Confidential, accessible point-of-care sexual health services to support the participation of key populations in biobehavioural surveys: lessons for Papua New Guinea and other settings where reach of key populations is limited

Kelly-Hanku, Angela, Redman-MacLaren, Michelle, Boli-Neo, Ruthy, Nos, Somu, Ase, Sophie, Aeno, Herick, Nembari, Joshua, Amos, Angelyn, Gabuzzi, Josephine, Kupu, Martha, Williie, Barne, Narokobi, Rebecca, Hou, Parker, Pekon, Simon, Kaldor, John M., Badman, Steve G., Vallely, Andrew J., and Hakim, Avi J. (2020) Confidential, accessible point-of-care sexual health services to support the participation of key populations in biobehavioural surveys: lessons for Papua New Guinea and other settings where reach of key populations is limited. PLoS ONE, 15 (5). e0233026.

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Abstract

To achieve the UNAIDS 90-90-90 targets at a national level, many countries must accelerate service coverage among key populations. To do this, key population programs have adopted methods similar to those used in respondent-driven sampling (RDS) to expand reach. A deeper understanding of factors from RDS surveys that enhance health service engagement can improve key population programs. To understand the in-depth lives of key populations, acceptance of expanded point-of-care biological testing and determine drivers of participation in RDS surveys, we conducted semi-structured interviews with 111 key population participants (12–65 years) were purposefully selected from six biobehavioral surveys (BBS) in three cities in Papua New Guinea. Key populations were female sex workers, men who have sex with men, and transgender women. Four reasons motivated individuals to participate in the BBS: peer referrals; private, confidential, and stigma-free study facilities; "one-stop shop" services that provided multiple tests and with same-day results, sexually transmitted infection treatment, and referrals; and the desire to know ones’ health status. Biobehavioral surveys, and programs offering key population services can incorporate the approach we used to facilitate key population engagement in the HIV cascade.

Item ID: 63184
Item Type: Article (Research - C1)
ISSN: 1932-6203
Copyright Information: This is an open access article, free of all copyright,and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Funders: Government of Australia, Global Fund to Fight AIDS, TB and Malaria, Centers for Disease Control and Prevention (CDC), Scientia Fellowship
Projects and Grants: CDC President's Emergency Plan for AIDS Relief Cooperative Agreement No. 1 U2GGH001531-01
Date Deposited: 05 Aug 2020 00:19
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111715 Pacific Peoples Health @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920309 Pacific Peoples Health - Health System Performance (incl. Effectiveness of Interventions) @ 100%
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