We considered three populations: FSWs, sex clients and the general population. Results Between and , with no changes in the current condom and ART use, the overall number of people living with HIV is expected to increase from , to , HIV incidence will also decrease from 1. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Improving consistent condom use, antiretroviral therapy ART and pre-exposure prophylaxis PrEP for this population can likely lead to important reductions in HIV prevalence and incidence. Sub-Saharan African countries with limited resources such as Rwanda face a large HIV epidemic, so understanding how these strategies will affect the HIV epidemic is important. This analysis confirms the need for a continued focus on FSWs in this country.
Continuing to improve the quality and the access of existing preventive and treatment interventions with a new investment in PrEP will likely translate to the largest public health impact on the HIV epidemic.
While there is some regional variation, the estimated HIV prevalence in the FSW population is fold to fold higher than in the general population. Mobile services and outreach activities have been implemented to reach FSW populations regardless of their location or work environment. Given constrained resources for HIV treatment and prevention services, it is important to estimate the prevalence and incidence rates of HIV over time for strategic planning. Using nationally representative and FSW specific data in Rwanda, 6 8β11 we developed a dynamic Markov model to estimate the prevalence and incidence rates of HIV among FSWs and sex clients over the next 10 years.
In particular, we examine the evolution of incidence and prevalence in the FSW population, male sex clients and in the overall population. Patients and the public were not directly involved in this study.
