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Perceptions of introducing HIVST and peer-led delivery model amongst female sex workers in rural and urban districts in southern Malawi


Author
Lora et al.

Publication year
2017

Country

Type of approach
Dual

Type of assistance
n/a

Specimen
n/a

Study population
Key population: Female sex workers

Study design
Values and preferences

Sample size
135

UNAIDS HIV prevalence (2017)
9.1 [8.4 - 9.9]

Methodology
Rapid Ethnographic Assessment (REA) was employed amongst female sex workers (FSWs) (n=34) and venue owners (n=101) in two rural and one urban districts in southern Malawi for a three-month period. Participant observations were conducted in bars, rest houses and clubs where FSWs hang out or reside for a period of one month in each district. Data analysis was done using a thematic framework simultaneous with data collection.

Summary of findings
Female sex workers (FSWs) and venue owners believed HIVST could provide convenience and increase opportunity for regular testing. However, lack of immediate support after HIV-positive diagnosis was identified as a potential social harm due to HIVST. A peer-led delivery model was perceived as an option for delivering HIVST to hard to reach FSWs, but mistrust and storage of HIVST kits were barriers to implementation. FSWs and venue owners, suggested health providers and venues owners should be incorporated in the model. FSWs also wanted the model to recognize and accommodate different types of sex work.

Acceptability
n/a

Acceptability details
n/a

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
n/a

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
n/a


Study status
Completed

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