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We aimed to update the evidence on the effectiveness of <jats:styled-content style=\"fixed-case\">SW<\/jats:styled-content> interventions in sub\u2010Saharan Africa and to provide more insights into combination prevention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Systematic review followed <jats:styled-content style=\"fixed-case\">PRISMA<\/jats:styled-content> guidelines in a search of <jats:styled-content style=\"fixed-case\">PUBMED<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">POPLINE<\/jats:styled-content> for peer\u2010reviewed literature published between 1 January 2000 and 22 July 2016 (registration number on <jats:styled-content style=\"fixed-case\">PROSPERO<\/jats:styled-content>:<jats:styled-content style=\"fixed-case\"> CRD<\/jats:styled-content>42016042529). We considered cohort interventions, randomised controlled trials and cross\u2010sectional surveys of <jats:styled-content style=\"fixed-case\">SW<\/jats:styled-content> programmes. A framework was used in the description and mapping of intervention to desired outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six papers(reporting on 25 studies) were included. A strategy that empowered peer educator leaders to steer community activities showed a twofold increase in coverage of behaviour change communication and utilisation of health facility among <jats:styled-content style=\"fixed-case\">SW<\/jats:styled-content>. Brief alcohol harm reduction effort demonstrated a significant effect on sexual violence and engagement in sex trading. A risk reduction counselling intervention among drug\u2010injecting <jats:styled-content style=\"fixed-case\">SW<\/jats:styled-content> showed an effect on alcohol, substance use and engagement in sex work. No study on a promising intervention like Pr<jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content> among <jats:styled-content style=\"fixed-case\">SW<\/jats:styled-content>s was found. We observed that interventions that combined some structural components, biomedical and behavioural strategies tend to accumulate more desired outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The evidence base that can be considered in intervention designs to prevent <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">SW<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">SSA<\/jats:styled-content> is vast. The health sector should consider interventions to reduce binge alcohol intake and intravenous drug use among sex workers. Programmes should staunchly consider multicomponent approaches that explore community\u2010based structural approaches.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12890","type":"journal-article","created":{"date-parts":[[2017,4,27]],"date-time":"2017-04-27T22:09:57Z","timestamp":1493330997000},"page":"971-993","source":"Crossref","is-referenced-by-count":37,"title":["Systematic review of sex work interventions in sub\u2010Saharan Africa: examining combination prevention approaches"],"prefix":"10.1111","volume":"22","author":[{"given":"George","family":"Awungafac","sequence":"first","affiliation":[{"name":"African Society for Laboratory Medicine Addis Ababa Ethiopia"},{"name":"Ministry of Health Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Therese","family":"Delvaux","sequence":"additional","affiliation":[{"name":"Institute of Tropical Medicine Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bea","family":"Vuylsteke","sequence":"additional","affiliation":[{"name":"Institute of Tropical Medicine Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2006.020081"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70066-X"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040339"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8603-10-22"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2014.938013"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2989\/16085906.2014.927779"},{"key":"e_1_2_7_8_1","unstructured":"UNAIDS.The Gap Report. 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