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Review
. 2020 Apr;17(2):88-96.
doi: 10.1007/s11904-020-00485-3.

Assessing and Addressing Social Determinants of HIV among Female Sex Workers in the Dominican Republic and Tanzania through Community Empowerment-Based Responses

Deanna Kerrigan  1 , Yeycy Donastorg  2 , Clare Barrington  3 , Martha Perez  2 , Hoisex Gomez  2 , Jessie Mbwambo  4 , Samuel Likindikoki  4 , Andrea Mantsios  5 , S Wilson Beckham  6 , Anna Leddy  7 , Tahilin Sanchez Karver  5 , Noya Galai  6   8 , Wendy W Davis  5
Affiliations
Review

Assessing and Addressing Social Determinants of HIV among Female Sex Workers in the Dominican Republic and Tanzania through Community Empowerment-Based Responses

Deanna Kerrigan et al. Curr HIV/AIDS Rep. 2020 Apr.

Abstract

Purpose of review: This review describes social determinants of HIV in two geographic and epidemic settings, the Dominican Republic (DR) and Tanzania, among female sex workers (FSW), their influence on HIV outcomes including 90-90-90 goals, and the development and impact of tailored, context driven, community empowerment-based responses in each setting.

Recent findings: Our review documents the significance of social determinants of HIV including sex work-related stigma, discrimination, and violence and the impact of community empowerment-based approaches on HIV incidence in Tanzania and other HIV prevention, treatment, and care outcomes, including care engagement and adherence, in the DR and Tanzania. Community empowerment approaches where FSW drive the response to HIV and strategically engage partners to target socio-structural and environmental factors can have a demonstrable impact on HIV prevention, treatment, and care outcomes. Such approaches can also support further gains towards reaching the 90-90-90 across geographies and types of epidemics.

Keywords: Community empowerment; HIV; Sex work; Social determinants; Stigma; Violence.

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Conflict of interest statement

Compliance with Ethical Standards Conflict of Interest

All authors declare that they have no conflict of interest.

Figures

Figure 1.
Figure 1.
Conceptual model of community empowerment response to HIV among FSW1 1. FSW (Female Sex Worker); GBV (Gender Based Violence); PrEP (Pre-exposure Prophylaxis); ART (Antiretroviral Therapy).
See this image and copyright information in PMC

References

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