National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.

<h4>Background</h4>Key Population size estimation (PSE) is instrumental for HIV/STI preventive, treatment and care services planning, implementation and delivery. The objective was to estimate the overall population of female sex workers (FSW) in all the 16 regions of Ghana using differe...

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Main Authors: Chris Guure, Samuel Dery, Seth Afagbedzi, Waimar Tun, Sharon Stucker Weir, Silas Quaye, Augustine Ankomah, Kwasi Torpey
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0256949
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author Chris Guure
Samuel Dery
Seth Afagbedzi
Waimar Tun
Sharon Stucker Weir
Silas Quaye
Augustine Ankomah
Kwasi Torpey
author_facet Chris Guure
Samuel Dery
Seth Afagbedzi
Waimar Tun
Sharon Stucker Weir
Silas Quaye
Augustine Ankomah
Kwasi Torpey
author_sort Chris Guure
collection DOAJ
description <h4>Background</h4>Key Population size estimation (PSE) is instrumental for HIV/STI preventive, treatment and care services planning, implementation and delivery. The objective was to estimate the overall population of female sex workers (FSW) in all the 16 regions of Ghana using different PSE methods.<h4>Method</h4>Mapping of venues and complete enumeration of seaters was conducted at the formative stage prior to the bio-behavioral survey (BBS). Three PSE methods were used to derive the size estimates of FSW in the 16 regions. These include: Capture-recapture (CRC), service multiplier and three-source capture recapture (3SCRC) methods. The final choice of the estimation method used to estimate the roamer population was 3SCRC. This method was chosen because of its perfect record-linkage-hierarchic combination of three names that minimizes overmatching as well as the addition of an interaction term in the model which corrects for the dependencies in CRC.<h4>Results</h4>The total population size estimate of the female sex workers in the country obtained for roamers using capture re-capture was 41,746 (95% CI: 41,488-41,932). Using the service multiplier, the total population for both the roamers and seaters was 41,153 (95% CI: 37,242-45,984). The 3-source capture re-capture yielded 55,686 roamers FSW (95% CI: 47,686-63,686). The seater population was 4,363 FSW based on census/complete enumeration. The total population size estimate of FSW (seaters and roamers) in Ghana was 60,049 when 3SCRC and census were added. This represents about 0.76% of all estimated adult females aged 15-49yrs in Ghana.<h4>Conclusion</h4>We report population size estimates (PSE) for FSW in Ghana. These estimates are the results of 3SCRC. These findings provide a valid and reliable source of information that should be referenced by government officials and policymakers to plan, implement and provide HIV/STI preventive, treatment, and care services for FSW in Ghana.
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spelling doaj.art-0869ca89d979482682015ab96ddae3c92022-12-21T19:09:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01169e025694910.1371/journal.pone.0256949National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.Chris GuureSamuel DerySeth AfagbedziWaimar TunSharon Stucker WeirSilas QuayeAugustine AnkomahKwasi Torpey<h4>Background</h4>Key Population size estimation (PSE) is instrumental for HIV/STI preventive, treatment and care services planning, implementation and delivery. The objective was to estimate the overall population of female sex workers (FSW) in all the 16 regions of Ghana using different PSE methods.<h4>Method</h4>Mapping of venues and complete enumeration of seaters was conducted at the formative stage prior to the bio-behavioral survey (BBS). Three PSE methods were used to derive the size estimates of FSW in the 16 regions. These include: Capture-recapture (CRC), service multiplier and three-source capture recapture (3SCRC) methods. The final choice of the estimation method used to estimate the roamer population was 3SCRC. This method was chosen because of its perfect record-linkage-hierarchic combination of three names that minimizes overmatching as well as the addition of an interaction term in the model which corrects for the dependencies in CRC.<h4>Results</h4>The total population size estimate of the female sex workers in the country obtained for roamers using capture re-capture was 41,746 (95% CI: 41,488-41,932). Using the service multiplier, the total population for both the roamers and seaters was 41,153 (95% CI: 37,242-45,984). The 3-source capture re-capture yielded 55,686 roamers FSW (95% CI: 47,686-63,686). The seater population was 4,363 FSW based on census/complete enumeration. The total population size estimate of FSW (seaters and roamers) in Ghana was 60,049 when 3SCRC and census were added. This represents about 0.76% of all estimated adult females aged 15-49yrs in Ghana.<h4>Conclusion</h4>We report population size estimates (PSE) for FSW in Ghana. These estimates are the results of 3SCRC. These findings provide a valid and reliable source of information that should be referenced by government officials and policymakers to plan, implement and provide HIV/STI preventive, treatment, and care services for FSW in Ghana.https://doi.org/10.1371/journal.pone.0256949
spellingShingle Chris Guure
Samuel Dery
Seth Afagbedzi
Waimar Tun
Sharon Stucker Weir
Silas Quaye
Augustine Ankomah
Kwasi Torpey
National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.
PLoS ONE
title National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.
title_full National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.
title_fullStr National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.
title_full_unstemmed National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.
title_short National and subnational size estimation of female sex workers in Ghana 2020: Comparing 3-source capture-recapture with other approaches.
title_sort national and subnational size estimation of female sex workers in ghana 2020 comparing 3 source capture recapture with other approaches
url https://doi.org/10.1371/journal.pone.0256949
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