers to linkage to HIV care and treatment among female sex workers in a community-based HIV prevention intervention in Tanzania: A qualitative study


Autoři: Daniel Nyato aff001;  Soori Nnko aff001;  Albert Komba aff002;  Evodius Kuringe aff001;  Marya Plotkin aff002;  Gaspar Mbita aff002;  Amani Shao aff001;  John Changalucha aff001;  Mwita Wambura aff001
Působiště autorů: Department of Sexual and Reproductive Health, National Institute for Medical Research, Mwanza Centre, Mwanza, Tanzania aff001;  Jhpiego Tanzania - An Affiliate of Johns Hopkins University, Dar-es-Salaam, Tanzania aff002
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0219032

Souhrn

Background

HIV-infected female sex workers (FSWs) have poor linkage to HIV care in sub-Sahara Africa.

Methods

We conducted 21 participatory group discussions (PGDs) to explore factors influencing linkage to HIV care among FSWs tested for HIV through a comprehensive community-based HIV prevention project in Tanzania.

Results

Influences on linkage to care were present at the system, societal and individual levels. System-level factors included unfriendly service delivery environment, including lengthy pre-enrolment sessions, concerns about confidentiality, stigmatising attitudes of health providers. Societal-level factors included myths and misconceptions about ART and stigma. On the individual level, most notable was fear of not being able to continue to have a livelihood if one’s status were to be known. Facilitators were noted, including the availability of transport to services, friendly health care providers and peer-support referral and networks.

Conclusion

Findings of this study underscore the importance of peer-supported linkages to HIV care and the need for respectful, high-quality care.

Klíčová slova:

Health care providers – Health education and awareness – HIV clinical manifestations – HIV diagnosis and management – HIV prevention – Social systems – Tanzania


Zdroje

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2019 Číslo 11