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The best model to improve access to care needs to be tailored to the specific context of each city. Results Socio-demographic characteristics Table 1 summarises the sociodemographic and sex work characteristics of the interviewed Prostitutes Elst. Reporting bias has never been shown to be substantially different between face-to-face electronic and paper-based questionnaires, unlike between face-to-face and self-administered questionnaires [ 2930 ].

The link between mobility and poor retention in HIV care has been well documented but effective strategies to tackle the problem are still lacking [ 5 ]. In addition, FSW-targeted services are offered, in Prostitutes Elst context of ongoing research, at a clinic in Mombasa [ 15 ] and Prostitutes Elst in neighbouring Kilifi [ 20 ]. Only for cervical cancer screening it was important, with more than one third screened, possibly because cervical cancer screening is still not widely available at the general health facilities in Mombasa [ 21 ].

Mombasa was the only site where a relatively large proportion of FSWs received care in the private-for-profit sector. In none of the other sites was this an important source of care.

The probable reason is that the Kenya private sector is one of the Prostitutes Elst developed and dynamic in sub-Saharan Africa [ 22 ]. In the focus group discussions that were Prostitutes Elst held with Prostitutes Elst in Mombasa, those who preferred private clinics mentioned as main reasons that they are treated well Prostitutes Elst with respect at these clinics, and that stigma and discrimination were minimal [ 21 ].

Mysore is characterised by the large presence of the Ashodaya clinic. This clinic was established in and is operated by a sex worker collective. For services not offered at the clinic, such as contraception, the public sector remains the most important provider.

In this context, it might be worth expanding the set of services at the clinic to include contraception. Also the reasons for seeking care at a specific place differed by city.

Heterosexual behaviours among men who sell sex to men in coastal Kenya

Cost appears particularly important in Mysore Prostitutes Elst, to a smaller degree, in Mombasa, but less so in Durban and Tete. Proximity appears to be an important criterion at the African sites and less in Mysore.

It also might signal that newly introduced services may initially have low Prostitutes Elst as FSWs may be reluctant to move from existing services. Though FSWs gave mostly practical reasons for choosing services, such as Prostitutes Elst, proximity or cost, motives Prostitutes Elst to quality of care were relatively more highlighted by users of targeted services, which could indicate that they perceive these specialised services to have Prostitutes Elst higher quality of care than other providers.

This is consistent with what has been documented elsewhere [ 1211 ]. They are, however, often not endorsed or favoured by governments and most commonly require additional funding, often in the form of project funding, which may not be sustainable [ 23 — 27 ]. A review of facility-based SRH services for female sex workers in Africa concluded that targeted services have limited coverage and a narrow scope of services, mostly focusing on HIV and STI interventions rather than on broader SRH services [ 26 ].

A less expensive and more sustainable alternative may be Prostitutes Elst reduce the barriers in accessing the regular services, such as a negative reception by providers and other users. These barriers are however often Prostitutes Elst to alleviate and lower service coverage is generally achieved Prostitutes Elst by stand-alone Prostitutes Elst clinics [ 28 ].

Our baseline assessment shows that targeted services have the potential to reach a large proportion of FSWs, as is the case for STI care and HTS in Mysore, but that their presence does not guarantee high coverage, as is observed in Mombasa and Tete.

The face-to-face interviews we conducted provided valuable quantitative information on where and why FSWs seek care, but this method faces limitations such as recollection bias, poor understanding of the question or social desirability bias. In Tete an electronic questionnaire was used, while in the other cities it was paper-based, but we do not believe Prostitutes Elst this has substantially influenced the comparability of the results.

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Reporting bias has never been shown to be substantially different between face-to-face electronic and paper-based questionnaires, unlike between face-to-face and self-administered questionnaires [ 2930 ].

In a next phase, the results were triangulated with the results of the focus group discussions, key informant interviews and health facility assessments that were conducted concurrently [ 21 ] Prostitutes Elst a city-specific intervention package was developed.

The baseline assessment Prostitutes Elst that this needs to be site-specific, taking into account the current coverage by targeted and regular health services and the reasons Prostitutes Elst a place is chosen. Reasons for choosing a particular place of care are mostly practical, such as being nearby. Health services specifically targeted at FSWs are relatively more often chosen because of their Prostitutes Elst higher quality of care.

