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Programme coverage, condom use and STI treatment among FSWs in a large-scale HIV prevention programme: results from cross-sectional surveys in 22 districts in southern India.
Sex Transm Infect. 2010 Feb; 86 Suppl 1:i62-8.ST

Abstract

OBJECTIVE

This paper evaluates Avahan programme's coverage of female sex workers (FSWs), focus on high-risk FSWs and intermediate outcomes.

METHODS

First round of cross-sectional survey data, Integrated Behavioral and Biological Assessments (IBBA), conducted in 22 districts, were aggregated into district categories: Solo, where Avahan was the sole service provider covering all FSWs and Major or Minor where Avahan was not the sole provider, but intended coverage was >50% or <or= 50% of FSWs respectively. Multivariate logistic regression was applied to compare exposure by district categories, vulnerability factors and intermediate outcomes associated with exposure.

RESULTS

Reported exposure, evaluated on basis of having received any of three core services, was higher in Solo (75%) compared with Minor (66%) districts. Logistic regression showed that FSWs in solo districts were more likely to be exposed (adjusted odds ratio (AOR)=1.5; 95% CI 1.20 to 1.86) compared with FSWs in Minor districts. Multivariate analysis in Solo districts revealed that FSW with >or=15 clients in the past week had a higher chance of being exposed to core services (AOR=1.56; 95% CI 1.03 to 2.35). Exposure to the three services in Solo Avahan districts was significantly associated with correct knowledge on condom use (AOR=1.36; 95% CI 1.05 to 1.78), consistent condom use with occasional clients (AOR=3.17; 95% CI 2.17 to 4.63) and regular clients (AOR=2.47; 95% CI 1.86 to 3.28) and STI treatment-seeking behaviour (AOR=3.00; 95% CI 1.94 to 4.65).

CONCLUSIONS

Higher coverage of FSWs was achieved in districts where Avahan was the only intervention compared with districts having multiple and longstanding non-Avahan programmes. Exposure in Solo districts was associated with intermediate outcomes; this need to be further evaluated in comparison with non Avahan areas and substantiated through data from next IBBA.

Authors+Show Affiliations

Family Health International, New Delhi, India. lramakrishnan@fhiindia.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20167734

Citation

Ramakrishnan, Lakshmi, et al. "Programme Coverage, Condom Use and STI Treatment Among FSWs in a Large-scale HIV Prevention Programme: Results From Cross-sectional Surveys in 22 Districts in Southern India." Sexually Transmitted Infections, vol. 86 Suppl 1, 2010, pp. i62-8.
Ramakrishnan L, Gautam A, Goswami P, et al. Programme coverage, condom use and STI treatment among FSWs in a large-scale HIV prevention programme: results from cross-sectional surveys in 22 districts in southern India. Sex Transm Infect. 2010;86 Suppl 1:i62-8.
Ramakrishnan, L., Gautam, A., Goswami, P., Kallam, S., Adhikary, R., Mainkar, M. K., Ramesh, B. M., Morineau, G., George, B., & Paranjape, R. S. (2010). Programme coverage, condom use and STI treatment among FSWs in a large-scale HIV prevention programme: results from cross-sectional surveys in 22 districts in southern India. Sexually Transmitted Infections, 86 Suppl 1, i62-8. https://doi.org/10.1136/sti.2009.038760
Ramakrishnan L, et al. Programme Coverage, Condom Use and STI Treatment Among FSWs in a Large-scale HIV Prevention Programme: Results From Cross-sectional Surveys in 22 Districts in Southern India. Sex Transm Infect. 2010;86 Suppl 1:i62-8. PubMed PMID: 20167734.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Programme coverage, condom use and STI treatment among FSWs in a large-scale HIV prevention programme: results from cross-sectional surveys in 22 districts in southern India. AU - Ramakrishnan,Lakshmi, AU - Gautam,Abhishek, AU - Goswami,Prabuddhagopal, AU - Kallam,Srinivasan, AU - Adhikary,Rajatashuvra, AU - Mainkar,Mandar K, AU - Ramesh,Banadakoppa M, AU - Morineau,Guy, AU - George,Bitra, AU - Paranjape,Ramesh S, PY - 2010/2/20/entrez PY - 2010/3/5/pubmed PY - 2010/6/15/medline SP - i62 EP - 8 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 86 Suppl 1 N2 - OBJECTIVE: This paper evaluates Avahan programme's coverage of female sex workers (FSWs), focus on high-risk FSWs and intermediate outcomes. METHODS: First round of cross-sectional survey data, Integrated Behavioral and Biological Assessments (IBBA), conducted in 22 districts, were aggregated into district categories: Solo, where Avahan was the sole service provider covering all FSWs and Major or Minor where Avahan was not the sole provider, but intended coverage was >50% or <or= 50% of FSWs respectively. Multivariate logistic regression was applied to compare exposure by district categories, vulnerability factors and intermediate outcomes associated with exposure. RESULTS: Reported exposure, evaluated on basis of having received any of three core services, was higher in Solo (75%) compared with Minor (66%) districts. Logistic regression showed that FSWs in solo districts were more likely to be exposed (adjusted odds ratio (AOR)=1.5; 95% CI 1.20 to 1.86) compared with FSWs in Minor districts. Multivariate analysis in Solo districts revealed that FSW with >or=15 clients in the past week had a higher chance of being exposed to core services (AOR=1.56; 95% CI 1.03 to 2.35). Exposure to the three services in Solo Avahan districts was significantly associated with correct knowledge on condom use (AOR=1.36; 95% CI 1.05 to 1.78), consistent condom use with occasional clients (AOR=3.17; 95% CI 2.17 to 4.63) and regular clients (AOR=2.47; 95% CI 1.86 to 3.28) and STI treatment-seeking behaviour (AOR=3.00; 95% CI 1.94 to 4.65). CONCLUSIONS: Higher coverage of FSWs was achieved in districts where Avahan was the only intervention compared with districts having multiple and longstanding non-Avahan programmes. Exposure in Solo districts was associated with intermediate outcomes; this need to be further evaluated in comparison with non Avahan areas and substantiated through data from next IBBA. SN - 1472-3263 UR - https://www.unboundmedicine.com/medline/citation/20167734/Programme_coverage_condom_use_and_STI_treatment_among_FSWs_in_a_large_scale_HIV_prevention_programme:_results_from_cross_sectional_surveys_in_22_districts_in_southern_India_ L2 - https://sti.bmj.com/lookup/pmidlookup?view=long&amp;pmid=20167734 DB - PRIME DP - Unbound Medicine ER -