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Due to the literature gap on the Iranian FSWs' sexual health and the intense stigma around this subject, in Iran, our results would be useful for developing an efficient intervention program. The prevalence of STIs in Isfahan FSWs can be controlled with programs such as consistent condom use and STI treatment. In addition, as just one-tenth of FSWs with an STI symptom were positive for an STI, symptomatic diagnosis of STIs might be insufficient.

Background This work was done to study the HIV-TB co-infection at Paul FAURE Republic of Djibouti were tuberculosis is highly endemic. Our objectives was to identify the average profile of individuals concerned by co-infection in PAUL FAURE Hospital and the differences between two period of time. Methods The status of HIV-TB co-infection was studied through the distribution of HIV-TB co-infected patients. These patients were followed at PAUL FAURE Hospital.This distribution was examined under thirteen parameters that were clinical, sociological and epidemiological over two distinct periods of time. The essential criterion for inclusion in the study was to be HIV-TB co-infected. The study included 104 cases of the 1st period and 85 cases of 2nd period. Results The average profile of HIV-TB co-infected patient who was monitored at PAUL FAURE Hospital over the 1st period was: a man, between 26-45 years of age, Djiboutian, married, with modest income, moderately educated, weakly informed about HIV-TB diseases, having a TPM+ as a clinical form of TB with 12.50% chance of dying while receiving treatment, with survival rate at 1 year under ART equaling 19.44%.In the 2nd period, the average profile was: a woman, between 26-40 years of age, Ethiopian, divorced, with modest income, not educated, not informed about HIV-TB diseases, drug users (Khat), a resident of Arhiba or Q4, having a TPM+ as clinical form of TB, being cured or still under treatment, with survival rate at 1 year under ART equaling 97.14%. Conclusions improving care and better monitoring of patients, as it was the case in second period, with systematic updating of sociological, clinical and epidemiological data can lead to a better management of the co-infection within the country. Background The knowledge on HPV type-specific long-term absolute risks (AR) and population attributable proportions (PAR) for CIN2+ is limited. With the SwedeScreen population-based randomised controlled trial the effect of HPV testing in primary screening was evaluated. Methods Overall 12,527 women (32-38 years) were randomised 1:1 to the intervention (cytology, HPV testing) and control arm (cytology, no action on HPV tests). Registry-based follow-up for cytological and histological test results was done (1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011). Type-specific ARs and PARs of CIN2+ were calculated. Poisson regression estimated the relative risk (RR) of new CIN2+. Multivariate analysis adjusted for co-infections. Women were censored at date of first CIN2+ or last registered cytology. Results Over the entire follow-up, the joint PAR for 14 HR-HPV types was similar in the intervention and control arms (69.3% versus 68.1%). AR, RR and PAR were highest during the first screening round but risks were high throughout follow-up. HR-HPV+ women developed CIN2+: 1-3 years 13.6%, 3-6 years 6.4%, later 4.5%. RRs: 89.5, 37.9, 12.2 and 9.0 during the first, second, third screening rounds and for > 9 years of follow-up. Different HPV types tend...

Introduction: Universal health coverage (UHC) was introduced in Iran in 2014. The aim of this study was to evaluate the usage rate of health services by human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients after UHC implementation. Material and methods: In 2018, in a cross-sectional study, we evaluated the outpatients' needs (within its previous month) and inpatients' needs (within its previous 6 months) of HIV/AIDS patients in Isfahan province (the center of Iran). Concurrently, we estimated the essential health care services that HIV/AIDS patients have to receive regularly, including vaccination for hepatitis B, measurement of CD4, tuberculosis (TB) assessments and TB treatment, anti-retroviral therapy, examination of viral load, treatment approach, and drug side effects counseling. Two checklists were used for assessing the utilization of health services and essential health cares for HIV/AIDS patients, validated by the Ministry of Health and Medical Education of Iran. Data were analyzed by χ 2 test, Pearson's correlation coefficient, and Spearman's correlation test. Results: Two hundred and thirteen HIV/AIDS patients completed the questionnaires. The mean age of participants was 41.14 ± 9.23. The outpatient service utilization rate was 31.94% in the previous month and the rate of hospitalization was 126 per 1,000 HIV/AIDS patients in the previous 6 months. The majority of HIV/AIDS patients received essential health services more often than the national standard goals estimation. Conclusions: After UHC implementation, the utilization rate of outpatients and inpatients services in HIV/AIDS patients was more than similar indices in the general population. In addition, HIV/AIDS patients received essential health services adequately.

Background: Job satisfaction is the persons’ feeling about their job and if personnel haven't good feel to his work, can destroy all plans, intentionally or unintentionally. The present research aims to investigate and compare job satisfaction in the employees and therapists of Voluntary, Counseling and Testing Centers vs. Health centers in 9 provinces of Iran. Methods: All employees of Voluntary, Counseling and Testing Centers were included from Fars, Bushehr, Tehran, Isfahan, South Khorasan, Kurdistan, Kermanshah, Kerman, and Yazd provinces as case group and 103 staffs of similar Health centers selected with the same ratio as the staffs of Voluntary, Counseling and Testing Centers as control samples and answered to Minnesota Satisfaction Questionnaire (MSQ). Results: 50.5% of Health centers employees and 54% of Voluntary, Counseling and Testing Centers employees had high job satisfaction. Other than age and subscale management style no one of data had significant difference between 2 groups. Conclusion: According to the findings, in the Iranian treatment centers, the employees’ satisfaction will be at the same level regardless of their position and workplace. Also, the eastern and western regions of the country reported higher satisfaction than the southern and central regions.