Text message reminders and peer education increase HIV and Syphilis testing among female sex workers: a pilot quasi-experimental study in Uganda.

BMC Health Services Research
Richard MuhindoEdith Nakku-Joloba

Abstract

Globally, female sex workers (FSW) are disproportionately affected by HIV and other sexually transmitted infections (STIs). However, uptake of STI and HIV testing services among FSW in sub-Saharan Africa remains low. We aimed to assess the effect of FSW-led peer education and text message reminders on 3-monthly syphilis and HIV testing among FSW in Uganda. Between September 2019 and February 2020, we implemented weekly peer education sessions and bi-monthly SMS reminders for FSW in Mbarara (intervention city). Peer education sessions were implemented by 20 FSW, who received five days of basic training as peer educators. We held monthly meetings with peer educators throughout the six-month implementation period. FSW in Mbale (control city) continued to receive standard of care consisting of HIV testing outreach campaigns, and facility-based testing. Using a quasi-experimental design in one intervention city, and one control city, we conducted pre- and post- questionnaire-based surveys on recent syphilis and HIV testing behavior among FSW in July-October 2018, and March 2020. We compared proportions and prevalence ratios at baseline and follow-up using chi-square tests and negative binomial regression. We conducted 436 interviews...Continue Reading

References

Nov 22, 2011·The Journal of Infectious Diseases·Judith VandepitteHeiner Grosskurth
Mar 7, 2013·Journal of the International AIDS Society·Matthew F ChersichRichard Steen
Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Georges BatonaMichel Alary
Jan 19, 2018·JMIR MHealth and UHealth·Milena Soriano MarcolinoDavid Novillo-Ortiz
Feb 2, 2019·AIDS and Behavior·Margaret M Paschen-WolffTheodorus Sandfort
Sep 12, 2019·Ciência & saúde coletiva·Vanessa da Frota SantosMarli Teresinha Gimeniz Galvão

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