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

1 Scopus citations

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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