Engagement in the HIV Care Continuum among Female Sex Workers in Two West

African Countries

Sheree Schwartz, Erin Papworth, Odette Ky-Zerbo, Gautier Ouedraogo, Cesaire Samadoulougou, Andrea Wirtz, Aoua Kone, Halidou Banse, Marcel Louge, Seni

Kouanda, Stefan Baral

UNAIDS, AIDSinfo

Objective

Describe engagement in the HIV care continuum among FSW in Burkina Faso and Togo

Results:• 1380 FSW

enrolled• Crude HIV

prevalence19.9%

Methods: FSW recruited using respondent driven sampling across 4 sites in Burkina Faso (Ouagadougou and Bobo-Dioulasso) and Togo (Kara and Lomé) from Jan-Jul 2013

Results:Predictors of reporting awareness of HIV infection status in multivariate model: • Older age, Less formal education, Married/cohabitating,

Engaged in sex work for >2 years

Conclusions:• HIV diagnosis constitutes the greatest gap • Among FSW reportedly aware that they were living with

HIV, the majority were on ART…but still ~32% • Younger, single FSW recently entering sex work were

most likely to be unaware of their HIV status• Interventions to increase frequency of voluntary HCT are

needed to prevent and treat infections among FSW