Commercial sex workers in five Ethiopian cities: A baseline survey for USAID Targeted HIV Prevention Program for most-at-risk populations

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has supported the Vietnamese Ministry of Health (MOH) in implementing behavior change strategies to slow the HIV epidemic. These programs target commercial sex workers (CSW), injection drug users (IDU), and men who have sex with men (MSM). Using data from a program evaluation to assess effectiveness of the PEPFAR intervention, we conducted a sub-analysis of HIV/AIDS knowledge, sexual behaviors, and injection drug risk behaviors among 2,199 Vietnamese respondents, including those reporting recent contact with an outreach worker and those who did not report contact. We found overall high levels of HIV/AIDS knowledge, low rates of needle sharing, and moderate to high rates of inconsistent condom use. Average knowledge scores of IDU were significantly higher than non-IDU for antiretroviral treatment knowledge, while MSM had significantly less knowledge of treatment compared to non-MSM. HIV/AIDS-related knowledge was not significantly associated with needle-sharing practices. Knowledge was modestly but significantly associated with more consistent use of condoms with primary and commercial sex partners, even after controlling for contact with an outreach worker. Contact with an outreach worker was also an independent predictor of more consistent condom use. Outreach programs appear to play a meaningful role in changing sexual behavior, though the effect of outreach on IDU risk behaviors was less clear. More research is needed to understand the relationship between outreach programs and skill development, motivation, and use of referral services by most-at-risk populations in Vietnam.

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Most at-risk populations: contextualising HIV prevention programmes targeting marginalised groups in Zanzibar, Tanzania

African Journal of AIDS Research ◽

10.2989/16085906.2014.952645 ◽

2014 ◽

Vol 13 (3) ◽

pp. 205-213 ◽

Cited By ~ 1

Author(s):

Naheed Ahmed

Keyword(s):

At Risk ◽

Hiv Prevention ◽

Marginalised Groups ◽

Prevention Programmes ◽

At Risk Populations ◽

Most At Risk Populations

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Risk Factors in Host and Environment for Cervicitis Among Commercial Sex Workers

Jurnal Kesehatan Masyarakat Andalas ◽

10.24893/jkma.v11i1.206 ◽

2017 ◽

Vol 11 (1) ◽

pp. 3

Author(s):

Nazarwin Saputra ◽

Bagoes Widjanarko ◽

Henry Setyawan

Keyword(s):

At Risk ◽

Sexually Transmitted Infections ◽

Sex Workers ◽

Oral Sex ◽

Sex Behavior ◽

Commercial Sex ◽

Commercial Sex Workers ◽

Major Health Problem ◽

Sexually Transmitted ◽

History Of

sexually transmitted infection (STI) remains a major health problem in some parts of the world. This study aimed to determine the host and environmental factors the effect on the incidence of cervicitis on sex workers. The study was observational case-control design with consecutive sampling technique. Risk factor for cervicitis is a history of sexually transmitted infections (p=0,0001), have couple (boy friend) different gender (p=0,014, OR=4,4; CI95%=1,3-14,3), history of oral sex/cunnilingus (p=0,003, OR=6,8;CI95%=1,9-24,8), smokers (p=0,0001, CI95%=5,6; CI95%=2,4-13,1). Condom use last sex behavior is a protective factor affecting the incidence of cervicitis (p=0,0001, OR= 0,198; CI95 %=0,07- 0,5). The conclusion of this study is to prevent servisitis at-risk groups of commercial sex workers it should avoid from exposure of agents that cause sexually transmitted infections, does not have a spouse who is not authorized (girlfriend) that leads to sex behavior, avoid behaviors oral sex / cunnilingus, no smoke. At-risk behavior should use condoms for prevention servisitis

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Evaluating the effect of HIV prevention strategies on uptake of HIV counselling and testing among male most-at-risk-populations in Nigeria; a cross-sectional analysis

Sexually Transmitted Infections ◽

10.1136/sextrans-2014-051659 ◽

2015 ◽

Vol 91 (8) ◽

pp. 555-560 ◽

Cited By ~ 15

Author(s):

Sylvia Adebajo ◽

George Eluwa ◽

Jean Njab ◽

Ayo Oginni ◽

Francis Ukwuije ◽

...

Keyword(s):

At Risk ◽

Hiv Prevention ◽

Prevention Strategies ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Hiv Prevention Strategies ◽

Hiv Counselling And Testing ◽

At Risk Populations ◽

Most At Risk Populations ◽

Sectional Analysis

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Risk Factors in Host and Environment for Cervicitis Among Commercial Sex Workers

Jurnal Kesehatan Masyarakat Andalas ◽

10.24893/jkma.11.1.3-8.2016 ◽

2017 ◽

Vol 11 (1) ◽

pp. 3

Author(s):

Nazarwin Saputra ◽

Bagoes Widjanarko ◽

Henry Setyawan

Keyword(s):

At Risk ◽

Sexually Transmitted Infections ◽

Sex Workers ◽

Oral Sex ◽

Sex Behavior ◽

Commercial Sex ◽

Commercial Sex Workers ◽

Major Health Problem ◽

Sexually Transmitted ◽

History Of

sexually transmitted infection (STI) remains a major health problem in some parts of the world. This study aimed to determine the host and environmental factors the effect on the incidence of cervicitis on sex workers. The study was observational case-control design with consecutive sampling technique. Risk factor for cervicitis is a history of sexually transmitted infections (p=0,0001), have couple (boy friend) different gender (p=0,014, OR=4,4; CI95%=1,3-14,3), history of oral sex/cunnilingus (p=0,003, OR=6,8;CI95%=1,9-24,8), smokers (p=0,0001, CI95%=5,6; CI95%=2,4-13,1). Condom use last sex behavior is a protective factor affecting the incidence of cervicitis (p=0,0001, OR= 0,198; CI95 %=0,07- 0,5). The conclusion of this study is to prevent servisitis at-risk groups of commercial sex workers it should avoid from exposure of agents that cause sexually transmitted infections, does not have a spouse who is not authorized (girlfriend) that leads to sex behavior, avoid behaviors oral sex / cunnilingus, no smoke. At-risk behavior should use condoms for prevention servisitis

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Using social networks to understand and overcome implementation barriers in the global HIV response

10.31235/osf.io/apwcy ◽

2019 ◽

Author(s):

Guy Harling ◽

Alexander Tsai

Keyword(s):

At Risk ◽

Social Network ◽

Hiv Prevention ◽

Implementation Barriers ◽

Treatment Interventions ◽

Social Network Data ◽

Prevention And Treatment ◽

At Risk Populations ◽

Most At Risk Populations ◽

Roll Out

Despite the development of several efficacious HIV prevention and treatment methods in the past decades, HIV continues to spread globally. Uptake of interventions is non-randomly distributed across populations, and such inequality is socially patterned both statically (due to homophily) and dynamically (due to social selection and influence). Social network analysis (SNA) methods, including egocentric, sociocentric, and respondent-driven sampling, provide tools to measure most-at-risk populations, to understand how epidemics spread, and to evaluate intervention take-up. SNA informed designs can improve intervention effectiveness by reaching otherwise inaccessible populations and improve efficiency by maximizing spillovers to at-risk but susceptible individuals through social ties; they thus have the potential to be both more effective and less unequal in their effects than SNA-naïve approaches. While SNA-informed designs are often resource-intensive, they are uniquely able to help reach those most in need of HIV prevention and treatment interventions. Increased collection of social network data during both research and implementation work would provide important information to improve the roll-out of existing studies in the present and to inform the design of more data-efficient, SNA-informed interventions in the future.

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