Pre- and post-exposure prophylaxes (PrEP PEP) can reduce the risk of HIV acquisition, yet often are inaccessible to underutilized by most-vulnerable populations, including sex workers in sub-Saharan Africa. Based on in-depth interviews with 21 female 23 male HIV-negative Mombasa, Kenya, we found that awareness knowledge PrEP PEP were low, although willingness use both was high. Participants felt would be empowering give added protection against infection, some expressed concerns about side...

In the context of an operational research project in Tete, Mozambique, use of, and barriers to, HIV sexual reproductive health (HIV/SRH) commodities services for female sex workers (FSWs) were assessed as part a baseline situational analysis.In cross-sectional survey 311 FSWs recruited using respondent driven sampling interviewed face-to-face, three focus group discussions held with respectively 6 full-time Mozambican, 7 occasional Mozambican 9 Zimbabwean FSWs, to investigate HIV/SRH...

Different models exist to provide HIV/STI services for most-at-risk populations (MARP). Along the Tete traffic corridor in Mozambique, linking Malawi and Zimbabwe, a night clinic opening between 4 10 PM was established targeting female sex workers (FSW) long-distance truck drivers (LDD). The offers free individual education counselling, condoms, STI care, HIV testing, contraceptive outreach peer education. To evaluate this model, we assessed relevance, service utilisation, efficiency...

Female sex workers (FSWs) are extremely vulnerable to adverse sexual and reproductive health (SRH) outcomes. To mitigate these risks, they require access services covering not only HIV prevention but also contraception, cervical cancer screening violence. develop context-specific intervention packages improve uptake, we identified gaps in service utilization four different cities. A cross-sectional survey was conducted, as part of the baseline assessment an implementation research project....

Background A baseline cross-sectional survey among female sex workers (FSWs) was conducted in four cities within the context of an implementation research project aiming to improve FSWs' access HIV, and sexual reproductive health (SRH) services. The measured where FSWs seek HIV/SRH care what motivates their choice. Methods Using respondent-driven sampling (RDS), FWSs were recruited Durban, South Africa (n = 400), Tete, Mozambique 308), Mombasa, Kenya 400) Mysore, India 458) interviewed....

The follow-up of HIV-exposed infants remains a public health challenge in many Sub-Saharan countries. Just as integrated antenatal and maternity services have contributed to improved care for HIV-positive pregnant women, so too could mother infant after birth improve infants. We present results study testing the viability such care, its effects on infants, Tete Province, Mozambique. Between April 2009 September 2010, we conducted mixed-method, intervention-control six rural primary...

To identify gaps in the use of HIV prevention and care services commodities for female sex workers, we conducted a baseline cross-sectional survey four cities, context an implementation research project aiming to improve sexual reproductive health services.Using respondent-driven sampling, 400 workers were recruited Durban, 308 Tete, Mombasa 458 Mysore interviewed face-to-face. RDS-adjusted proportions estimated by nonparametric bootstrapping compared across cities using post hoc pairwise...

To enhance uptake of sexual and reproductive health (SRH) services by female sex workers (FSWs), we conducted an implementation study in which piloted tested context-specific 'diagonal' interventions, combining vertical, targeted interventions with horizontally improved access to the general services, three cities sub-Saharan Africa.We collected indicators SRH service through face-to-face interviews approximately 400 FSWs, pre- post-intervention, Durban, South Africa; Tete, Mozambique;...

Background Plasmid-mediated and chromosomal-mediated resistance of Neisseria gonorrhoeae to penicillin, tetracycline, thiamphenicol, trimethoprim-sulfamethoxazole has spread dramatically in Africa. Monitoring antimicrobial susceptibility is a key element the control sexually transmitted diseases. Goal To document susceptibilities gonococci isolated during past 15 years Kigali, Rwanda. Study Design Minimal inhibitory concentrations recently collected gonococcal isolates eight antimicrobials...

This study aims to assess inequity in expenditure on sexual and reproductive health (SRH) services India Kenya. In addition, this analysis measure the extent which payments are catastrophic explore coping mechanisms used finance spending. Data for were collected as a part of situational "Diagonal Interventions Fast Forward Enhanced Reproductive Health" (DIFFER) project, multi-country project with fieldwork sites three African sites; Mombasa (Kenya), Durban (South Africa) Tete (Mozambique),...

