scholarly journals Strengthening STI treatment and HIV/AIDS prevention services in Carletonville, South Africa

2004 ◽  
Author(s):  
Lewis Ndhlovu ◽  
Catherine Searle ◽  
Johannes van Dam

Although knowledge about HIV/AIDS is widespread in South Africa, adult HIV prevalence is high, indicating high levels of risky sexual behavior. Understanding the gap between knowledge and behavior requires an examination of the social context in which the epidemic occurs. The Horizons Program conducted an intervention study in the Carletonville area to study the social determinants of the HIV epidemic and to assess the impact of a targeted program of HIV and STI prevention and service delivery. In 1998, the Mothusimpilo (“Working together for health”) Intervention Project (MIP) was launched to reduce community prevalence of HIV and other STIs and to sustain those reductions through enhanced prevention and STI treatment services. Carletonville includes many migrant mine workers and is characterized by significant poverty and unemployment, the presence of sex work, and high rates of STIs. MIP targets population groups where high-risk sexual behavior is thought to be common. This brief focuses on sex workers because of their vulnerability to STIs and HIV infection and their link to miners and men in the broader community.

2019 ◽  
Vol 3 (3) ◽  
pp. 33-43
Author(s):  
Iwan Saka Nugraha

HIV/AIDS cases among female sex workers in Buleleng regency was suspected related to the increasing number of indirect sex workers. Coffee sellers named dakocan who are not only selling coffee, or various food but also providing alcoholic drink and sexual service.  This study aimed to provide an overview of high-risk sexual behavior among dakocan and its determinants. The study applied a mixed-method design. First of all, the survey was conducted among 64 respondents. 14 confirmed that they were also providing sexual services who were further interviewed more deeply to know the sexual behavior related to high risk of HIV transmission. Quantitative analysis the respondents were having poor knowledge regarding HIV/AIDS (59.38%) and not a serious disease (62,50%) and 59.38 %having a low perception ,as much as 67,19% respondents perceived that they are having a high-risk variables that are significant low perception toward benefits of using condoms (95%CI=0.002-0.759; p=0.032), experience in undergoing HIV/AIDS examination (95%CI=1.039-182.903; p=0.047). These findings are supported by the qualitative interview. The government program is required to change dakocan behavior by providing preventive services including more campaigns in the importance of condoms.


1970 ◽  
Vol 5 (1) ◽  
pp. 09
Author(s):  
Shinta Kristianti

Transmission of HIV-AIDS in Indonesia is growing fast, one of the triggers are due to risky sexual behavior, including sexual behavior in FSW’s clients. This study aimed to analyze the factors that influence the behavior of condom use on the FSW’s clients in Semampir Kediri. This study used quantitative methods to the design of explanatory research with cross sectional approach. A triangulation of qualitative data used to support the results of quantitative analysis were excavated from WPS and pimps as a cross check answers FSW’s clients, the means used was to in-depth interviews and FGDs (Focus Group Discussion) on the FSW and pimps. Sample size was 66 people. Univariate data analysis, with chi-square bivariate and multivariate logistic regression. Results showed most respondents (71.2%) behave consistent in using condoms.Variables related to condom use behavior in FSW were knowledge, perception of vulnerability, severity perceived, benefits perceived, barriers perceived and perceived ability to self (self-efficacy), the availability of condoms, condom regulation, support of friends and support of FSW. Support of friend was the most influential variable on the practice of using condoms to FSW’s clients and the OR value was 19.218.; Key words: female sex workers (FSW), FSW’s clients, condom, consistent 


2003 ◽  
Vol 8 (2) ◽  
Author(s):  
Natalie Goldstein ◽  
H G Pretorius ◽  
A D Stuart

An in-depth look is taken at the specific discourses surrounding the debilitating HIV/AIDS epidemic sweeping South Africa and the world. Opsomming Hierdie artikel poog om ‘n indiepte ondersoek te loods na die spesifieke diskoerse rondom die MIV/VIGS epidemie in Suid-Afrika en die wêreld. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


2019 ◽  
Vol 125 ◽  
pp. 05003 ◽  
Author(s):  
Sutimin ◽  
Siti Khabibah ◽  
Dita Anies Munawwaroh ◽  
R. Heri Soelistyo U

A model of the HIV/AIDS epidemic among sex workers and their clients is discussed to study the effects of condom use in the prevention of HIV transmission. The model is addressed to determine the existence of equilibrium states, and then analyze the global stability of disease free and endemic equilibrium states. The global stability of equilibria depends on the vales of the basic reproduction ratio derived from the next generation matrix of the model. The endemic equilibrium state is globally stable when the ratio exceeds unity. The simulation results are presented to discuss the effect of condom use treatment in preventing the spread of HIV/AIDS among sex workers and their clients. The results show that the effectiveness level in using condoms in sexual intercourse corresponds to the decreasing level of the spread of HIV/AIDS. We use Maple and Matlab software to simulate the impact of condom use.


2002 ◽  
Vol 18 (3) ◽  
pp. 651-660 ◽  
Author(s):  
Leah Gilbert ◽  
Liz Walker

This paper presents an overview of the development of HIV/AIDS in South Africa, taking into consideration the social context and analyzing the factors most likely to have influenced its spread as well as the societal response to it. The authors argue that macro factors such as social and political structures, in addition to behavioral ones, have combined to shape the course of the epidemic. Since various factors linked to social inequalities have combined to shape the pattern and growth of the HIV/AIDS epidemic in South Africa, it is inappropriate to focus on only one dimension in an attempt to combat the epidemic. Following the psycho-socio- environmental model, all potential contributing elements need to be addressed simultaneously. This calls for a true interdisciplinary and multi-sectorial approach. It also requires great commitment as well as strong political will.


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