Qualitative data were collected from 34 Indonesian female sex workers to understand their engagement with HIV treatment. Influences that enhanced treatment initiation and adherence included women's desires to stay healthy to continue working to provide for families; awareness of the biomedical benefits of treatment; support from bosses, outreach workers, and peer support groups; and flexible, nonjudgmental HIV service provision. Influences inhibiting treatment initiation and adherence included concerns about unwanted disclosure in the workplace and side effects of medication on women's capacity to earn money through sex work; geographical location of services; discrimination and confidentiality concerns in HIV care services. To improve HIV treatment initiation and adherence among Indonesian female sex workers, future responses should explore health promotion messages that engage with women's family and livelihood obligations; increased funding for community-based peer outreach workers; community-based treatment initiation and supply; and advocacy in work environments to secure support for treatment initiatives.

中文翻译：

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对印度尼西亚三座城市中性工作者的艾滋病毒治疗采用率和依从性的家庭，工作，社区和卫生服务影响的定性探索

从34位印度尼西亚女性性工作者那里收集了定性数据，以了解她们参与艾滋病毒治疗的情况。增强治疗开始性和依从性的影响包括妇女渴望保持健康以继续为家庭谋生的愿望；了解治疗的生物医学益处；老板，外展工人和同伴支持小组的支持；以及灵活，无判断性的艾滋病服务提供。影响治疗开始和依从性的因素包括对工作场所不必要的披露以及药物对女性通过性工作赚钱能力的副作用的担忧；服务的地理位置；艾滋病毒护理服务中的歧视和保密问题。为了提高印度尼西亚女性性工作者的艾滋病毒治疗发起率和依从性，未来的应对应探索与妇女的家庭和生计义务有关的健康促进信息；增加对社区同伴外展工作者的资助；基于社区的治疗的发起和提供；在工作环境中进行宣传，以确保对治疗计划的支持。