Evaluation design for large-scale HIV prevention programmes: the case of Avahan, the India AIDS initiative

Chandrasekaran, Padma; Dallabetta, Gina; Loo, Virginia; Mills, Stephen; Saidel, Tobi; Adhikary, Rajatashuvra; Alary, Michel; Lowndes, Catherine M; Boily, Marie‐Claude; Moore, James

doi:10.1097/01.aids.0000343760.70078.89

Cited by 112 publications

(115 citation statements)

References 59 publications

(84 reference statements)

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“…Avahan has been conducted in six (of 29) states with high HIV estimates among subpopulations such as FSWs, including Chennai's state of Tamil Nadu [34]. Although study participants were excluded if they had been a part of an HIV prevention intervention, they were not excluded if they had been exposed to messages from Avahan peer outreach workers or had been tested for HIV.…”

Section: Discussionmentioning

confidence: 99%

Acceptability of a Microenterprise Intervention Among Female Sex Workers in Chennai, India

et al. 2010

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Female sex workers have been central in India's HIV epidemic since it was first diagnosed among them in 1989. Female sex workers' risk of HIV is primarily economically motivated. The Pi pilot study examined the feasibility and association of a microenterprise intervention, the tailoring of canvas bags, on sexual risk behaviors among female sex workers (N = 100) in Chennai. Women were randomized to an intervention or control arm. Between-group comparisons at baseline and at six-month follow-up were performed. Multivariate linear regression with bootstrapping was conducted to estimate the intervention effect. At baseline, women were a median of 35 years old, 61% were married and they had an average of two children. Intervention participants reported a significantly lower number of sex partners and significant increases in income at the 6-month follow-up compared to control participants. In a multivariate model, intervention participants had a significantly lower number of paying clients per month at follow-up compared to control participants. By graduation, 75% of intervention arm participants had made at least one sellable canvas bag and 6 months after the study's end, 60% have continued involvement in bag production. The pilot study demonstrated that microenterprise interventions are successful in both providing FSWs with licit income opportunities and was associated with reductions in HIV risk behaviors.

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Section: Discussionmentioning

confidence: 99%

Acceptability of a Microenterprise Intervention Among Female Sex Workers in Chennai, India

et al. 2010

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“…In the context of the evaluation of the Avahan programme [1,7], we carried out behavioural and HIV/STI prevalence surveys in the general population of Mysore and Belgaum districts, in Karnataka state. In the present study, we compared behaviours reported through face-to-face interviewer-administered questionnaires with those reported through polling booth surveys, a novel group interviewing method.…”

Section: Introductionmentioning

confidence: 99%

Polling Booth Surveys: A Novel Approach for Reducing Social Desirability Bias in HIV-Related Behavioural Surveys in Resource-Poor Settings

Lowndes

Jayachandran²,

Banandur

et al. 2011

AIDS Behav

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This study compared rates of HIV-related sexual risk behaviours reported in individual face-to-face (FTFI) and group anonymous polling booth (PBS) interviews in India. In PBS, respondents grouped by gender and marital status answered yes/no questions by putting tokens with question numbers in colour-coded containers. Data were subsequently collated for each group as a whole, so responses were not traceable back to individuals. Male and female PBS participants reported substantially higher rates of pre-marital, extra-marital, commercial and anal sex than FTFI participants; e.g. 11 vs. 2% married males reported paying for sex; 6 vs. 1% unmarried males reported homosexual anal sex.

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“…A detailed summary of the objectives of this data, sampling methods used, and questionnaire are described else [13,14]. Female sex worker is defined as female ages 18 years or older, who had sex with men in exchange for cash or kind of at least once within the past one month.…”

Section: Methodsmentioning

confidence: 99%

Understanding the Factors Associated with Alcohol Use among Female Sex Workers in a High HIV Prevalence Northeast State of India

Sharma¹,

Singh²

2016

J Infec Dis Treat

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Background: The paper illustrates the factors associated with alcohol use among FSWs in Dimapur, an important commercial hub of Nagaland, which is a high HIV prevalence state of India. Methods:The analysis is based on 417 FSWs aged 18 years or older who participated in round 2 of Integrated Behavioural and Biological Assessment (IBBA). Results:There is a significant association between ever consumption of alcohol use in the past month among FSWs and socio-demographic, sexual behaviour and safe sexual practices (p<0.05). Binary logistic regression of Alcohol use among FSWs found that greater than 25 years of FSWs (2.2 times, P ≤ 0.10), Divorced/ Separated (0.41 times, p ≤ 0.10), >10th standard of education (0.311 times, p ≤ 0.001), drug use (5 times, p ≤ 0.001), sharing of injecting drugs with the partner ( 3.7 times, p ≤ 0.001) were independently associated with Alcohol use respectively .Those FSWs have first sex and first started sex work at age 15-20 years were 6.3 (p ≤ 0.05) and 2.4 (p ≤ 0.05) times more likely to use alcohol . One significant finding is those female sex workers were less likely to use alcohol consumption that has 5-9 clients per week. Alcohol using older (25+ years) FSWs were 9 times more likely to have HIV. Married FSWs those using alcohol, were less likely to have HIV, and those alcohol using FSWs aged at first sex was 15-20 years, 5 times more likely to have HIV seropositivity. Alcohol using FSWs were 30 times more likely to have HIV, who served their client at Lodge/ Hotel. Conclusion:The findings suggest a need to integrate intervention for alcohol use and related problems in multilevel contexts and with multiple components to effectively reduce alcohol use and to mitigate inconsistent condom use.

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Evaluation design for large-scale HIV prevention programmes: the case of Avahan, the India AIDS initiative

Cited by 112 publications

References 59 publications

Acceptability of a Microenterprise Intervention Among Female Sex Workers in Chennai, India

Acceptability of a Microenterprise Intervention Among Female Sex Workers in Chennai, India

Polling Booth Surveys: A Novel Approach for Reducing Social Desirability Bias in HIV-Related Behavioural Surveys in Resource-Poor Settings

Understanding the Factors Associated with Alcohol Use among Female Sex Workers in a High HIV Prevalence Northeast State of India

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