Multi-level barriers to antiretroviral therapy initiation, retention, and adherence for female sex workers living with HIV in South Africa C. Comins, L.

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Presentation transcript:

Multi-level barriers to antiretroviral therapy initiation, retention, and adherence for female sex workers living with HIV in South Africa C. Comins, L. Parmley, S. Schwartz, H.T. Mkhize2, V. Guddera, D.R. Phetlhu, K. Young, H. Hausler, S. Baral BACKGROUND Generalized HIV epidemic in South Africa - Female sex workers (FSW) are still disproportionately affected Multi-level barriers to ART initiation, retention & adherence exist - Socio-ecological model (SEM) maps individual, network, & structural barriers METHODS In-depth interviews in Durban, SA (Sept-Nov 2017) using maximum-variation and snowball sampling FSW living with HIV (n=24); key informants (n=15)

RESULTS Each level of the SEM presents specific barriers to initiation, retention, and adherence for FSW living with HIV

CONCLUSION ACKNOWLEDGEMENTS Multi-level barriers impact ART initiation, retention & adherence Interventions to address level-specific barriers needed Optimizing ART initiation & management models Integrating differentiated service delivery models Supporting & sustaining treatment Promoting viral suppression & reducing onward transmission Abstract Number: THPDD0201 ACKNOWLEDGEMENTS FSW & KI participants Nangamso Rasi National Institute of Nursing Research of the National Institutes of Health (R01NR016650) Johns Hopkins University Center for AIDS Research (CFAR) through the National Institutes of Health (P30AI094189)