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dc.contributor.authorNyato, Den_US
dc.contributor.authorNnko, Sen_US
dc.contributor.authorKomba, Aen_US
dc.contributor.authorKuringe, Een_US
dc.contributor.authorPlotkin, Men_US
dc.contributor.authorMbita, Gen_US
dc.contributor.authorShao, Aen_US
dc.contributor.authorChangalucha, Jen_US
dc.contributor.authorWambura, Men_US
dc.date.accessioned2020-04-23T11:07:46Z
dc.date.available2019-11-05en_US
dc.date.issued2019en_US
dc.identifier.urihttps://qmro.qmul.ac.uk/xmlui/handle/123456789/63721
dc.description.abstractBACKGROUND: HIV-infected female sex workers (FSWs) have poor linkage to HIV care in sub-Sahara Africa. METHODS: We conducted 21 participatory group discussions (PGDs) to explore factors influencing linkage to HIV care among FSWs tested for HIV through a comprehensive community-based HIV prevention project in Tanzania. RESULTS: Influences on linkage to care were present at the system, societal and individual levels. System-level factors included unfriendly service delivery environment, including lengthy pre-enrolment sessions, concerns about confidentiality, stigmatising attitudes of health providers. Societal-level factors included myths and misconceptions about ART and stigma. On the individual level, most notable was fear of not being able to continue to have a livelihood if one's status were to be known. Facilitators were noted, including the availability of transport to services, friendly health care providers and peer-support referral and networks. CONCLUSION: Findings of this study underscore the importance of peer-supported linkages to HIV care and the need for respectful, high-quality care.en_US
dc.description.sponsorshipThis study was funded by USAID under Cooperative Agreement No: AID-621-A-15-00003 to MW.en_US
dc.format.extente0219032 - ?en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofPLoS Oneen_US
dc.rightsCC-BY
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectCommunity Health Servicesen_US
dc.subjectFemaleen_US
dc.subjectFocus Groupsen_US
dc.subjectHIV Infectionsen_US
dc.subjectHealth Personnelen_US
dc.subjectHealth Services Accessibilityen_US
dc.subjectHumansen_US
dc.subjectPeer Groupen_US
dc.subjectPreventive Health Servicesen_US
dc.subjectQualitative Researchen_US
dc.subjectSex Workersen_US
dc.subjectSocial Stigmaen_US
dc.subjectTanzaniaen_US
dc.subjectYoung Adulten_US
dc.titleFacilitators and barriers to linkage to HIV care and treatment among female sex workers in a community-based HIV prevention intervention in Tanzania: A qualitative study.en_US
dc.typeArticle
dc.rights.holder2019. The authors
dc.identifier.doi10.1371/journal.pone.0219032en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/31743336en_US
pubs.issue11en_US
pubs.notesNot knownen_US
pubs.publication-statusPublished onlineen_US
pubs.volume14en_US
dcterms.dateAccepted2019-11-05en_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US


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