HIV Risk Perception and Behavior among Sex Workers in Three Major Urban Centers of Mozambique

Langa, Judite; Sousa, César Palha de; Sidat, Mohsin; Kroeger, Karen; McLellan-Lemal, Eleanor; Belani, Hrishikesh; Patel, Shama; Shodell, Daniel; Shodell, Michael; Benech, Irene; Needle, Richard

doi:10.1371/journal.pone.0094838

Cited by 14 publications

(24 citation statements)

References 14 publications

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“…To date, there is a paucity of systematic data on FSW in Mozambique; prior research was based on small convenience samples, which may have missed the full diversity of FSW. A rapid assessment among FSW in Maputo, Beira and Nampula, in which 74% of participants refused testing, found HIV prevalence of 48% (5). Program data from a night clinic catering to FSW in Tete province Mozambique (central region) determined HIV prevalence among FSW to be 49.7% in (6).…”

Section: Introductionmentioning

confidence: 99%

High Burden of HIV Infection and Risk Behaviors Among Female Sex Workers in Three Main Urban Areas of Mozambique

Augusto

Young²,

Horth

et al. 2015

AIDS Behav

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This is the first integrated biological and behavioral survey among female sex workers (FSW) in Mozambique. Using respondent-driven sampling, 400, 411 and 429 FSW were enrolled respectively in Maputo, Beira and Nampula in 2011-2012. Estimates were produced using RDSAT 7.1. HIV prevalence was 31.2%, 23.6%, and 17.8% in each location respectively. Among HIV-positive FSW, 48.1%, 79.8% and 89.6% in each city, were unaware of their serostatus. Condom use at last sex with a client was 85.8%, 73.4% and 62.8% among FSW, respectively. HIV was associated with current age, age of first sex for money, low educational level, and having had a genital ulcer in the last six months. Results suggest the urgent need to increase behavioral and structural interventions in this key population.

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Section: Introductionmentioning

confidence: 99%

High Burden of HIV Infection and Risk Behaviors Among Female Sex Workers in Three Main Urban Areas of Mozambique

Augusto

Young²,

Horth

et al. 2015

AIDS Behav

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“…Similar observations were found by Biza et al, 2015, Mozambique and, Pires et al, 2014, in Nampula was found that 52% and 60% of participants started their prenatal consultations in the second trimester, respectively. In most countries, it is recommended that prenatal consultations should be started in the first trimester of pregnancy to allow early and effective follow-up [13,[55][56][57]. Villar et al (2007) reported that a greater number of antenatal visits are associated with fewer complications during pregnancy, delivery and postpartum.…”

Section: Discussionmentioning

confidence: 99%

Intellectual Corruption in Modern Science: A Case Study

2019

JCRC

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Sexually transmitted infections are among the most common public health problems worldwide. Female and male infertility, mother to child transmission, causing miscarriages or congenital disease, and increased risk for Human Immunodeficiency Virus infection (HIV) are some of their consequences. In Sub-Saharan Africa countries, such as Mozambique, the prevalence of these infections is high, women being those who carry the higher burden. Thus we developed this cross-sectional study with objective of characterizing some sexually transmitted infections, HIV infection, syphilis and trichomoniasis in pregnant women, verifying if their management was in accordance with guidelines and recommendations in the country and identifying practice, Knowledge and associated risk factors. Samples were collected from 253 pregnant women attending Centro de Saúde de Maxixe. Vaginal samples were obtained and observed microscopically by wet mount and direct microscopic examination (Trichomonas vaginalis). HIV antibody testing was performed with the tests Determine HIV-1/2 and Uni-GoldTM and against, T. pallidum by RPR, SD BIOLINE Syphilis 3.0 and Determine TP tests in plasma samples. In this study, 11.1% of the pregnant women were infected with HIV, 2.8% with active syphilis, 5.1% with Trichomonas vaginalis and 9.1% with yeast. Antibodies against T. pallidum were identified in 8,3% of these women. In relation to HIV, 7, 5% of them were new cases. Samples were taken from 253 pregnant women attending ante-natal outpatient consultation at the health centre, which were informed about the nature of the study and submitted to a semi-structured interview after signing the free informed consent. In this study, the inconsistency on condoms use and the existence of multiple partners by the participants contributing for these infections transmission. Participants have shown that they had information about these infections modes of transmission, as also which measures to use to prevent them. A significant number of women present with any symptom related to infections that were diagnosed to them, proving that the use of syndrome approach in vaginal discharge must be given some thought in relation to its value in this situation. The data obtained in this study shows that some gaps also exist in the prenatal care clinics of this Centre, from routine procedures that are not performed in accordance with MISAU recommendations. The high prevalence of some STI found in this population, their risk behavior, together with the non-observance of some guidelines in the management of those infections by the health personal very worrying. The implementation of a teaching program on quality control, prevention and management of these infections by the health professional seems to us to be of utmost importance, so these can act in accordance with the present guidelines and transmit correct information to the pregnant women who attend prenatal care.

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“…The greater vulnerability of this gender continues to be more worrying [38]. Although the pointed out cause is often the lack of information, cultural causes, beliefs, customs and rituals which are very difficult to penetrate and influence by several factors, must also be taken in to account [39,40].…”

Section: Discussionmentioning

confidence: 99%

“…In this study, only 19, 4% of the participants reported that they have already had spontaneous abortions, given that some vaginal infections such as bacterial vaginosis among others, have a direct correlation with spontaneous abortions, if not treated, it will need effective preventive and therapeutic strategies to avoid such complications [15,[40][41][42][43][44][45][46][47][48].…”

Section: Discussionmentioning

confidence: 99%

Tango Therapy: What should we do to Maximize the Effectiveness of Tango Therapy?

2019

JCRC

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Bacterial Vaginosis is a vaginal infection that occurs when there is a change in the balance of the vaginal flora with vaginal discharge, which may or may not have a characteristic smell, a decrease in vaginal pH, and it is one of the most common public health problems in Sub-Saharan African countries in women in reproductive age. Premature birth, underweight newborns and increased risk of HIV infection are some of its consequences. In Sub-Saharan countries like Mozambique, the real prevalence of this infection is almost unknown. Thus, this study was developed with the aim of analyzing the prevalence of bacterial vaginosis in pregnant women receiving care in the Maxixe City Health Centre (CSM) and identifying the risk factors associated with it. 253 samples of pregnant women attending prenatal external consultations at CSM were used in this study. Samples of vaginal exudate were obtained, stained by the Gram method and observed microscopically using the Nugent method to identify the bacterial vaginosis. The prevalence of bacterial vaginosis was 12, 3%, and the highest prevalence was recorded in the age group of 15-24. In this population, the inconsistent use of condom in sexual intercourse and multiple partners may be the risk factors in acquiring this infection. Therefore, it is concluded that the knowledge of etiology, correct diagnosis and appropriate treatment of bacterial vaginosis may contribute to a more comprehensive prenatal examination, aiming to reduce the rates of bacterial vaginosis and its consequences in pregnancy

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HIV Risk Perception and Behavior among Sex Workers in Three Major Urban Centers of Mozambique

Cited by 14 publications

References 14 publications

High Burden of HIV Infection and Risk Behaviors Among Female Sex Workers in Three Main Urban Areas of Mozambique

High Burden of HIV Infection and Risk Behaviors Among Female Sex Workers in Three Main Urban Areas of Mozambique

Intellectual Corruption in Modern Science: A Case Study

Tango Therapy: What should we do to Maximize the Effectiveness of Tango Therapy?

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