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HIV Prevention among Zambian Itinerant Workers: Challenges and Solutions.
- Source :
-
Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2019; Vol. 30 (1), pp. 358-377. - Publication Year :
- 2019
-
Abstract
- Mobility and alcohol abuse increase vulnerability to HIV among itinerants in Zambia. Itinerants face unique challenges to accessing HIV counselling, testing, and treatment. Zambian districts (Chingola, Mazabuka, Mufulira) were selected, and focus group discussions (FGDs = 12; n= 72) and key informant interviews (n = 71) were held. HIV risk and strategies to address barriers and facilitators of condom use, voluntary counselling and testing (VCT) and HIV-treatment were explored. Mobility increased sexual networks. Local bars, lodges, and truck stops were locations for sexual solicitation. Cheap lodgings were hot spots for HIV risk behavior. Difficulty accessing condoms and HIV treatment due to transience placed itinerants at elevated risk. Lack of clinics in rural areas further exacerbated itinerant risk. Initiatives to reduce these risks included implementation of border-clinics and employer-driven medical support for itinerants. Uptake of HIV prevention tools, health-education initiatives supporting itinerants, as well as health-care initiatives tailored to itinerant needs, are needed.
- Subjects :
- Adult
Condoms statistics & numerical data
Counseling statistics & numerical data
Female
Focus Groups
Health Services Accessibility
Humans
Male
Mass Screening statistics & numerical data
Risk-Taking
Transients and Migrants statistics & numerical data
Zambia
HIV Infections prevention & control
Transients and Migrants psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1548-6869
- Volume :
- 30
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of health care for the poor and underserved
- Publication Type :
- Academic Journal
- Accession number :
- 30827988
- Full Text :
- https://doi.org/10.1353/hpu.2019.0026