'Virus Carriers' and HIV testing: navigating Ukraine's HIV policies and programming for female sex workers

Health Research Policy and Systems
Anna TokarJacqueline E W Broerse

Abstract

There are an estimated 80,100 female sex workers (FSWs) in Ukraine, of whom 7% are living with HIV. Early HIV diagnosis continues to be a public health priority in Ukraine as only approximately 54% of people living with HIV are diagnosed nationwide. This study aims to analyse the content, context and discourse of HIV testing policies among female sex workers in Ukraine and how these policies are understood and implemented in practice. To analyse past and current national policies, we searched the database of the Ukrainian Parliament and the Ministry of Health for relevant policy documents (e.g. legislation and orders). To analyse the day-to-day practice of those involved in the implementation of these HIV programmes, we conducted face-to-face semi-structured interviews with key stakeholders. All data were coded using deductive thematic analysis initially guided by the Policy Triangle, a framework which addresses policy content, the process of policy-making, the health policy context, actors involved in policy formulation and implementation. HIV testing policies are formed and implemented in the post-Soviet context through a vertical system of AIDS clinics, resulting in the separation of key affected populations from the rest of...Continue Reading

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Citations

May 7, 2020·Journal of the International AIDS Society·Yuliia SeredaKarsten Lunze
Aug 18, 2021·Global Public Health·Nicole Herpai On Behalf Of The Dynamics Study Team

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