Table 5 Effects of the Key Population (KP) programme and additional effects of the AMETHIST intervention

From: Impact and cost-effectiveness of the community-led AMETHIST intervention among female sex workers in Zimbabwe

 

Probabilities sampled with equal likelihood according to sex work programme

Per 3 months

KP (assumed since 2010)

AMETHIST* (additional to KP from 2024)

Engagement with programme

1%, 3%, 5% 10%

10% increase compared to KP

Disengagement from programme

2%, 5%, 10%

10% decrease compared to KP

Greater condom use (condomless partners reduced by two-thirds)

5%, 10%

No additional effect

6-monthly testing

20%, 35%, 50%

No additional effect

Increase in willingness to take PrEP

5%, 10%

No additional effect

Persistent STI reduction

10%, 20%

No additional effect

In relation to disadvantages:

Interruption disadvantage reduced by:

30%, 50%, 70%

Disadvantage reduced further by up to 3-fold compared to KP

Loss at diagnosis disadvantage reduced by:

30%, 50%, 70%

Disadvantage reduced further by up to 3-fold compared to KP

Adherence disadvantage reduced as follows: Original adherence + (1 – original adherence * (sampled probability)):

Sampled probability: 10%, 15%, 25%

Disadvantage reduced further by up to 4-fold compared to KP

  1. *Additional AMETHIST impact was guided by results of the trial1, shown in the last column of Table 2.