Declines in risk behaviour and sexually transmitted infection prevalence following a community-led HIV preventive intervention among female sex workers in Mysore, India

Reza-Paul, Sushena; Beattie, Tara; Syed, Hafeez Ur Rahman; Venukumar, Koppal T; Venugopal, M S; Fathima, Mary; Raghavendra, H R; Pasha, Akram; Ramaiah, Manjula; Lakshmi, M; Isac, Shajy; Ramesh, Banadakoppa M; Washington, Reynold; Mahagaonkar, S.B.; Glynn, Judith R.; Blanchard, James; Moses, Stephen

doi:10.1097/01.aids.0000343767.08197.18

Cited by 171 publications

(164 citation statements)

References 42 publications

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“…The majority of HIV is transmitted through heterosexual sex: sexual transmission is responsible for approximately 87 percent of reported AIDS cases (NACO, 2006). Unprotected paid sex accounts for a significant amount of new infections, especially in the southern states of Karnataka, Tamil Nadu, Andhra Pradesh, and Maharashtra, where clusters of sex work networks tend to spread the disease more rapidly (Halli et al, 2006;Reza-Paul et al, 2008). Sex work is widespread throughout India and HIV prevalence is significantly higher among female sex workers (FSW) and their clients than among the general population (NACO, 2006).…”

Section: The Global Picture and Hiv In Indiamentioning

confidence: 99%

Confronting structural violence in sex work: lessons from a community-led HIV prevention project in Mysore, India

et al. 2011

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Section: The Global Picture and Hiv In Indiamentioning

confidence: 99%

Confronting structural violence in sex work: lessons from a community-led HIV prevention project in Mysore, India

et al. 2011

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“…Recent successful examples of STI control have integrated basic prevention components -targeted provision of condoms and STI services -into broader community-based efforts for enabling structural change. 26 …”

Section: Targeting High-risk Populationsmentioning

confidence: 99%

Control of sexually transmitted infections and prevention of HIV transmission: mending a fractured paradigm

Steen¹,

Wi²,

Kamali³

et al. 2009

Bull World Health Org

116

103

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Control of sexually transmitted infections (STIs) is feasible, leads to improved sexual and reproductive health and contributes to preventing HIV transmission. The most advanced HIV epidemics have developed under conditions of poor STI control, particularly where ulcerative STIs were prevalent. Several countries that have successfully controlled STIs have documented stabilization or reversal of their HIV epidemics.STI control is a public health outcome measured by reduced incidence and prevalence. The means to achieve this include: (i) targeting and outreach to populations at greatest risk; (ii) promoting and providing condoms and other means of prevention; (iii) effective clinical interventions; (iv) an enabling environment; and (v) reliable data.Clinical services include STI case management, screening and management of STIs in sex partners. Syndromic case management is effective for most symptomatic curable STIs and screening strategies exist to detect some asymptomatic infections. Presumptive epidemiologic treatment of sex partners and sex workers complement efforts to interrupt transmission and reduce prevalence. Clinical services alone are insufficient for control since many people with STIs do not attend clinics. Outreach and peer education have been effectively used to reach such populations.STI control requires effective interventions with core populations whose rates of partner change are high enough to sustain transmission. Effective, appropriate targeting is thus necessary and often sufficient to reduce prevalence in the general population. Such efforts are most effective when combined with structural interventions to ensure an enabling environment for prevention. Reliable surveillance and related data are critical for designing and evaluating interventions and for assessing control efforts.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬ a

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“…Studies that have profiled the socio-demographic characteristics of sex workers [3] [5] [6] [7] [8] document that the majority of women in sex work are illiterate, belong to lower castes, are destitute and/or are from poor economic backgrounds.…”

Section: Introductionmentioning

confidence: 99%

Female Sex Workers and Their Association with Self-Help Groups in Thane, Maharashtra, India: A Comparative Analysis in the Context of HIV Program Outcome

Yadav¹,

Sakthivel²,

Tayyaba³

et al. 2016

WJA

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Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV program outcome among the FSWs associated with SHGs and FSWs not associated with SHGs in Thane, Maharashtra. Study Design: This cross-sectional study was undertaken from the Behavioral Tracking Survey (BTS) conducted among 503 FSWs in Thane in 2015. Two-stage probability based conventional sampling was done for selection of brothel and bar based FSWs, while Time Location Cluster (TLC) sampling was done for home, lodge and street based sex workers. Methods: Bivariate and multivariate logistic regression were performed to compare and contrast between FSWs associated with SHG and those not associated with SHG with respect to the utilization of HIV related services by them. "Condom use", "consistent condom use", "contact with peer-educators", "counseling sessions" and "HIV testing" were chosen as indicators on HIV service utilization. Results: 8% (38) of FSWs are registered with SHG; 92% aged ≥25 years, 47% illiterate, and 71% are currently married. The likelihood of utilizing HIV services including, knowledge on HIV/AIDS and its mode of transmission (OR: 5.54; CI: 1.87 -16.60; p < 0.05), accessed drop-in Centre (OR: 6.53; CI: 2.15 -19.88; p < 0.10), heard about joint health camps (OR: 4.71; CI: 2.12 -10.46); p < 0.05), negotiated or stood up against police/broker/local goonda/clients (OR: 2.26; CI: 1.08 -4.73; p < 0.05), turned away clients when they refused to use condom during sex (OR: 3.76; CI: 1.27 -11.15; p < 0.05) and heard of ART (OR; 4.55; CI: 2.18 -9.48; p < 0.01) were higher among FSWs associated with SHG in comparison to FSWs not associated with SHG. Conclusions: Considering the improved HIV program outcomes among 187FSWs associated with SHG, HIV interventions among FSWs could consider facilitating the formation of SHGs with FSWs as one of the key strategies to empower the community for ensuring better program outcomes.

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Declines in risk behaviour and sexually transmitted infection prevalence following a community-led HIV preventive intervention among female sex workers in Mysore, India

Abstract: This comprehensive HIV preventive intervention empowering FSW has resulted in striking increases in reported condom use and a concomitant reduction in the prevalence of curable STI. This model should be replicated in similar urban settings across India.

Cited by 171 publications

References 42 publications

Confronting structural violence in sex work: lessons from a community-led HIV prevention project in Mysore, India

Confronting structural violence in sex work: lessons from a community-led HIV prevention project in Mysore, India

Control of sexually transmitted infections and prevention of HIV transmission: mending a fractured paradigm

Female Sex Workers and Their Association with Self-Help Groups in Thane, Maharashtra, India: A Comparative Analysis in the Context of HIV Program Outcome

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