학술논문

Addressing Vulnerable Population Needs in the Last Mile to the elimination of mother to child transmission of HIV: (Re)Claiming the HIV Response for Female Sex Workers and Their Children
Document Type
Academic Journal
Source
BMC Public Health. June 26, 2020, Vol. 20 Issue 1
Subject
World Health Organization
Diseases
Infants
Working women
Highly active antiretroviral therapy
HIV tests
HIV
Reproductive health
Pregnancy
Pregnant women
Sex oriented businesses
Language
English
ISSN
1471-2458
Abstract
Author(s): Avi J. Hakim[sup.1], Tegan Callahan[sup.1], Irene Benech[sup.1], Monita Patel[sup.1], Michelle Adler[sup.1], Surbhi Modi[sup.1], Moses Bateganya[sup.1], Kae Anne Parris[sup.1] and Trista Bingham[sup.1] Nearly four decades into the HIV epidemic, female [...]
As countries strive to eliminate mother-to-child transmission of HIV, female sex workers (FSW) and their children still face barriers to accessing these essential services. Data on FSW uptake of HIV and reproductive health services before, during, and after pregnancy reveal inadequate service utilization. Stigma encountered by FSW in healthcare settings may contribute to low uptake of HIV testing, antiretroviral therapy (ART), and other prevention of mother-to-child HIV transmission (PMTCT) services. Coordination between community-based FSW and facility-based PMTCT programs can facilitate successful linkage of pregnant FSW to antenatal services to support PMTCT efforts. We offer a way forward to reach 90-90-90 targets for FSW and their families and eliminate mother-to-child transmission of HIV. Keywords: female sex workers, prevention of mother-to-child transmission, HIV, HIV-exposed infants, orphans and vulnerable children