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Sustainability of Evidence-Based Practices for HIV Prevention among Female Sex Workers in Mexico

Author

Listed:
  • Lawrence A Palinkas
  • Claudia V Chavarin
  • Claudia M Rafful
  • Mee Young Um
  • Doroteo V Mendoza
  • Hugo Staines
  • Gregory A Aarons
  • Thomas L Patterson

Abstract

Objective: This study examined service provider perceptions of requirements for successful sustainment of an efficacious intervention for preventing HIV/AIDS and STIs in female sex workers (FSWs) in Mexico. Methods: Semi-structured interviews were conducted with 77 leaders and counselors from 12 community-based reproductive health clinics located throughout Mexico participating in a large hybrid effectiveness-implementation randomized controlled trial to scale-up the use of Mujer Segura, a psychoeducational intervention designed to promote condom use and enhance safer sex negotiation skills among FSWs. Results: Five sets of requirements for sustainment were identified: 1) characteristics of the provider, including competence in delivering the intervention, need for continued technical support and assistance from outside experts, and satisfaction with addressing the needs of this population; 2) characteristics of the clients (i.e., FSWs), including client need and demand for services and incentives for participation; 3) characteristics of the organization, including its mission, benefits, and operations; 4) characteristics of the outer setting, including financial support and relationship with the community-based organization’s central offices, and transportation and security in areas where FSWs live and work; and 5) outcomes associated with the intervention itself, including a reduction of risk through education and increased outreach through referrals from FSWs who received the intervention. Conclusions: Although the requirements for successful sustainment of interventions like Mujer Segura are consistent with the factors identified in many models of implementation, the results illustrate the importance of local context in assigning priority to these model elements and suggest that the five categories are not discrete entities but interconnected.

Suggested Citation

  • Lawrence A Palinkas & Claudia V Chavarin & Claudia M Rafful & Mee Young Um & Doroteo V Mendoza & Hugo Staines & Gregory A Aarons & Thomas L Patterson, 2015. "Sustainability of Evidence-Based Practices for HIV Prevention among Female Sex Workers in Mexico," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-17, October.
    • Handle: RePEc:plo:pone00:0141508
    DOI: 10.1371/journal.pone.0141508
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    References listed on IDEAS

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    1. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis, 2004. "Making public health programs last: conceptualizing sustainability," Evaluation and Program Planning, Elsevier, vol. 27(2), pages 121-133, May.
    2. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis, 2004. "Corrigendum to `Making public health programs last: conceptualizing sustainability' [Evaluation and Program Planning 27 (2004) 121-133]," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 453-453, November.
    3. Patterson, T.L. & Mausbach, B. & Lozada, R. & Staines-Orozco, H. & Semple, S.J. & Fraga-Vallejo, M. & Orozovich, P. & Abramovitz, D. & De La Torre, A. & Amaro, H. & Martinez, G. & Magis-Rodríguez, C. , 2008. "Efficacy of a brief behavioral intervention to promote condom use among female sex workers in Tijuana and Ciudad Juarez, Mexico," American Journal of Public Health, American Public Health Association, vol. 98(11), pages 2051-2057.
    4. David Wilson, 2015. "HIV Programs for Sex Workers: Lessons and Challenges for Developing and Delivering Programs," PLOS Medicine, Public Library of Science, vol. 12(6), pages 1-11, June.
    5. José L Burgos & Julia A Gaebler & Steffanie A Strathdee & Remedios Lozada & Hugo Staines & Thomas L Patterson, 2010. "Cost-Effectiveness of an Intervention to Reduce HIV/STI Incidence and Promote Condom Use among Female Sex Workers in the Mexico–US Border Region," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-10, June.
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    Cited by:

    1. Leonard, Elizabeth & de Kock, Imke & Bam, Wouter, 2020. "Barriers and facilitators to implementing evidence-based health innovations in low- and middle-income countries: A systematic literature review," Evaluation and Program Planning, Elsevier, vol. 82(C).
    2. Eileen V Pitpitan & Shirley J Semple & Gregory A Aarons & Lawrence A Palinkas & Claudia V Chavarin & Doroteo V Mendoza & Carlos Magis-Rodriguez & Hugo Staines & Thomas L Patterson, 2018. "Factors associated with program effectiveness in the implementation of a sexual risk reduction intervention for female sex workers across Mexico: Results from a randomized trial," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-17, September.

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