HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal

Kakchapati, Sampurna; Gautam, Nirmal; Kc, Khagendra; Rawal, Bir

doi:10.2147/hiv.s163269

Cited by 16 publications

(21 citation statements)

References 21 publications

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“…On the contrary, research in Kathmandu, Nepal revealed that knowledge of FSWs was very low, but condom use of clients significantly increased [17]. A study which participated 237 FSWs in Somalia showed that only 6,9% who was able to answer correctly basic knowledge on HIV/AIDS, and 38.4% who ever heard about sexually transmitted infection disease [18].…”

Section: Introductionmentioning

confidence: 98%

An Investigation on Female Sexual Workers (FSWs) Knowledge, Attitude and Practice towards HIV/AIDS in Makassar, Indonesia

Alwi¹,

Yusdalia²

2019

AJPHR

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Background: In Indonesia, HIV/AIDS is still a public health problem and approximately 620.000 people living with HIV/AIDS in this country. Female sexual workers (FSWs) as one of the groups in HIV cases are more ten times more likely to acquire HIV than the general population. This study aimed to find out the description of the knowledge, attitudes and practice of FSWs in Makassar about HIV/AIDS. Methods: This was observational research by using a descriptive approach. There were 255 FSWs recruited as respondents chosen by stratified random sampling. An Interviewer-administered questionnaire was designed to collect data about knowledge, attitude and practice on HIV/AIDS. Results: Overall, more 50% of respondents could provide the correct answers about HIV/AIDS transmission and prevention. One of the preventions that have not been known by most of them was blade and shaver sharing. Concerning attitude, most respondents had a positive attitude towards HIV / AIDS, but there were still 38.0% who agreed not to make friends with HIV patients and 28.2% respondents agreed not to offer condoms to clients who seem healthy. The condom offer was higher than condom use for clients that is 60.0% and 54.1% respectively. Conclusion: more than 50% of respondents could provide correct answers about basic knowledge of HIV/AIDS and more than 50% FSWs had a positive attitude. AIDS eradication commission of Makassar needs to provide any information on HIV/AIDS not only for FSWs but also for clients.

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Section: Introductionmentioning

confidence: 98%

An Investigation on Female Sexual Workers (FSWs) Knowledge, Attitude and Practice towards HIV/AIDS in Makassar, Indonesia

Alwi¹,

Yusdalia²

2019

AJPHR

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“…In Nepal, there are many at-risk groups in some specific locations (the Pokhara Valley and Kathmandu), with a high number of drivers of disease transmission like increased economic activities (7)(8)(9)(10)(11)(12)(13)(14)(15)(16). These at-risk groups include people who inject drugs, female sex workers, men who have sex with men and labour migrants (17).…”

Section: Introductionmentioning

confidence: 99%

“…There has been previous descriptive research in the Kathmandu Valley in Nepal into key risk factors and prevalence trends (7)(8)(9)17), however, more detailed analytic approaches to investigate sociodemographic and behavioural factors are currently lacking for this setting. Previous behavioural studies have also shown that there are multiple risk factors that act as determinants for HIV and other sexually transmitted diseases within other areas of Nepal (10,11), such as social class and education level (21).…”

Section: Introductionmentioning

confidence: 99%

Trends and determinants of HIV transmission among men who inject drugs in the Pokhara Valley, Nepal

Hogan

Page

Ogbo

et al. 2020

Preprint

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Background HIV is a major public health issue around the world, especially in developing countries.Although the overall prevalence of HIV in Nepal is relatively low and the country itself is considered low risk, there are specific sub-populations where the prevalence is far higher than the national average. One of these sub-groups is male injection drug users (IDUs). In order to understand the reasons for the differences in prevalence, a series of socio-demographic, behavioural and knowledgebased risk factors need to be assessed. MethodsThe study used a series of 7 cross-sectional survey datasets, collected between 2003 and 2017 (N=2,235) to investigate trends in HIV prevalence among male IDUs by key socio-demographic and behavioural and knowledge-based risk factors. A series of logistic regression models were conducted to investigate the association between study factors and HIV in the Pokhara valley, Nepal.Results A lower risk of HIV was associated with younger age (≤24 years compared to >24 years, OR = 0.17, 95% CI = 0.10, 0.31), not being married (OR = 0.51, 95% CI = 0.33, 0.80) and shorter duration of drug use (≤4 years compared to >4 years, OR = 0.16, 95% CI = 0.09, 0.29). A higher risk of HIV was associated with low (compared to secondary or higher) education level (OR = 2.76, 95% CI = 1.75, 4.36), a lack of addiction treatment (OR = 2.59, 95% CI = 1.64, 4.08), and recent use of unsterilized injection equipment (OR = 2.22, 95% CI = 1.20, 4.11).Conclusion Although knowledge of HIV is high among male IDUs, the prevalence of individuals who possess comprehensive knowledge and the number of individuals who have received treatment for drug addiction has decreased. This may indicate that addiction treatment and HIV education programs need to be strengthened.

