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Social networks, mobility, and HIV risk among women in the fishing communities of Lake Victoria

Article scientifique 2022 Anglais

Résumé

Abstract BackgroundPopulation mobility is a demonstrated barrier to reducing HIV incidence. A clear understanding of social networks and their influence on mobility among women in the fishing communities of Lake Victoria may contribute to tailoring effective interventions that suit the needs of these mobile women. MethodsA cross-sectional qualitative study was conducted to understand mobility patterns among women resident and or working in fishing communities of Lake Victoria in Kenya, Tanzania and Uganda. The study was conducted in six fishing communities from March 2018 to June 2019. The communities were purposively selected, based on population size (1000 people or more) and HIV prevalence of >15% among women aged 18 years or older and mature/emancipated minors aged 15-17 years and had lived in the fishing community for at least six months. In-depth interviews were conducted with 24 key informants and 72 women from the sites in the three countries. Questions focused on women’s social networks and other factors that fuelled/facilitated women’s mobility as well as challenges faced in mobility. Data analysis followed a thematic framework approach.ResultsDifferent social groupings/networks existed among women in fishing communities of Lake Victoria. These included female sex workers, women fish processors/traders, women bar workers/ owners, restaurant workers, and women’s-family networks. Networks encouraged mobility, supporting finding work opportunities, but also increased sexual risks through partner changes. The benefits of networks included information sharing, financial support, and group protection, especially against violence. ConclusionSocial networks and groupings among women in fishing communities of Lake Victoria could be useful in tailoring HIV prevention and HIV care interventions to suit the needs of these highly mobile populations.

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Nakamanya, S., Okello, E., Kwena, Z., Nanyonjo, G., Bahemuka, U., Kibengo, F., Ssetaala, A., Bukusi, E., Kapiga, S., Fast, P., Seeley, J., Kidega, T. (2022). Social networks, mobility, and HIV risk among women in the fishing communities of Lake Victoria. https://doi.org/10.21203/rs.3.rs-1737750/v1

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Auteur(s)

Sarah Nakamanya Elialilia S. Okello Zachary Kwena Gertrude Nanyonjo Ubaldo Bahemuka Freddie Kibengo Ali Ssetaala Elizabeth A. Bukusi Saidi Kapiga Pat Fast Janet Seeley The Lake Victoria Consortium for Health Research Kidega

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