A short history of HIV prevention programs for female sex workers in Ghana: lessons learned over 3 decades

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Peter WondergemMichael Szpir

Abstract

Female sex workers (FSWs) in Ghana have a 10-fold greater risk for acquiring HIV than the general adult population, and they contribute a substantial proportion of the new HIV infections in the country. Although researchers have conducted behavioral and biological surveys, there has been no review of the contextual, programmatic, and epidemiological changes over time. The authors conducted a historical review of HIV prevention programs in Ghana. We reviewed the use of different interventions for HIV prevention among FSWs and data from program monitoring and Integrated Biological and Behavioral Surveillance Surveys. In particular, we looked at changes in service access and coverage, the use of HIV testing and counseling services, and the changing prevalence of HIV and other sexually transmitted infections. HIV prevention interventions among FSWs increased greatly between 1987 and 2013. Only 72 FSWs were reached in a pilot program in 1987, whereas 40,508 FSWs were reached during a national program in 2013. Annual condom sales and the proportion of FSWs who used HIV testing and counseling services increased significantly, whereas the prevalence of gonorrhea and chlamydia decreased. The representation of FSWs in national HIV strate...Continue Reading

References

Oct 25, 1986·Lancet·A R NeequayeD O Adjei
Sep 23, 1995·Lancet·J DecosasH U Wagner
Nov 15, 2001·Journal of Acquired Immune Deficiency Syndromes : JAIDS·C Asamoah-AduJ Pépin
Feb 5, 2002·Social Science & Medicine·Judy E Mill, John K Anarfi
Mar 28, 2002·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nadine SauvéJacques Pépin

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Citations

Apr 20, 2016·Global Public Health·David HoosKarl-Lorenz Dehne
Mar 1, 2018·International Journal of STD & AIDS·Jan Henk DubbinkRemco Ph Peters
Feb 15, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anna L BowringStefan Baral
Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tisha WheelerGina Dallabetta

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