Data and methods to characterize the role of sex work and to inform sex work programs in generalized HIV epidemics: evidence to challenge assumptions
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): S.Mishra, M.C.Boily, S.Schwartz, C.Beyrer, J.F.Blanchard, S.Moses, D.Castor, N.Phaswana-Mafuya, P.Vickerman, F.Drame, M.Alary, S.D.Baral
KEYWORDS: HIV/AIDS, SEX WORKERS
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 9293
HANDLE: 20.500.11910/9921
URI: http://hdl.handle.net/20.500.11910/9921
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
In the context of generalized human immunodeficiency virus (HIV) epidemics, there has been limited recent investment in HIV surveillance and prevention programming for key populations including female sex workers. Often implicit in the decision to limit investment in these epidemic settings are assumptions including that commercial sex is not significant to the sustained transmission of HIV, and HIV interventions designed to reach 'all segments of society' will reach female sex workers and clients. Emerging empiric and model-based evidence is challenging these assumptions. This article highlights the frameworks and estimates used to characterize the role of sex work in HIV epidemics as well as the relevant empiric data landscape on sex work in generalized HIV epidemics and their strengths and limitations. Traditional approaches to estimate the contribution of sex work to HIV epidemics do not capture the potential for upstream and downstream sexual and vertical HIV transmission. Emerging approaches such as the transmission population attributable fraction from dynamic mathematical models can address this gap. To move forward, the HIV scientific community must begin by replacing assumptions about the epidemiology of generalized HIV epidemics with data and more appropriate methods of estimating the contribution of unprotected sex in the context of sex work.-
Related Research Outputs:
- Coping with HIV/AIDS in Durban's commercial sex industry
- Characterizing strategies to prevent mother to child HIV transmission among female sex workers in the Eastern Cape
- MAC AIDS prevention of HIV mother to child transmission needs of female sex workers
- HIV vertical transmission risks among South African female sex workers
- Programmatic mapping and size estimation study of key populations in South Africa: sex workers (male and female), men who have sex with men, persons who inject drugs and transgender people
- Engagement in the HIV care cascade and barriers to antiretroviral therapy uptake among female sex workers in Port Elizabeth, South Africa: findings from a respondent-driven sampling study
- Time for the next steps
- Impacts and interventions: the HIV/AIDS epidemic and the children of South Africa
- Children and HIV/AIDS
- Impacts and interventions: the HIV/AIDS epidemic and the children of South Africa
- Managing chronic diseases in less developed countries: healthy teamworking and patient partnership are just as important as adequate funding
- Nelson Mandela/HSRC study of HIV/AIDS: South African national HIV prevalence, behavioural risks and mass media: household survey 2002
- Sickness, death and poverty - our bequest to orphans
- Sex & risk: facilitator's manual: an HIV/AIDS risk reduction programme for tertiary level students
- Sex & risk: student's workbook an HIV/AIDS risk reduction programme for tertiary level students
- HIV/AIDS and land: case studies from Kenya, Lesotho and South Africa
- The views of selected Government Departments on the need and use of HIV/AIDS indicators and potential impact of HIV/AIDS on their function
- Proposed indicators to monitor the social impact and other aspects of HIV/AIDS in South Africa
- Evaluation of the quality of care for sexually transmitted infections in primary health care centres in South Africa
- Review of HIV/AIDS policy and the implementation of programmes in South Africa