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:
https://doi.org/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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