ArticleSexually transmitted infections2018
Key Programme Science lessons from an HIV prevention 'Learning Site' for sex workers in Mombasa, Kenya.
Article in Sexually transmitted infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 24 citations in OpenAlex.
- Academic accountability to local communities and society through Programme Science: a case study from the HPV self-sampling programme HOPE in Peru.Journal of the International AIDS Society · 2024Article
- Programme science methodologies and practices that address "FURRIE" challenges: examples from the field.Journal of the International AIDS Society · 2024Article
- A sub-national HIV epidemic appraisal in Kenya: a new approach for identifying priority geographies, populations and programmes for optimizing coverage for HIV prevention.Journal of the International AIDS Society · 2024Article
- Programme Science: a route to transformative change to improve population-level impact for global HIV and sexually transmitted infections.Journal of the International AIDS Society · 2024Article
- Assessing Outcomes in HIV Prevention and Treatment Programs With Female Sex Workers and Men Who Have Sex With Men: Expanded Polling Booth Survey Protocol.JMIR public health and surveillance · 2024Article
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- HIV prevention programme cascades: insights from HIV programme monitoring for female sex workers in Kenya.Journal of the International AIDS Society · 2019Article
- Programmatic Mapping: Providing Evidence for High Impact HIV Prevention Programs for Female Sex Workers.JMIR public health and surveillance · 2019Article
- Feasibility, acceptability and potential sustainability of a 'diagonal' approach to health services for female sex workers in Mozambique.BMC health services research · 2018Article
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- The contributions and future direction of Program Science in HIV/STI prevention.Emerging themes in epidemiology · 2018Article
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Authors and funding
13 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIn 2013, Kenya's National AIDS and STI Control Programme established a Learning Site (LS) in Mombasa County to support and strengthen capacity for HIV prevention programming within organisations working with sex workers. A defining feature of LS was the use of a Programme Science approach throughout its development and implementation. We provide an overview of the key components of LS, present findings from 23 months of programme monitoring data, and highlight key Programme Science lessons from its implementation and monitoring.
methodsRoutine monitoring data collected from September 2013 through July 2015 are presented. Individual-level service utilisation data were collected monthly and indicators of interest were analysed over time to illustrate trends in enrolment, programme coverage and service utilisation among sex workers in Mombasa County.
resultsOver the monitoring period, outreach programme enrolment occurred rapidly; condom distribution targets were met consistently; rates of STI screening remained high and diagnoses declined; and reporting of and response to violent incidents increased. At the same time, enrolment in LS clinics was relatively low among female sex workers, and HIV testing at LS was low among both female and male sex workers.
conclusionLessons learnt from operationalising the Programme Science framework through the Mombasa LS can inform the development and implementation of similar LS in different geographical and epidemiological contexts. Importantly, meaningful involvement of sex workers in the design, implementation and monitoring processes ensures that overall programme performance is optimised in the context of local, 'on-the-ground' realities. Additionally, learnings from LS highlight the importance of introducing enhanced monitoring and evaluations systems into complex programmes to better understand and explain programme dynamics over time.
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