The short-term effects of COVID-19 on HIV and AIDS control efforts among female sex workers in Indonesia

• DOI: 10.1186/s12905-021-01583-z
• Publication Date: 2022-01-26T17:02:32Z
• Authors: Robert J. Magnani; Dewa Nyoman Wirawan; Anak Agung Sagung...; I. Gusti Agung Ag...; Dewi Susanti; Ni Kadek Ayu Dwi ...; Dedison Asanab; Jessie Olivia Yunus; Cahyo Heri Setiabudi; Adi Nugroho; Asti Setiawati Wi...; Oldri Sherli Mukuan; Pande Putu Januraga
• Keywords: Pandemic

Abstract Background The COVID-19 pandemic has raised concerns as to its impact on other health programs. One program that appears particularly vulnerable is HIV and AIDS. We undertook an assessment of control efforts in Indonesia for a sub-population received little attention the global literature—female sex workers (FSW). Methods study was undertaken 23 National AIDS priority districts. Four sources monthly data during January–July 2020 were considered. infection extracted from national district surveillance systems. Combination prevention outputs reported by civil society organizations (CSOs) providing community support services FSW. These also scans levels commercial activity testing availability. considered ongoing screening trial. primary mode analysis entailed comparisons trends indicators four series. Results Commercial severely curtailed April–May many While recovering pre-COVID-19 “Localization” areas, number active FSW July one-third below February. service availability declined 50% at facilities before slowly, while mobile clinic largely ceased April–June. Numbers reached, condoms distributed, tested HIV, cases detected, starting treatment all precipitously April/May but had recovered July. found only temporary dip initiation rates among positive no discernible retention. trial revealed significant demand not being met even onset COVID-19. Conclusions least short-run economic effects response targeting However, appear have been cushioned community-based findings make compelling case expansion irrespective future trajectory As yet contained, delivery uncertain.