Official websites use. Share sensitive information only on official, secure websites. When asked to rank modalities, long-acting injectable PrEP was the most preferred. Keywords: female bar workers, barmaids, tanzania, pre-exposure prophylaxis, HIV prevention. The study population was selected at random from among all female bar workers in one of the three districts of the city of Dar es Salaam. HIV serostatus was evaluated using a rapid diagnostic test to avoid differential or non-differential misreporting.
The sample is relatively small, potentially limiting power to see significant differences within subgroups, but can potentially motivate for studies designing and evaluating PrEP delivery models in this population. The sensitive nature of many of the HIV risk factors considered, and the self-report methods employed by the survey, may have led to under-reporting of risk behaviours.
These women are at especially high risk of acquiring and transmitting HIV and other sexually transmitted infections STI. FBW, or barmaids, often do not self-identify as FSW, 5 6 and, in contrast to bar-based direct FSW, are employed by bars to provide non-sexual services.
There is substantial evidenceβboth direct and indirectβfor structural, behavioural and biomedical interventions that should be able to reduce HIV acquisition and transmission among FSW. Behavioural approaches include peer and community-based behaviour change, condom provision.
However, many of these interventions are highly context specific and have proven difficult to implement consistently. Proven biomedical approaches for FSW include FSW-friendly provision of services such as voluntary testing, linkage to care and antiretroviral treatmentβincluding prevention of mother-to-child transmission and postexposure prophylaxis. Most published PrEP studies have focused on daily pill-based PrEP, although one study showed effectiveness for on-demand pills among men who have sex with men.
