HIV Prevention among Zambian Itinerant Workers

Challenges and Solutions

Annette Kayukwa, Stefani A. Butts, Nicole A. Barylski, Maria L Alcaide, Violeta J. Rodriguez, Ndashi Chitalu, Robert Zulu, Stephen M Weiss, Deborah Jones

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)358-377
Number of pages20
JournalJournal of health care for the poor and underserved
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2019

Fingerprint

HIV
Condoms
Counseling
Zambia
Motor Vehicles
Risk-Taking
Focus Groups
Health Education
Alcoholism
Interviews
Delivery of Health Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

HIV Prevention among Zambian Itinerant Workers : Challenges and Solutions. / Kayukwa, Annette; Butts, Stefani A.; Barylski, Nicole A.; Alcaide, Maria L; Rodriguez, Violeta J.; Chitalu, Ndashi; Zulu, Robert; Weiss, Stephen M; Jones, Deborah.

In: Journal of health care for the poor and underserved, Vol. 30, No. 1, 01.01.2019, p. 358-377.

Research output: Contribution to journalArticle

Kayukwa, Annette ; Butts, Stefani A. ; Barylski, Nicole A. ; Alcaide, Maria L ; Rodriguez, Violeta J. ; Chitalu, Ndashi ; Zulu, Robert ; Weiss, Stephen M ; Jones, Deborah. / HIV Prevention among Zambian Itinerant Workers : Challenges and Solutions. In: Journal of health care for the poor and underserved. 2019 ; Vol. 30, No. 1. pp. 358-377.
@article{2c24203fc51b40e69909cbae107ab321,
title = "HIV Prevention among Zambian Itinerant Workers: Challenges and Solutions",
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.",
author = "Annette Kayukwa and Butts, {Stefani A.} and Barylski, {Nicole A.} and Alcaide, {Maria L} and Rodriguez, {Violeta J.} and Ndashi Chitalu and Robert Zulu and Weiss, {Stephen M} and Deborah Jones",
year = "2019",
month = "1",
day = "1",
doi = "10.1353/hpu.2019.0026",
language = "English (US)",
volume = "30",
pages = "358--377",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "1",

}

TY - JOUR

T1 - HIV Prevention among Zambian Itinerant Workers

T2 - Challenges and Solutions

AU - Kayukwa, Annette

AU - Butts, Stefani A.

AU - Barylski, Nicole A.

AU - Alcaide, Maria L

AU - Rodriguez, Violeta J.

AU - Chitalu, Ndashi

AU - Zulu, Robert

AU - Weiss, Stephen M

AU - Jones, Deborah

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85062418314&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062418314&partnerID=8YFLogxK

U2 - 10.1353/hpu.2019.0026

DO - 10.1353/hpu.2019.0026

M3 - Article

VL - 30

SP - 358

EP - 377

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 1

ER -