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Tanzania HIV Impact Survey (THIS) 2016\u20132017: Preliminary Findings. Dar es Salaam, Tanzania; December 2017."},{"key":"pone.0235739.ref046","first-page":"7089150","article-title":"HIV epidemic in Tanzania: the possible role of the key populations","volume":"2017","author":"BCT Mpondo","year":"2017","journal-title":"AIDS Res Treat"},{"issue":"2","key":"pone.0235739.ref047","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1080\/13691058.2014.961034","article-title":"\u2018If you have children, you have responsibilities\u2019: motherhood, sex work and HIV in southern Tanzania","volume":"17","author":"SW Beckham","year":"2015","journal-title":"Cult Health Sex"},{"key":"pone.0235739.ref048","volume-title":"The Situation Analysis Approach to Assessing Family Planning and Reproductive Health Services: A Handbook","author":"RF, A. 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