Evidence map›Paper›PMID 30231072›Full record

ArticlePloS one2018

Changes in HIV prevention programme outcomes among key populations in Kenya: Data from periodic surveys.

Helgar Musyoki, Parinita Bhattacharjee, Andrea K Blanchard, Japheth Kioko, Shem Kaosa, John Anthony, Prakash Javalkar, Janet Musimbi, Serah Joy Malaba, Carol Olwande and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
13.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Helgar MusyokiNational AIDS and STI Control Programme, Ministry of Health, Government of Kenya, Nairobi, Kenya.
Parinita BhattacharjeeCentre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Andrea K BlanchardCentre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.ORCID 0000-0003-0675-2513
Japheth KiokoPartners for Health and Development in Africa, Nairobi, Kenya.
Shem KaosaPartners for Health and Development in Africa, Nairobi, Kenya.
John AnthonyCentre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Prakash JavalkarKarnataka Health Promotion Trust, Bangalore, India.ORCID 0000-0001-5569-5792
Janet MusimbiPartners for Health and Development in Africa, Nairobi, Kenya.
Serah Joy MalabaPartners for Health and Development in Africa, Nairobi, Kenya.
Carol OlwandeNational AIDS and STI Control Programme, Ministry of Health, Government of Kenya, Nairobi, Kenya.
James F BlanchardCentre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Martin SirengoNational AIDS and STI Control Programme, Ministry of Health, Government of Kenya, Nairobi, Kenya.
Shajy IsacCentre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Stephen MosesCentre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
University of Manitoba · CAPartners for Health and Development in Africa · KEMinistry of Health · KEKarnataka Health Promotion Trust · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Kenya National AIDS and STI Control Programme (NASCOP) conducted annual polling booth surveys (PBS) in 2014 and 2015 to measure outcomes from the national HIV prevention programme for key populations (KPs), comprising behavioural, biomedical and structural interventions. KPs included female sex workers (FSWs), men who have sex with men (MSM) and people who inject drugs (PWID). We compared survey results from the first and second rounds. Comparing the second to the first round, significantly more FSWs (93% vs. 88%, p<0.001) and MSM (77% vs. 58%, p<0.001) reported condom use at last sex with a paying client, and at last anal sex among MSM (80% vs. 77%, p<0.05) and PWID (48% vs. 27%, p<0.01). However, condom use with regular partners remained low, at less than 53% for FSWs and 69% for MSM. Among PWID, there was a significant increase in use of new needles and syringes at last injection (93% vs. 88%, p<0.001), and a significant decrease in reported non-availability of clean needles (23% vs. 36%, p<0.001). The number of overdoses in the past six months reduced significantly but remained high (40% vs. 51%, p<0.001). FSWs and MSM reported significantly higher HIV testing, and in all KP groups, over 93% reported ever having been tested for HIV. Among the respondents self-reporting to have tested HIV positive (24% of FSW, 22% of MSM and 19% of PWID), 80% of FSWs, 70% of MSM, and 73% of PWID reported currently taking antiretroviral therapy (ART). While the experience of forced intercourse by partners declined among FSWs (18% vs. 22%, p<0.01) and MSM (13% vs. 17%, p<0.01), more FSWs reported violence by law enforcement personnel (49% vs. 44%, p<0.001). These findings provide valuable information on the programme's progress, and a signpost for the integrated behavioural, biomedical and structural interventions to achieve their HIV prevention targets.

Indexed as

AdolescentAdultAnti-HIV AgentsCondomsFemaleHIV InfectionsHomosexuality, MaleHumansKenyaMaleNational Health ProgramsNeedle-Exchange ProgramsRisk-TakingSex WorkersSubstance Abuse, IntravenousSurveys and QuestionnairesAnti-HIV Agents

Identifiers

PMID30231072
PMCPMC6145580
OpenAlexW2891609906

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.