Increase in condom use and decline in HIV and sexually transmitted diseases among female sex workers in Abidjan, Côte d'Ivoire, 1991–1998

Ghys, Peter D.; Diallo, Mamadou O.; Ettiègne-Traoré, Virginie; Kale, Kouame; Tawil, Oussama; Caraël, Michel; Traoré, Moussa; Mah-Bi, Guessan; Cock, Kevin M. De; Wiktor, Stefan Z.; Laga, Marie; Greenberg, Alan E.

doi:10.1097/00002030-200201250-00015

Cited by 159 publications

(112 citation statements)

References 15 publications

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“…Four studies from Cote d'Ivoire (Ghys et al 2002), Benin , Bolivia (Levine et al 1998) and South Africa (Williams et al 2003) compared the situation before and after introducing similar combinations of peer education, condom promotion and regular STI care. In South Africa this was part of a larger intervention that also targeted miners and youth.…”

Section: Treatment Of Bacterial Sexually Transmitted Infections Combimentioning

confidence: 99%

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Shahmanesh

Patel

Mabey

et al. 2008

Tropical Med Int Health

212

156

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Summaryobjective To systematically review the evidence for effectiveness of HIV and sexually transmitted infection (STI) prevention interventions in female sex workers in resource poor settings.method Published and unpublished studies were identified through electronic databases (Cochrane database, Medline, Embase, and Web of Science), hand searching and contacting experts. Randomizedcontrolled-trials and quasi-experimental studies were included if they were conducted in female sex workers from low and middle income settings; if the exposure was described; if the outcome was externally measurable, it was after the discovery of HIV, and if follow-up was longer than 6 months. A priori criteria were used to extract data. Meta-analysis was not performed due to the heterogeneity of studies.results Twenty-eight interventions were included. Despite methodological limitations, the evidence suggested that combining sexual risk reduction, condom promotion and improved access to STI treatment reduces HIV and STI acquisition in sex workers receiving the intervention. Strong evidence that regular STI screening or periodic treatment of STIs confers additional protection against HIV was lacking. It appears that structural interventions, policy change or empowerment of sex workers, reduce the prevalence of STIs and HIV.conclusion Rigorous evaluation of HIV ⁄ STI prevention interventions in sex workers is challenging. There is some evidence for the efficacy of multi-component interventions, and ⁄ or structural interventions. The effect of these interventions on the wider population has rarely been evaluated.

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Section: Treatment Of Bacterial Sexually Transmitted Infections Combimentioning

confidence: 99%

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Shahmanesh

Patel

Mabey

et al. 2008

Tropical Med Int Health

212

156

View full text Add to dashboard Cite

show abstract

“…Similar strategies (clinical screening and peer education components), with comparable impact on condom use and STI rates, have been reported from La Paz, Abidjan, Cotonou and Nairobi. 20,35,53,56 Despite the documented success of this approach, regular screening using sensitive laboratory tests has not been widely replicated beyond research and demonstration project settings in countries with limited resources, probably because of the expenses involved (related to the establishment and maintenance of the laboratory infrastructure, trained laboratory technicians and recurrent costs of diagnostics). Attempts to develop less expensive algorithms for detection of STIs (primarily cervical infections) in sex workers, based on risk factors, clinical signs and microscopy have been reported from Cô te d'Ivoire, Senegal and the Philippines.…”

Section: Sex Worker Screening Programmesmentioning

confidence: 99%

Sexually Transmitted Infection Control with Sex Workers: Regular Screening and Presumptive Treatment Augment Efforts to Reduce Risk and Vulnerability

Steen

Dallabetta

2003

Reproductive Health Matters

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“…According to qualitative evidence available from other phases of the data collection procedures but not reported here, managers in Ilo-Ilo had more supportive attitudes regarding safe health practices and paid greater attention to the infections of workers than those in other geographical areas. This further suggests the importance of developing management associations or organizations that can address and reinforce issues of clinic registration, monitoring, and imposition of fines for not conforming to established protocols (Ghys et al, 2002;Sobrevega and Sanchez, 1996).…”

Section: Discussionmentioning

confidence: 99%

Clinic appointment attendance for sexually transmitted infection screening among Filipina sex workers: A multilevel analysis

Chiao

Morisky

Ksobiech³

et al. 2007

AIDS Care

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This study evaluates putative individual-and contextual-level social risk factors that may influence the likelihood Filipina sex workers (FSWs) attend and utilize health services for STI screening. Face-to-face interviews were conducted with 1,004 FSWs and their 86 employers. Research staff also collected clinic appointment attendance data. Hierarchical linear modeling was used to estimate the simultaneous effects of individual-and workplace-level factors. Results showed that both individual-and contextual-level characteristics were associated with STI screening appointment attendance. Individual characteristics found to have significant effects on clinic attendance included occupation, income, length of work and commercial sex involvement. City of establishment was a workplace characteristic significantly associated with appointment attendance. In addition to cross-level interactions, the impact of individual-level occupation depended upon characteristics of the workplace. These findings suggest that individual health service utilization is contingent upon contextual-level risk factors in the workplace. Intervention implications aimed at increasing clinic attendance are discussed.

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Increase in condom use and decline in HIV and sexually transmitted diseases among female sex workers in Abidjan, Côte d'Ivoire, 1991–1998

Abstract: The increase in condom use and the decline in prevalence of HIV infection and other STD may well have resulted from the prevention campaign for female sex workers, and such campaigns should therefore be continued, strengthened, and expanded.

Cited by 159 publications

References 15 publications

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Sexually Transmitted Infection Control with Sex Workers: Regular Screening and Presumptive Treatment Augment Efforts to Reduce Risk and Vulnerability

Clinic appointment attendance for sexually transmitted infection screening among Filipina sex workers: A multilevel analysis

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