{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:07:15Z","timestamp":1777853235059,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"U.S. President's Emergency Plan for AIDS Relief","award":["5U2GGH000994-03"],"award-info":[{"award-number":["5U2GGH000994-03"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Key populations, ie, female sex workers, men who have sex with men, transgender people, people who inject drugs, and people in prisons and other closed settings, experience stigma, discrimination, and structural barriers when accessing HIV prevention and care. Public health facilities in Myanmar became increasingly involved in HIV service delivery, leading to an urgent need for healthcare workers to provide client-centred, key population-friendly services. Between July 2017\u2013June 2018, the Myanmar Ministry of Health and Sports and National AIDS Programme collaborated with ICAP at Columbia University and the US Centers for Disease Control and Prevention to implement a quasi-experimental, multicomponent intervention including healthcare worker sensitization training with pre- and post- knowledge assessments, healthcare worker and client satisfaction surveys, and structural changes. We observed modest improvements among healthcare workers (n\u2009=\u200950) in knowledge assessments. Classification of clients into key population groups increased and fewer clients were classified as low risk. Key population clients reported favourable perceptions of the quality and confidentiality of care through self-administered surveys. Our findings suggest public health facilities can deliver HIV services that are valued by key population clients.<\/jats:p>","DOI":"10.1177\/23259582211055933","type":"journal-article","created":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T08:05:18Z","timestamp":1637827518000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Optimizing HIV Services for Key Populations in Public-Sector Clinics in Myanmar"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6154-267X","authenticated-orcid":false,"given":"Ansley","family":"Lemons-Lyn","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Reidy","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wah Wah","family":"Myint","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University, Yangon, Myanmar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9154-071X","authenticated-orcid":false,"given":"Khin N.","family":"Chan","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University, Yangon, Myanmar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Abrams","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3995-9249","authenticated-orcid":false,"given":"Zaw Zaw","family":"Aung","sequence":"additional","affiliation":[{"name":"National AIDS \r Ministry of Health and Sports, Yangon, Myanmar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Benech","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trista","family":"Bingham","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1833-4880","authenticated-orcid":false,"given":"Mitesh","family":"Desai","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Yangon, Myanmar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ei Ei","family":"Khin","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Yangon, Myanmar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tharaphi","family":"Lin","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University, Yangon, Myanmar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halli","family":"Olsen","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Htun Nyunt","family":"Oo","sequence":"additional","affiliation":[{"name":"National AIDS \r Ministry of Health and Sports, Yangon, Myanmar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassia","family":"Wells","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasha","family":"Mital","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,25]]},"reference":[{"key":"bibr1-23259582211055933","unstructured":"UNAIDS. Global aids update. 2020.\n                      Seizing the moment: Tackling entrenched inequities to end epidemics\n                      https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2020_global-aids-report_en.pdf."},{"key":"bibr2-23259582211055933","unstructured":"National AIDS Program, Ministry of Health and Sports. 2020.\n                      Annual progress report 2019\n                      ."},{"key":"bibr3-23259582211055933","volume-title":"Country Factsheets - Myanmar 2019 Data","author":"UNAIDS"},{"key":"bibr4-23259582211055933","unstructured":"National AIDS Program, Ministry of Health and Sports. March 2018.\n                      2016 HIV estimates & projections (national & sub-national levels)\n                      ."},{"key":"bibr5-23259582211055933","unstructured":"Ministry of Health and Sports. 2020.\n                      National strategic plan on HIV and AIDS, Myanmar 2021\u20132025\n                      ."},{"key":"bibr6-23259582211055933","unstructured":"National AIDS Programme, Ministry of Health and Sports, ICAP at Columbia University. 2019.\n                      Integrated biological and behavioural survey for HIV\/AIDS and population size estimates among men who have sex with men in Myanmar\n                      ."},{"key":"bibr7-23259582211055933","unstructured":"National AIDS Programme, Ministry of Health and Sports. 2019.\n                      Integrated biological and behavioural survey for HIV\/AIDS and population size estimates among female sex workers in Myanmar\n                      ."},{"key":"bibr8-23259582211055933","doi-asserted-by":"publisher","DOI":"10.4081\/jphr.2014.204"},{"key":"bibr9-23259582211055933","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-017-0137-z"},{"key":"bibr10-23259582211055933","doi-asserted-by":"publisher","DOI":"10.4102\/sajhivmed.v19i1.701"},{"key":"bibr11-23259582211055933","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2019.0131"},{"key":"bibr12-23259582211055933","doi-asserted-by":"publisher","DOI":"10.1089\/vio.2018.0015"},{"key":"bibr13-23259582211055933","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2017.1307922"},{"key":"bibr14-23259582211055933","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25553"},{"key":"bibr15-23259582211055933","doi-asserted-by":"publisher","DOI":"10.7448\/ias.16.4.18748"},{"key":"bibr16-23259582211055933","doi-asserted-by":"publisher","DOI":"10.4102\/sajhivmed.v20i1.909"},{"key":"bibr17-23259582211055933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.09.026"},{"key":"bibr18-23259582211055933","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6351-3"},{"key":"bibr19-23259582211055933","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.16029.2"},{"key":"bibr20-23259582211055933","unstructured":"Centers for Disease Control and Prevention. Healthcare worker training on client-centered services for key populations. https:\/\/centersfordiseasecontrol.sharefile.com\/share\/view\/s4244c24ce9024b0fbdcfa1773d21a2a0\/fo4899bf-c28f-41d8-a193-aba959c703b0."}],"container-title":["Journal of the International Association of Providers of AIDS Care (JIAPAC)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582211055933","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259582211055933","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582211055933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:50:02Z","timestamp":1777503002000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259582211055933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":20,"alternative-id":["10.1177\/23259582211055933"],"URL":"https:\/\/doi.org\/10.1177\/23259582211055933","relation":{},"ISSN":["2325-9582","2325-9582"],"issn-type":[{"value":"2325-9582","type":"print"},{"value":"2325-9582","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"23259582211055933"}}