Assessing and Addressing Social Determinants of HIV among Female Sex Workers in the Dominican Republic and Tanzania through Community Empowerment-Based Responses
Authors:
- Deanna KerriganDKDeanna Kerrigan
- Yeycy DonastorgYDYeycy Donastorg
- Clare BarringtonCBClare Barrington
- Martha PerezMPMartha Perez
- Hoisex GomezHGHoisex Gomez
- Jessie MbwamboJMJessie Mbwambo
- Samuel LikindikokiSLSamuel Likindikoki
- Andrea MantsiosAMAndrea Mantsios
- S. Wilson BeckhamSBS. Wilson Beckham
- Anna LeddyALAnna Leddy
- Tahilin Sanchez KarverTKTahilin Sanchez Karver
- Noya GalaiNGNoya Galai
- 18 February 2020
- journal article
- research article
- Published by Springer Nature in Current HIV/AIDS Reports
- Vol. 17 (2) , 88-96
Abstract
Purpose of Review This review describes social determinants of HIV in two geographic and epidemic settings, the Dominican Republic (DR) and Tanzania, among female sex workers (FSW), their influence on HIV outcomes including 90-90-90 goals, and the development and impact of tailored, context driven, community empowerment-based responses in each setting. Recent Findings Our review documents the significance of social determinants of HIV including sex work-related stigma, discrimination, and violence and the impact of community empowerment-based approaches on HIV incidence in Tanzania and other HIV prevention, treatment, and care outcomes, including care engagement and adherence, in the DR and Tanzania. Summary Community empowerment approaches where FSW drive the response to HIV and strategically engage partners to target socio-structural and environmental factors can have a demonstrable impact on HIV prevention, treatment, and care outcomes. Such approaches can also support further gains towards reaching the 90-90-90 across geographies and types of epidemics.Keywords
This publication has 25 references indexed in Scilit:
- Violence From a Sexual Partner is Significantly Associated With Poor HIV Care and Treatment Outcomes Among Female Sex Workers in the Dominican RepublicJAIDS Journal of Acquired Immune Deficiency Syndromes, 2017
- Abriendo Puertas: Feasibility and Effectiveness a Multi-Level Intervention to Improve HIV Outcomes Among Female Sex Workers Living with HIV in the Dominican RepublicAIDS and Behavior, 2016
- High Drop-off Along the HIV Care Continuum and ART Interruption Among Female Sex Workers in the Dominican RepublicJAIDS Journal of Acquired Immune Deficiency Syndromes, 2015
- Retention in HIV Care Among Female Sex Workers in the Dominican Republic: Implications for Research, Policy and ProgrammingAIDS and Behavior, 2015
- A community empowerment approach to the HIV response among sex workers: effectiveness, challenges, and considerations for implementation and scale-upThe Lancet, 2015
- Antiretroviral Therapy Uptake, Attrition, Adherence and Outcomes among HIV-Infected Female Sex Workers: A Systematic Review and Meta-AnalysisPLOS ONE, 2014
- Multi-Level Factors Affecting Entry into and Engagement in the HIV Continuum of Care in Iringa, TanzaniaPLOS ONE, 2014
- Abriendo Puertas: Baseline Findings from an Integrated Intervention to Promote Prevention, Treatment and Care among FSW Living with HIV in the Dominican RepublicPLOS ONE, 2014
- Environmental–Structural Interventions to Reduce HIV/STI Risk Among Female Sex Workers in the Dominican RepublicAmerican Journal of Public Health, 2006
- Environmental-structural factors significantly associated with consistent condom use among female sex workers in the Dominican RepublicAIDS, 2003