Factors Associated with Retention in HIV Prevention and Treatment Clinical Services Among Female Sex Workers Enrolled in a Sex Workers’ Outreach Program (SWOP) in Nairobi, Kenya
Female sex workers (FSWs) are among the key populations (KP) prioritized for comprehensive HIV programming in Kenya. Retention in the program is critical for prevention of HIV acquisition and transmission among FSWs and their sexual partners. We conducted a retrospective cohort analysis of data coll...
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| Veröffentlicht in: | AIDS and behavior 2022-09, Vol.26 (9), p.2969-2980 |
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| creator | Eshikumo, Patrick Awuor, Patrick Blanco, Natalia Lavoie, Marie-Claude Whittington, Anna Wangusi, Rebecca Kimani, Joshua Ngunu, Caroline Omai, Jesca Obwiri, Wycliffe Mutisya, Immaculate Koech, Emily |
| description | Female sex workers (FSWs) are among the key populations (KP) prioritized for comprehensive HIV programming in Kenya. Retention in the program is critical for prevention of HIV acquisition and transmission among FSWs and their sexual partners. We conducted a retrospective cohort analysis of data collected from FSWs enrolled between October 2016 and September 2017 at seven drop-in centers (DICs) in Nairobi, Kenya, to assess factors associated with retention in HIV prevention and treatment services. We found a 3- and 12- month retention of 24% and 17%, respectively. FSWs aged 20–34 years old were less likely to be retained compared to those 50 years or older. FSWs enrolled in a DIC located in their sub-county of residence or reporting ever using HIV pre- or post-exposure prophylaxis were more likely to be retained. Engaging young FSWs to identify strategies to enhance retention should be prioritized. Strengthening the referral system across DICs may provide opportunities to enhance retention in facilities closer to their residence. Implementation research is needed to gain an additional understanding of the health services needs and preferences among FSWs to optimize retention for this population. |
| doi_str_mv | 10.1007/s10461-022-03654-0 |
| format | Article |
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Retention in the program is critical for prevention of HIV acquisition and transmission among FSWs and their sexual partners. We conducted a retrospective cohort analysis of data collected from FSWs enrolled between October 2016 and September 2017 at seven drop-in centers (DICs) in Nairobi, Kenya, to assess factors associated with retention in HIV prevention and treatment services. We found a 3- and 12- month retention of 24% and 17%, respectively. FSWs aged 20–34 years old were less likely to be retained compared to those 50 years or older. FSWs enrolled in a DIC located in their sub-county of residence or reporting ever using HIV pre- or post-exposure prophylaxis were more likely to be retained. Engaging young FSWs to identify strategies to enhance retention should be prioritized. Strengthening the referral system across DICs may provide opportunities to enhance retention in facilities closer to their residence. Implementation research is needed to gain an additional understanding of the health services needs and preferences among FSWs to optimize retention for this population.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-022-03654-0</identifier><identifier>PMID: 35299260</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Attrition ; Cohort analysis ; Disease prevention ; Disease transmission ; Drop-in centers ; Female ; Females ; Health Psychology ; Health services ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Kenya - epidemiology ; Medicine ; Medicine & Public Health ; Original Paper ; Prevention ; Prophylaxis ; Prostitution ; Public Health ; Residence ; Retention ; Retrospective Studies ; Sex industry ; Sex Workers ; Sexual behavior ; Sexual Partners ; Sexually transmitted diseases ; STD ; Womens health ; Workers ; Young Adult</subject><ispartof>AIDS and behavior, 2022-09, Vol.26 (9), p.2969-2980</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-83cda6c091b230a359b143458d910b41a3e4d8f4509a7ed0fb5ec0c55e3ae393</citedby><cites>FETCH-LOGICAL-c419t-83cda6c091b230a359b143458d910b41a3e4d8f4509a7ed0fb5ec0c55e3ae393</cites><orcidid>0000-0003-0505-3526</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-022-03654-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-022-03654-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27344,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35299260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eshikumo, Patrick</creatorcontrib><creatorcontrib>Awuor, Patrick</creatorcontrib><creatorcontrib>Blanco, Natalia</creatorcontrib><creatorcontrib>Lavoie, Marie-Claude</creatorcontrib><creatorcontrib>Whittington, Anna</creatorcontrib><creatorcontrib>Wangusi, Rebecca</creatorcontrib><creatorcontrib>Kimani, Joshua</creatorcontrib><creatorcontrib>Ngunu, Caroline</creatorcontrib><creatorcontrib>Omai, Jesca</creatorcontrib><creatorcontrib>Obwiri, Wycliffe</creatorcontrib><creatorcontrib>Mutisya, Immaculate</creatorcontrib><creatorcontrib>Koech, Emily</creatorcontrib><title>Factors