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HIV epidemiology among female sex workers and their clients in the Middle East and North Africa: systematic review, meta-analyses, and meta-regressions

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Through an extensive, systematic, and comprehensive assessment of HIV epidemiology among FSWs and clients, including data presented in the scientific literature for the first time, we found that HIV epidemics among FSWs have already emerged in MENA, and some appear to have reached their peak. Based on a synthesis and triangulation of evidence from studies on a total of 300,000 FSWs and 30,000 clients, a strong regionalization of epidemics has been identified. In Djibouti and South Sudan, the HIV epidemic is concentrated with a prevalence of ~ 20% in FSWs. In Algeria, Libya, Morocco, Somalia, and

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