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“…In Nepal, there are many at-risk groups in some speci c locations (the Pokhara Valley and Kathmandu), with a high number of drivers of disease transmission like increased economic activities (7)(8)(9)(10)(11)(12)(13)(14)(15)(16). These at-risk groups include people who inject drugs, female sex workers, men who have sex with men and labour migrants (17).…”

Section: Introductionmentioning

confidence: 99%

“…There has been previous descriptive research in the Kathmandu Valley in Nepal into key risk factors and prevalence trends (7)(8)(9)17), however, more detailed analytic approaches to investigate socio-demographic and behavioural factors are currently lacking for this setting. Previous behavioural studies have also shown that there are multiple risk factors that act as determinants for HIV and other sexually transmitted diseases within other areas of Nepal (10,11), such as social class and education level (21).…”

Section: Introductionmentioning

confidence: 99%

Trends and determinants of HIV transmission among men who inject drugs in the Pokhara Valley, Nepal: Analysis of cross-sectional studies

Hogan

Page

Ogbo

et al. 2020

Preprint

View full text Add to dashboard Cite

Background HIV is a major public health issue around the world, especially in developing countries. Although the overall prevalence of HIV in Nepal is relatively low and the country itself is considered low risk, there are specific sub-populations where the prevalence is far higher than the national average. One of these sub-groups is male injection drug users (IDUs). In order to understand the reasons for the differences in prevalence, a series of socio-demographic, behavioural and knowledge-based risk factors need to be assessed. Methods The study used a series of 7 cross-sectional survey datasets, collected between 2003 and 2017 (N=2,235) to investigate trends in HIV prevalence among male IDUs by key socio-demographic and behavioural and knowledge-based risk factors. A series of logistic regression models were conducted to investigate the association between study factors and HIV in the Pokhara valley, Nepal. Results Overall HIV prevalence has decreased from the levels seen in 2003 (22.0%) and 2005 (21.7%), with the lowest prevalence recorded in 2015 (2.6%), however prevalence has increased in the most recent period (4.9%). A lower risk of HIV was associated with younger age (less than or equal to 24 years compared to greater than 24 years, OR = 0.17, 95% CI = 0.10, 0.31), being married (OR = 1.91, 95% CI = 1.25, 3.02) and shorter duration of drug use (less than or equal to 4 years compared to greater than 4 years, OR = 0.16, 95% CI = 0.09, 0.29). A higher risk of HIV was associated with low (compared to secondary or higher) education level (OR = 2.76, 95% CI = 1.75, 4.36), a lack of addiction treatment (OR = 2.59, 95% CI = 1.64, 4.08), and recent use of unsterilized injection equipment (OR = 2.22, 95% CI = 1.20, 4.11). Conclusion The main determinants which increase the risk of HIV among male IDUs in Pokhara were low education level, a lack of treatment for drug addiction and the recent use of unsterilised equipment. Each of these indicate the need to improve addiction treatment and education programs for intra-venous drug use to aid this at-risk group in avoiding risk-taking behaviours.

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HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal

Cited by 16 publications

References 21 publications

An Investigation on Female Sexual Workers (FSWs) Knowledge, Attitude and Practice towards HIV/AIDS in Makassar, Indonesia

An Investigation on Female Sexual Workers (FSWs) Knowledge, Attitude and Practice towards HIV/AIDS in Makassar, Indonesia

Trends and determinants of HIV transmission among men who inject drugs in the Pokhara Valley, Nepal

Trends and determinants of HIV transmission among men who inject drugs in the Pokhara Valley, Nepal: Analysis of cross-sectional studies

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