The pathway to sex work followed a similar pattern for many study participants who left their rural homes for Kumasi in search of economic opportunity. While adolescents who sell sex appear to be abundant in Kumasi, they have been missed by HIV prevention and harm reduction programming. The findings from this study informed the design and implementation of a young female sex worker peer educator pilot program. Key elements of that program are presented, and recommendations for future program evaluation are made.

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Objective1) To establish One Health workgroups and conduct an e-Surveillance assessment to inform national strategic planning efforts in pilot countries. 2) To provide evidence for the African Surveillance Informatics Governance Board (ASIGB) to address its mission of establishing e-Surveillance. IntroductionInformation and Communication Technology (ICT) can enhance public health surveillance (PHS) by facilitating the digital exchange of information. Electronic surveillance (e-Surveillance) is the use of electronic systems to empower the digitization of PHS functions of prevention, detection, and response. E-Surveillance maximizes compliance with the International Health Regulations (2005), enables efficient Integrated Disease Surveillance and Response, and empowers One Health.In Africa, e-Health is hindered by donor-funded, short-term projects known as "pilotitus." Proactive national leadership is required to establish a sustainable e-Surveillance program; an assessment and a strategic plan are the first steps.

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