Sex Workers' Guidance for an Outpatient Clinic, A Community-Partnered Study Using Nominal Group Process and Narrative Review in Pittsburgh, Pennsylvania

Objective. To identify recommendations from sex workers for the design of a hospital-based ambulatory clinic. Methods. We used community-partnered purposive recruitment to identify sex workers in our county. We used nominal group process, and participants of two focus groups generated recommendations for health care delivered in a clinic for sex workers, reviewed relevant research identified by narrative review, and ranked a final list of recommendations. Results. In the first focus group (n=6), sex workers recommended the clinic have access to housing, food, and insurance resources, along with non-judgmental, anti-racist providers who are approved by sex workers as appropriate caregivers. In the second group (n=5), participants considered five relevant research articles and added recommendations on substance use treatment services and funding for free care. Conclusion. Recommendations made by sex workers during this nominal group process created a guide for an ambulatory clinic that may improve health care for sex workers in [our region].