Evidence map›Paper›PMID 33596735›Full record

Trial reportInternational journal of STD & AIDS2021

Successful integration of HIV pre-exposure prophylaxis into a community-based HIV prevention program for female sex workers in Kolkata, India.

Smarajit Jana, Protim Ray, Soma Roy, Abhijit Kadam, Raman R Gangakhedkar, B B Rewari, Stephen Moses, Marissa L Becker

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of STD & AIDS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

8 authors.

Smarajit JanaDurbar Mahila Samanwaya Committee, Kolkata, India.
Protim RayDurbar Mahila Samanwaya Committee, Kolkata, India.
Soma RoyDurbar Mahila Samanwaya Committee, Kolkata, India.
Abhijit KadamNational AIDS Research Institute, Pune, India.
Raman R Gangakhedkar28604Indian Council of Medical Research, New Delhi, India.
B B RewariWHO-SEARO, New Delhi, India.
Stephen MosesDepartment of Community Health Sciences, Institute for Global Public Health, 8664University of Manitoba, Winnipeg, Canada.
Marissa L BeckerDepartment of Community Health Sciences, Institute for Global Public Health, 8664University of Manitoba, Winnipeg, Canada.ORCID 0000-0002-9235-0547

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We assessed the impact of pre-exposure prophylaxis (PrEP) in the context of a community-based HIV program among female sex workers (FSWs) in Kolkata, India. This was an open-label, uncontrolled demonstration trial. HIV seronegative FSWs over 18 years were eligible. Participants were administered daily tenofovir/emtricitabine (TDF-FTC) with follow-up visits at months 1, 3, 6, 9, 12, and 15. Drug adherence was monitored by self-report, and a random subset of participants underwent plasma TDF testing. 843 women were screened and 678 enrolled and started on PrEP. Seventy-nine women (11%) did not complete all scheduled visits: four women died of reasons unrelated to PrEP and 75 withdrew, for a 15-month retention rate of 89%. Self-reported daily adherence was over 70%. Among those tested for TDF, the percentage of women whose level reached ≥40 ng/mL was 65% by their final visit. There were no HIV seroconversions, and no evidence of significant changes in sexual behavior. This study demonstrated the feasibility and effectiveness of PrEP for FSWs in Kolkata, with very high levels of adherence to PrEP and no HIV seroconversions. The integration of PrEP into an existing community-based HIV prevention program ensured community support and facilitated adherence.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisSex WorkersEmtricitabineFemaleHumansIndiaMedication AdherenceAnti-HIV AgentsEmtricitabinefemale sex workersHIVIndiaPre-exposure prophylaxis

Identifiers

PMID33596735
PMCPMC8091404

What OpenQuestion holds

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Registered trials

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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.