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

English version

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
prolekare.web.journal.doi_sk: 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 – HIV diagnosis and management – Tanzania – Health education and awareness – Social systems – HIV prevention – HIV clinical manifestations

Zdroje

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