Attracting female sex workers to HIV testing and counselling in Ethiopia: a qualitative study with sex workers in Addis Ababa
Attracting female sex workers to HIV testing and counselling in Ethiopia: a qualitative study with sex workers in Addis Ababa
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DOI：
10.2989/16085906.2015.1040809
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发表时间：
2015-01-01
影响因子：
1.2
通讯作者：
Taegtmeyer, Miriam
中科院分区：
文献类型：
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作者：
Ameyan, Wole;Jeffery, Caroline;Taegtmeyer, Miriam
尽管埃塞俄比亚不断努力为大多数高危人群增加艾滋病毒检测和咨询（HTC）服务，但女性性工作者（FSW）对这些服务的使用率仍然很低。随着亚的斯凯特马的 FSW 数量不断增加，人们对他们的高风险行为感到担忧，探索和解决吸收障碍至关重要。这项定性研究探讨了利用 HTC 设施的障碍，并通过对女性性工作者、医疗保健工作者和关键信息提供者进行深入和半结构化访谈，确定了寻求 HTC 的 FSW 的动机和动因。结果表明，FSW 面临着许多障碍，包括如果检测呈阳性，则无法寻求治疗，因为许多人没有身份证（ID）。许多 FSW 报告称，医护人员存在歧视行为，而且缺乏专门的服务。从调查结果中可以清楚地看出，需要采取与更广泛人群不同的独特策略来吸引 FSW 策略，这些策略考虑到障碍并最大限度地提高报告的动机和测试动机。
Despite growing efforts to increase HIV testing and counselling (HTC) services for most at risk populations in Ethiopia, the use of these services by female sex workers (FSWs) remains low. With rising numbers of FSWs in Addis Ketema and concerns about their high risk behaviours, exploring and addressing the barriers to uptake is crucial. This qualitative study explores the barriers to utilising HTC facilities and identifies the motives and motivations of FSWs who seek HTC through in-depth and semi-structured interviews with female sex workers, healthcare workers and key informants. Results indicate that FSWs face numerous barriers including inability to seek treatment if found to be positive due to the requirement of an identity (ID) card many do not own. Many FSWs reported discriminatory behaviour from healthcare workers and a lack of dedicated services. What is clear from the findings is that distinct strategies, which differ from those of the broader population, are required to attract FSWs strategies which take into account the barriers and maximise the reported motives and motivations for testing.