ArticlePloS one2018
Micro-planning at scale with key populations in Kenya: Optimising peer educator ratios for programme outreach and HIV/STI service utilisation.
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 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Measurement and evaluation of community engagement in complex, chronic medical conditions: HIV and obesity as exemplar conditions.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- A Systematic Review of HIV Testing Implementation Strategies in Sub-Saharan African Countries.AIDS and behavior · 2022Pooled it
- "We carried her in a wheelbarrow to the clinic": process evaluation of the AMETHIST intervention combining microplanning with self-help groups to improve HIV prevention and treatment among female sex workers in Zimbabwe.BMC health services research · 2026Trial
- Impact and cost-effectiveness of the community-led AMETHIST intervention among female sex workers in Zimbabwe.Nature communications · 2025Article
- Feasibility and acceptability of peer-led assessment of HIV risk among female sex workers in Zimbabwe.BMJ global health · 2025Article
- Community leadership is key to effective HIV service engagement for female sex workers in Africa.Journal of the International AIDS Society · 2025Article
- Microplanning improves stakeholders' perceived capacity and engagement to implement lymphatic filariasis mass drug administration.PLoS neglected tropical diseases · 2025Article
- Improving HIV case finding using spatial data infrastructures in Anambra State, Nigeria: a pre-post intervention study.BMC public health · 2025Article
- The effect on HIV transmission and cost-effectiveness of programmes for female sex workers in East, Central, and Southern Africa: a modelling study.The Lancet. Global health · 2024Article
- Costs and cost drivers of comprehensive sexual reproductive health services to female sex workers in Kenya.BMC health services research · 2024Article
- Applying the Effective Programme Coverage framework to assess gaps in HIV prevention programmes for female sex workers and men who have sex with men in Nairobi, Kenya: findings from an expanded Polling Booth Survey.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
- De-medicalized and decentralized HIV testing: a strategy to test hard-to-reach men who have sex with men in Cameroon.Frontiers in public health · 2023Article
- HIV prevention programme with young women who sell sex in Mombasa, Kenya: learnings for scale-up.Journal of the International AIDS Society · 2022Article
- Harmful Alcohol and Drug Use Is Associated with Syndemic Risk Factors among Female Sex Workers in Nairobi, Kenya.International journal of environmental research and public health · 2022Article
- Increased condom use among key populations using oral PrEP in Kenya: results from large scale programmatic surveillance.BMC public health · 2022Article
- A decade and beyond: learnings from HIV programming with underserved and marginalized key populations in Kenya.Journal of the International AIDS Society · 2021Article
- An implementation model for scaling up oral pre-exposure prophylaxis in Kenya:Gates open research · 2021Article
- Venue-Based HIV Testing at Sex Work Hotspots to Reach Adolescent Girls and Young Women Living With HIV: A Cross-sectional Study in Mombasa, Kenya.Journal of acquired immune deficiency syndromes (1999) · 2020Article
- The Ashodaya PrEP project: Lessons and implications for scaling up PrEP from a community-led demonstration project among female sex workers in Mysore, India.Global public health · 2020Article
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9 authors.
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Abstract
Peer education with micro-planning has been integral to scaling up key population (KP) HIV/STI programmes in Kenya since 2013. Micro-planning reinforces community cohesion within peer networks and standardizes programme inputs, processes and targets for outreach, including peer educator (PE) workloads. We assessed programme performance for outreach-in relation to the mean number of KPs for which one PE is responsible (KP:PE ratio)-and effects on HIV/STI service utilisation. Quarterly programmatic monitoring data were analysed from October 2013 to September 2016 from implementing partners working with female sex workers (FSWs) and men who have sex with men (MSM) across the country. All implementing partners are expected to follow national guidelines and receive micro-planning training for PEs with support from a Technical Support Unit for KP programmes. We examined correlations between KP:PE ratios and regular outreach contacts, condom distribution, risk reduction counselling, STI screening, HIV testing and violence reporting by KPs. Kenya conducted population size estimates (PSEs) of KPs in 2012. From 2013 to 2016, KP programmes were scaled up to reach 85% of FSWs (PSE 133,675) and 90% of MSM (PSE 18,460). Overall, mean KP:PE ratios decreased from 147 to 91 for FSWs, and from 79 to 58 for MSM. Lower KP:PE ratios, up to 90:1 for FSW and 60:1 for MSM, were significantly associated with more regular outreach contacts (p<0.001), as well as more frequent risk reduction counselling (p<0.001), STI screening (p<0.001) and HIV testing (p<0.001). Condom distribution and reporting of violence by KPs did not differ significantly between the two groups over all time periods. Micro-planning with adequate KP:PE ratios is an effective approach to scaling up HIV prevention programmes among KPs, resulting in high levels of programme uptake and service utilisation.
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