Barriers to HIV and sexual and reproductive health care for female sex workers in Tete, Mozambique : results from a cross-sectional survey and focus group discussions

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dc.contributor.authorLafort, Yvesen_ZA
dc.contributor.authorLessitala, Faustinoen_ZA
dc.contributor.authorCandrinho, Balthazaren_ZA
dc.contributor.authorGreener, Letitiaen_ZA
dc.contributor.authorGreener, Rossen_ZA
dc.contributor.authorBeksinska, Magsen_ZA
dc.contributor.authorSmit, Jenni A.en_ZA
dc.contributor.authorChersich, Matthewen_ZA
dc.contributor.authorDelva, Wimen_ZA
dc.date.accessioned2017-08-02T09:40:54Z
dc.date.available2017-08-02T09:40:54Z
dc.date.issued2016
dc.descriptionCITATION: Lafort, Y., et al. 2016. Barriers to HIV and sexual and reproductive health care for female sex workers in Tete, Mozambique : results from a cross-sectional survey and focus group discussions. BMC Public Health, 16:608, doi:10.1186/s12889-016-3305-5.
dc.descriptionThe original publication is available at https://bmcpublichealth.biomedcentral.com
dc.description.abstractBackground: In the context of an operational research project in Tete, Mozambique, use of, and barriers to, HIV and sexual and reproductive health (HIV/SRH) commodities and services for female sex workers (FSWs) were assessed as part of a baseline situational analysis. Methods: In a cross-sectional survey 311 FSWs were recruited using respondent driven sampling and interviewed face-to-face, and three focus group discussions were held with respectively 6 full-time Mozambican, 7 occasional Mozambican and 9 full-time Zimbabwean FSWs, to investigate use of, and barriers to, HIV/SRH care. Results: The cross-sectional survey showed that 71 % of FSWs used non-barrier contraception, 78 % sought care for their last sexually transmitted infection episode, 51 % of HIV-negative FSWs was tested for HIV in the last 6 months, 83 % of HIV-positive FSWs were in HIV care, 55 % sought help at a health facility for their last unwanted pregnancy and 48 % after sexual assault, and none was ever screened for cervical cancer. Local public health facilities were by far the most common place where care was sought, followed by an NGO-operated clinic targeting FSWs, and places outside the Tete area. In the focus group discussions, FSWs expressed dissatisfaction with the public health services, as a result of being asked for bribes, being badly attended by some care providers, stigmatisation and breaches of confidentiality. The service most lacking was said to be termination of unwanted pregnancies. Conclusions: The use of most HIV and SRH services is insufficient in this FSW population. The public health sector is the main provider, but access is hampered by several barriers. The reach of a FSW-specific NGO clinic is limited. Access to, and use of, HIV and SRH services should be improved by reducing barriers at public health facilities, broadening the range of services and expanding the reach of the targeted NGO clinic.en_ZA
dc.description.urihttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3305-5
dc.description.versionPublisher's version
dc.format.extent8 pages
dc.identifier.citationLafort, Y., et al. 2016. Barriers to HIV and sexual and reproductive health care for female sex workers in Tete, Mozambique : results from a cross-sectional survey and focus group discussions. BMC Public Health, 16:608, doi:10.1186/s12889-016-3305-5
dc.identifier.issn1471-2458 (online)
dc.identifier.otherdoi:10.1186/s12889-016-3305-5
dc.identifier.urihttp://hdl.handle.net/10019.1/102035
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectSex workers -- Health and hygiene -- Mozambiqueen_ZA
dc.subjectReproductive health services -- Mozambiqueen_ZA
dc.subjectSexual health -- Mozambiqueen_ZA
dc.subjectPublic health -- Mozambiqueen_ZA
dc.subjectHIV-positive women -- Services for -- Mozambiqueen_ZA
dc.titleBarriers to HIV and sexual and reproductive health care for female sex workers in Tete, Mozambique : results from a cross-sectional survey and focus group discussionsen_ZA
dc.typeArticleen_ZA
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