The best model to improve access to care needs to be tailored to the specific Prostitutes Elst of each city. It should combine the strengthening and expanding of targeted services where relevant and sustainable, with improving access to and linkages with the general health services.

Formal analysis: Prostitutes Elst RG. Funding acquisition: YL. Writing - original draft: YL. Browse Subject Areas? Click through the PLOS taxonomy to find articles in your field. Results Socio-demographic characteristics Table 1 summarises the sociodemographic and sex work characteristics of the interviewed FSWs.

Download: PPT. Table 1. Socio-demographic and sex work characteristics, by city. Place of care Table 2 presents the Prostitutes Elst of where FSWs usually procure male condoms, seek general health care and where they sought care for different HIV and SRH services, the last time they used the service, Prostitutes Elst the results of the pairwise comparison between cities.

Table 2.

Table 3. Table 4. Discussion We assessed SRH care seeking practices in four Prostitutes Elst with different health service delivery options for sex workers. Prostitutes Elst Information. S1 Dataset. Survey dataset. References 1. View Article Google Scholar 2. Where do sex workers go for health care?

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A Prostitutes Elst based study in Abidjan, Cote d'Ivoire. Sexually Transmitted Infections. Plos One. View Article Google Scholar 4. Aids and Behavior. Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infectious Prostitutes Elst. View Article Google Scholar 7. Falling through the cracks: contraceptive needs of female sex workers in Cambodia and Laos.

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View Article Google Scholar 9. Contraceptive needs of female sex workers in Kenya—A cross-sectional study.

6,8 km Prostitutes Homoet ; 7,0 km Prostitutes Elst ; 7,1 km Prostitutes Presikhaaf ; 7,2 km Prostitutes Oud-reemst ; 7,2 km Prostitutes Heteren ; 7,5 km Prostitutes Aam ; 8,0 km Prostitutes Huissen ; 8,0 km Prostitutes Huisen ; 8,2 km Prostitutes Renkum ; 8,3 km Prostitutes Rosendaal ; 8,3 km Prostitutes Rozendaal. A systematic review and meta-analysis. Deniaud F. While there is limited research of youth and adolescent men selling sex because of Prostitutes Elst complexity in ensuring appropriate informed consent, and the additional Prostitutes Elst issues involved, many MSW across a number of regions report initiating sex work at young ages, sometimes under coercion or force .

Int Perspect Sex Reprod Health. Utilisation of sexual health services by female sex workers in Nepal.

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Bmc Health Services Research. View Prostitutes Elst Google Scholar Accessed July 23, Reproductive health services for populations at high risk of HIV: Performance of a night clinic in Tete province, Mozambique.

Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female Prostitutes Elst workers in Mombasa, Kenya. Bmc Public Health. Community-led structural invention's promise for HIV prevention: a case study from the Ashodaya Samithi sex worker collective of Mysore, India. Respondent-driven sampling: an assessment of current methodology. In: Liao TF, editor.

China- Jining. In the case of low client volume, Prostitutes Elst example, we recommend collecting data on the number of intercourse acts over the past month. Journal of homosexuality. Claire E. J Acquir Immune Defic Syndr.

Indian J Sex Transm Dis. Analyses identified three themes: i acceptability of PrEP was high, i. Search Go! This paper used qualitative methods to explore experiences of men who have sex with men and female sex workers in Nairobi and Mtwapa, Prostitutes Elst, who used.

Background In many places and contexts, some MSW report high Prostitutes Elst of background adversities, including sexual and physical abuse 18 ; homelessness 35 ; and Prostitutes Elst educational attainment When asked about article source Prostitutes Prostitutes Elst in a health care context, only one-third of participants reported ever being asked by a healthcare provider about GBV, and slightly less than this shared their experiences with providers.

However, the phenomenon of observing higher prevalence of HIV as Prostitutes Elst to other MSM is not consistent Prostitutes Elst regions Prostitutes Elst possibly reflects a differential sex roles assumed by sex workers in certain regions; b differential frequencies of condom use; c diverse baseline prevalence among MSM; and d diverse levels of representativeness of those figures; and e potentially over sampling of younger men who have limited cumulative HIV acquisition periods.

Prostitutes Elst Nairobi. Braz J Med Biol Res.

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National Center for Biotechnology Information , U. Allan D.

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