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WEIGHT: 47 kg
Breast: 38
1 HOUR:50$
NIGHT: +50$
Services: Parties, Uniforms, Hand Relief, Toys, Bondage
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FSW highlighted both greater control of their testing experience and that HIVST could allow them to avoid discriminatory attitudes frequently experienced in public facilities. Some also felt that HIVST kits could enable them to establish the HIV status of their sexual partners, better informing their decisions about condomless sex. A few accounts suggested peer pressure to self-test predominantly from peer distributors. Peer distributors are a welcome additional model. However, they should avoid distribution in actual venues.
Study findings will be used to tailor the HIVST distribution model to ensure its enhanced uptake among key populations in general and FSW, specifically. We used convenience and snowball sampling to select respondents, which, while more feasible in populations with potentially stigmatised behaviours, may not be universally representative. Given the fluidity of sex work typologies of street or venue-based FSW in this population, it was not possible to attribute study findings to specific typologies.
In these districts, Pakachere was already providing FSW sexual and reproductive health services including provider-delivered, blood-based HIV testing. PDs were then trained to provide pretest and post-test counselling, respond to frequently asked questions, offer oral fluid-based HIVST, and link those with a reactive result to post-test services ie, confirmatory testing, treatment initiation figure 1.
Between February and November , we conducted a qualitative process evaluation that was complementary to a quantitative study where participants were surveyed at two time-points to assess HIVST use and experiences. A separate FGD was also held with eight peer distributors. Formative work activities included rapid ethnographic assessments and a stakeholder participatory workshop where FSW helped refine the peer distribution model which this qualitative study explored.