Female sex workers population size estimation in Rwanda using a three-source capture-recapture method.
G Musengimana1, E Tuyishime2, E Remera1
1Rwanda Biomedical Center, Ministry of Health, Kigali, Rwanda.
Epidemiology and Infection
|March 18, 2021
Summary
Accurate population size estimates (PSE) for female sex workers (FSW) in Rwanda were established using the three-source capture-recapture (3S-CRC) method. The study estimated between 8,328 and 22,806 FSW, providing crucial data for public health services.
Area of Science:
- Epidemiology
- Public Health
- Biostatistics
Background:
- Accurate population size estimates (PSE) are crucial for effective service delivery and resource allocation.
- The multiple-source capture-recapture (MS-CRC) method enhances the accuracy and reliability of PSE, particularly for hard-to-reach populations.
- Previous estimates for female sex worker (FSW) populations in Rwanda were limited, impacting public health program planning.
Purpose of the Study:
- To estimate the population size of street and venue-based female sex workers (FSW) in Rwanda using the three-source capture-recapture (3S-CRC) method.
- To assess the feasibility and cost-effectiveness of the 3S-CRC technique for estimating populations in challenging contexts.
- To provide a reliable denominator for evaluating HIV program performance and epidemic control strategies targeting FSW in Rwanda.
Main Methods:
- The three-source capture-recapture (3S-CRC) method was implemented in August 2018, sampling street and venue-based FSW across Rwanda's provinces.
- FSW were sampled at identified hotspots, tagged with unique gifts, and captures were conducted within one week to minimize migration and recall bias.
- Data from three captures (n=1042, 1204, 1488) with specific overlap counts (recaptures) were analyzed to derive the population size estimate.
Main Results:
- The 3S-CRC method yielded a population size estimate for street and venue-based FSW in Rwanda within a 95% credible interval of 8,328 to 22,806.
- The median estimated population size was 13,716 FSW.
- The 3S-CRC technique proved to be a low-cost and user-friendly approach for generating PSE in this population.
Conclusions:
- The 3S-CRC method provides a robust and cost-effective approach for estimating the size of hard-to-reach populations like FSW in Rwanda.
- The generated PSE is essential for accurately assessing HIV program effectiveness and guiding epidemic control efforts.
- Further research is recommended to include home- and cyber-based FSW in future population size estimations.
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