Using mathematical modelling to estimate the impact of periodic presumptive treatment on the transmission of sexually transmitted infections and HIV among female sex workers

2009 ◽  
Vol 86 (3) ◽  
pp. 163-168 ◽  
Author(s):  
P. Vickerman ◽  
F. Ndowa ◽  
N. O'Farrell ◽  
R. Steen ◽  
M. Alary ◽  
...  
2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
A. Das ◽  
P. Prabhakar ◽  
P. Narayanan ◽  
G. Neilsen ◽  
T. Wi ◽  
...  

Objective. Control of sexually transmitted infections (STIs) among female sex workers (FSWs) is an important strategy to reduce HIV transmission. A study was conducted to determine the prevalence and assess the current clinical management of STIs in India.Methods. FSWs attending three clinics for regular checkups or symptoms were screened for study eligibility. A behavioral questionnaire was administered, clinical examination performed, and laboratory samples collected.Results. 417 study participants reported a mean number of 4.9 (SD 3.5) commercial clients in the last week. 14.6% reported anal sex in the last three months. Consistent condom use with commercial and regular partners was 70.1% and 17.5%, respectively. The prevalence of gonorrhea was 14.1%, chlamydia 16.1%, and trichomoniasis 31.1% with a third of all infections being asymptomatic. Syphilis seropositivity was 10.1%.Conclusions. At study sites, presumptive treatment for gonorrhea, chlamydia, and syphilis screening should continue. Presumptive treatment for trichomoniasis should be considered. Consistent condom use and partner treatment need to be reemphasized.


AIDS Care ◽  
2011 ◽  
Vol 23 (sup1) ◽  
pp. 5-25 ◽  
Author(s):  
Adrienne N. Poon ◽  
Zhijun Li ◽  
Ning Wang ◽  
Yan Hong

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