Programmatic mapping and size estimation of female sex workers, transgender sex workers and men who have sex with men in İ stanbul and Ankara, Turkey

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dc.contributor.authorGokengin D.
dc.contributor.authorAybek G.
dc.contributor.authorAral S.O.
dc.contributor.authorBlanchard J.
dc.contributor.authorSerter D.
dc.contributor.authorEmmanuel F.
dc.date.accessioned2021-05-03T20:59:04Z
dc.date.available2021-05-03T20:59:04Z
dc.date.issued2021
dc.description.abstractObjectives: Despite a growing HIV threat, there is no definition and characterisation of key populations (KPs), who could be the major drivers of the epidemic in Turkey. We used programmatic mapping to identify locations where KPs congregate, estimate their numbers and understand their operational dynamics to develop appropriate HIV programme implementation strategies. Methods: Female and transgender sex workers (FSWs and TGSWs), and men who have sex with men (MSM) were studied in İ stanbul and Ankara. Within each district, hot spots were identified by interviewing key informants and a crude spot list in each district was developed. The spot validation process was led by KP members who facilitated spot access and interviews of KPs associated with that spot. Final estimates were derived by aggregating the estimated number of KPs at all spots, which was adjusted for the proportion of KPs who visit multiple spots, and for the proportion of KPs who do not visit spots. Results: FSWs were the largest KP identified in İ stanbul with an estimate of 30 447 (5.8/1000 women), followed by 15 780 TGSWs (2.9/1000 men) and 11 656 MSM (2.1/1000). The corresponding numbers in Ankara were 9945 FSWs (5.2/1000 women), 1770 TGSWs (1/1000 men) and 5018 MSM (2.5/1000 men). Each KP had unique typologies based on the way they find and interact with sex partners. MSM were mostly hidden and a higher proportion operated through internet and phone-based applications. Night time was the peak time with Friday, Saturday and Sunday being the peak days of activity in both İ stanbul and Ankara. Conclusions: This study has highlighted the presence of a substantial number of FSWs, TGSW and MSM in İ stanbul and Ankara. The information obtained from this study can be used to set priorities for resource allocation and provide HIV prevention services where coverage could be the highest. © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.en_US
dc.identifier.doi10.1136/sextrans-2020-054894
dc.identifier.issn1368-4973
dc.identifier.issn1368-4973en_US
dc.identifier.pmid33782150en_US
dc.identifier.scopus2-s2.0-85103505275en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1136/sextrans-2020-054894
dc.identifier.urihttps://hdl.handle.net/11454/71580
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofSexually Transmitted Infectionsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectsex worken_US
dc.subjectsexual and gender minoritiesen_US
dc.subjectsexual behavioren_US
dc.titleProgrammatic mapping and size estimation of female sex workers, transgender sex workers and men who have sex with men in İ stanbul and Ankara, Turkeyen_US
dc.typeArticleen_US

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