Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City.
Background: Sex work is a global driver of the HIV epidemic, and the risk of acquiring HIV is 13 times higher for female sex workers (FSWs) compared to the general population. The enrollment and retention of FSWs in HIV care is a challenge and has been a major contributing factor to increased new HI...
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| Format: | Article |
| Language: | English |
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Kabale University
2024
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| Online Access: | http://hdl.handle.net/20.500.12493/2330 |
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| author | Arinaitwe, Bridget Ariho, Philbert Naturinda, Christine Hilda Byoleko, Brian Base, Anitah Atwijukiire, Humphrey Matavu, Hariat Kabami, Jane Obua, Celestine Wakida, Edith K. Otwine, Anne |
| author_facet | Arinaitwe, Bridget Ariho, Philbert Naturinda, Christine Hilda Byoleko, Brian Base, Anitah Atwijukiire, Humphrey Matavu, Hariat Kabami, Jane Obua, Celestine Wakida, Edith K. Otwine, Anne |
| author_sort | Arinaitwe, Bridget |
| collection | KAB-DR |
| description | Background: Sex work is a global driver of the HIV epidemic, and the risk of acquiring HIV is 13 times higher for female sex workers (FSWs) compared to the general population. The enrollment and retention of FSWs in HIV care is a challenge and has been a major contributing factor to increased new HIV infections.
Methods: We conducted a qualitative study among 30 FSWs and 21 healthcare workers (HCWs) working in antiretroviral therapy (ART) clinics at the selected three primary health facilities in Mbarara City, Southwestern Uganda. The study participants were enrolled by both purposive and snowball sampling techniques. We obtained informed consent from all the participants, and data were collected using in-depth interviews and thematically analyzed.
Results: Three themes emerged as facilitators toward enrollment and retention of FSWs into HIV care, namely, (1) good health living, (2) receptive HCWs and availability of health services, and (3) community outreach services and peer support. The barriers are summarized into four major themes: (1) stigma, community discrimination, and beliefs; (2) social obstacles; (3) adverse effects of
ART; and (4) inadequate services at the health facilities.
Conclusion: FSWs are challenged by unsupportive environments and communities where they live and work, which hinders their enrollment and retention in HIV care. Creating awareness of the utilization of HIV care services and extending such services
to hotspot communities could enhance the response of HIV-positive FSWs to ART. |
| format | Article |
| id | oai:idr.kab.ac.ug:20.500.12493-2330 |
| institution | KAB-DR |
| language | English |
| publishDate | 2024 |
| publisher | Kabale University |
| record_format | dspace |
| spelling | oai:idr.kab.ac.ug:20.500.12493-23302024-10-21T12:36:44Z Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. Arinaitwe, Bridget Ariho, Philbert Naturinda, Christine Hilda Byoleko, Brian Base, Anitah Atwijukiire, Humphrey Matavu, Hariat Kabami, Jane Obua, Celestine Wakida, Edith K. Otwine, Anne HIV Healthcare Female sex Workers Enrollment Retention Mbarara City Background: Sex work is a global driver of the HIV epidemic, and the risk of acquiring HIV is 13 times higher for female sex workers (FSWs) compared to the general population. The enrollment and retention of FSWs in HIV care is a challenge and has been a major contributing factor to increased new HIV infections. Methods: We conducted a qualitative study among 30 FSWs and 21 healthcare workers (HCWs) working in antiretroviral therapy (ART) clinics at the selected three primary health facilities in Mbarara City, Southwestern Uganda. The study participants were enrolled by both purposive and snowball sampling techniques. We obtained informed consent from all the participants, and data were collected using in-depth interviews and thematically analyzed. Results: Three themes emerged as facilitators toward enrollment and retention of FSWs into HIV care, namely, (1) good health living, (2) receptive HCWs and availability of health services, and (3) community outreach services and peer support. The barriers are summarized into four major themes: (1) stigma, community discrimination, and beliefs; (2) social obstacles; (3) adverse effects of ART; and (4) inadequate services at the health facilities. Conclusion: FSWs are challenged by unsupportive environments and communities where they live and work, which hinders their enrollment and retention in HIV care. Creating awareness of the utilization of HIV care services and extending such services to hotspot communities could enhance the response of HIV-positive FSWs to ART. 2024-10-21T12:36:41Z 2024-10-21T12:36:41Z 2024 Article Arinaitwe, Bridget et al. (2023). Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. Kabale: Kabale University. http://hdl.handle.net/20.500.12493/2330 en application/pdf Kabale University |
| spellingShingle | HIV Healthcare Female sex Workers Enrollment Retention Mbarara City Arinaitwe, Bridget Ariho, Philbert Naturinda, Christine Hilda Byoleko, Brian Base, Anitah Atwijukiire, Humphrey Matavu, Hariat Kabami, Jane Obua, Celestine Wakida, Edith K. Otwine, Anne Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. |
| title | Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. |
| title_full | Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. |
| title_fullStr | Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. |
| title_full_unstemmed | Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. |
| title_short | Enrollment and Retention of Female Sex Workers in HIV Care in Health Facilities in Mbarara City. |
| title_sort | enrollment and retention of female sex workers in hiv care in health facilities in mbarara city |
| topic | HIV Healthcare Female sex Workers Enrollment Retention Mbarara City |
| url | http://hdl.handle.net/20.500.12493/2330 |
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