Associated with Retention in HIV Prevention and Treatment Clinical Services Among Female Sex Workers Enrolled in a Sex Workers’ Outreach Program (SWOP) in Nairobi, Kenya</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Female sex workers (FSWs) are among the key populations (KP) prioritized for comprehensive HIV programming in Kenya. Retention in the program is critical for prevention of HIV acquisition and transmission among FSWs and their sexual partners. We conducted a retrospective cohort analysis of data collected from FSWs enrolled between October 2016 and September 2017 at seven drop-in centers (DICs) in Nairobi, Kenya, to assess factors associated with retention in HIV prevention and treatment services. We found a 3- and 12- month retention of 24% and 17%, respectively. FSWs aged 20–34 years old were less likely to be retained compared to those 50 years or older. FSWs enrolled in a DIC located in their sub-county of residence or reporting ever using HIV pre- or post-exposure prophylaxis were more likely to be retained. Engaging young FSWs to identify strategies to enhance retention should be prioritized. Strengthening the referral system across DICs may provide opportunities to enhance retention in facilities closer to their residence. Implementation research is needed to gain an additional understanding of the health services needs and preferences among FSWs to optimize retention for this population.</description><subject>Adult</subject><subject>Attrition</subject><subject>Cohort analysis</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Drop-in centers</subject><subject>Female</subject><subject>Females</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Kenya - epidemiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Prevention</subject><subject>Prophylaxis</subject><subject>Prostitution</subject><subject>Public 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Emily</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Associated with Retention in HIV Prevention and Treatment Clinical Services Among Female Sex Workers Enrolled in a Sex Workers’ Outreach Program (SWOP) in Nairobi, Kenya</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2022-09-01</date><risdate>2022</risdate><volume>26</volume><issue>9</issue><spage>2969</spage><epage>2980</epage><pages>2969-2980</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>Female sex workers (FSWs) are among the key populations (KP) prioritized for comprehensive HIV programming in Kenya. Retention in the program is critical for prevention of HIV acquisition and transmission among FSWs and their sexual partners. We conducted a retrospective cohort analysis of data collected from FSWs enrolled between October 2016 and September 2017 at seven drop-in centers (DICs) in Nairobi, Kenya, to assess factors associated with retention in HIV prevention and treatment services. We found a 3- and 12- month retention of 24% and 17%, respectively. FSWs aged 20–34 years old were less likely to be retained compared to those 50 years or older. FSWs enrolled in a DIC located in their sub-county of residence or reporting ever using HIV pre- or post-exposure prophylaxis were more likely to be retained. Engaging young FSWs to identify strategies to enhance retention should be prioritized. Strengthening the referral system across DICs may provide opportunities to enhance retention in facilities closer to their residence. 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| ispartof | AIDS and behavior, 2022-09, Vol.26 (9), p.2969-2980 |
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| subjects | Adult Attrition Cohort analysis Disease prevention Disease transmission Drop-in centers Female Females Health Psychology Health services HIV HIV Infections - epidemiology HIV Infections - prevention & control Human immunodeficiency virus Humans Infectious Diseases Kenya - epidemiology Medicine Medicine & Public Health Original Paper Prevention Prophylaxis Prostitution Public Health Residence Retention Retrospective Studies Sex industry Sex Workers Sexual behavior Sexual Partners Sexually transmitted diseases STD Womens health Workers Young Adult |
| title | Factors Associated with Retention in HIV Prevention and Treatment Clinical Services Among Female Sex Workers Enrolled in a Sex Workers’ Outreach Program (SWOP) in Nairobi, Kenya |
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