Progress toward UNAIDS 90-90-90 targets: A respondent-driven survey among female sex workers in Kampala, Uganda
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Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
PLoS ONEv
Abstract
We investigated progress towards UNAIDS 90-90-90 targets among female sex workers in
Kampala, Uganda, who bear a disproportionate burden of HIV.
Methods
Between April and December 2012, 1,487 female sex workers, defined as women, 15±49
years, residing in greater Kampala, and selling sex for money in the last 6 months, were
recruited using respondent-driven sampling. Venous blood was collected for HIV and viral
load testing [viral load suppression (VLS) defined as <1,000 copies/mL]. We collected data
using audio computer-assisted self-interviews and calculated weighted population-level
estimates.
Results
The median age was 27 years (interquartile range: 23 to 32). HIV seroprevalence was
31.4% (95% confidence interval [CI]: 29.0, 33.7%). Among all female sex workers who
tested HIV-positive in the survey (population-level targets), 45.5% (95% CI: 40.1, 51.0) had
knowledge of their serostatus (population-level target: 90%), 37.8% (95% CI: 32.2, 42.8)
self-reported to be on ART (population-level target: 81%), and 35.2% (95% CI: 20.7, 30.4)
were virally suppressed (population-level target: 73%).
Conclusions
HIV prevalence among Kampala female sex workers is high, whereas serostatus knowledge
and VLS are far below UNAIDS targets. Kampala female sex workers are in need of intensified
and targeted HIV prevention and control efforts.
Description
Keywords
UNAIDS 90-90-90 targets, Female sex workers, Uganda
Citation
Doshi RH, Sande E, Ogwal M, Kiyingi H, McIntyre A, Kusiima J, et al. (2018) Progress toward UNAIDS 90-90-90 targets: A respondent- driven survey among female sex workers in Kampala, Uganda. PLoS ONE 13(9): e0201352. https://doi.org/10.1371/journal.pone.0201352