Introduction Women in developing countries continue to face barriers accessing sexual and reproductive health (SRH) services, with marginalized women facing increased challenges care. The Diagonal Interventions Fast-Forward Enhanced Reproductive Health (DIFFER) project implemented a package of interventions for female sex workers from the general population which integrated horizontal services existing vertical targeted aimed at an aim improve SRH HIV services. We present outcome evaluation...

In the context of an implementation research project aiming at improving use HIV and sexual reproductive health (SRH) services for female sex workers (FSWs), a broad situational analysis was conducted in Tete, Mozambique, assessing if are adapted to needs FSWs. Methods comprised (1) policy including review national guidelines interviews with makers, (2) facility assessments 6 public 1 private facilities, clinic specifically targeting FSWs, consisting audit checklist, 18 HIV/SRH care...

Background Retention in anti-retroviral therapy (ART) presents a challenge sub-Saharan Africa. In Mozambique, after roll-out to peripheral facilities, the 12-month retention rate was reported mostly from sites with an electronic patient tracking system (EPTS), representing only 65% of patients. We conducted nationally representative study, compared at EPTS and non-EPTS sites, its predictors. Methods Applying proportionate population size sampling strategy, we obtained sample patients who...

Male sex workers (MSWs) and male clients (MCMs) who engage their services face increased vulnerability to violence in Kenya, where same-sex practices work are criminalized. However, little is known about how might arise negotiations between MSWs MCMs. This study explored the types of victimization experienced by MCMs, contexts which these experiences occurred, responses among groups. We conducted in-depth interviews with 25 11 MCMs recruited at bars clubs identified peer worker educators as...

Female and male sex workers are at elevated risk for HIV infection, psychological distress other adverse health outcomes. It is therefore important to understand how workers' social relationships with one another might inform psychosocial support services this population. We conducted semi-structured interviews examine the formation nature of networks 25 female recruited from bars clubs in Mombasa, Kenya. Relationships between among participants were often formed based on a mutual...

Background Female sex workers (FSWs) have high risks for adverse sexual and reproductive health (SRH) outcomes, yet low access to services. Within an implementation research project enhancing uptake of SRH services by FSWs, we piloted a 'diagonal' intervention, which combined strengthening FSW-targeted (vertical) with making public facilities more FSW-friendly (horizontal), tested its effect. Methods The study applied convergent parallel mixed-methods design assess changes in Results...

The need to translate research into policy, i.e. making findings a driving force in agenda-setting and policy change, is increasingly acknowledged. However, little known about translation mechanisms the field of sexual reproductive health (SRH) outside North American or European contexts. This paper seeks give an overview existing knowledge on this topic as well document practical challenges remedies from perspectives researchers involved four SRH consortium projects Latin America,...

Self-testing has been promoted as a means of increasing COVID-19 test coverage. In Belgium, self-testing was recommended complement to the formal, provider-administered indications, such out courtesy before meeting others and when feared be infected. More than year after introduction their place in strategy evaluated.We assessed trends number self-tests sold, positive reported, proportion sold self-tests/total tests, all tests that were confirmed self-tests. To evaluate reason why people use...

Female sex workers (FSWs) in many settings have restricted access to sexual and reproductive health (SRH) services. We therefore conducted an implementation study test a 'diagonal' intervention which combined strengthening of FSW-targeted services (vertical) with making public facilities more FSW-friendly (horizontal). piloted it over 18 months then assessed its performance.Applying convergent parallel mixed-methods design, we triangulated the results analysis process indicators,...

Summary Objectives To evaluate the quality and usefulness of integrated sexually transmitted infection (STI) care at non‐governmental family planning (FP) clinics in Côte d'Ivoire. Methods Evaluation components included: (1) a survey measuring prevalence STI predictive value Ivorian vaginal discharge treatment algorithm, (2) client exit interviews, (3) direct observations client–provider contacts, (4) monitoring clinics’ workload available equipment supplies (5) interviews programme managers...