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How effective is community mobilisation in HIV prevention among highly diverse sex workers in urban settings? The Aastha intervention experience in Mumbai and Thane districts, India.
J Epidemiol Community Health. 2012 Oct; 66 Suppl 2:ii69-77.JE

Abstract

BACKGROUND

This paper examines the association between degree of confidence in collective efficacy and self-efficacy for condom use and empowerment among heterogeneous female sex workers (FSWs) in two metropolitan Indian cities with high HIV prevalence.

METHODS

The study utilises data from the Behavioural Tracking Survey, a cross-sectional behavioural study with 2106 FSWs recruited from 411 intervention sites in Mumbai and Thane. The key independent measures used determine the degree of confidence in collective efficacy (belief in the power to achieve goals and address problems together) and outcome measures included: self-efficacy for condom use with occasional clients and condom use with regular partners, self-confidence in handling a crisis situation and public speaking ability. Univariate and multivariate statistical methods were used to examine the study objectives.

RESULTS

Of the analytical sample of 2106 FSWs, 532 (25.3%) reported high degree of collective efficacy for achieving certain goals and 1534 (72.8%) reported collective efficacy for addressing specific problems. FSWs reporting a higher collective efficacy as compared with those reporting lower collective efficacy were as follows: more likely to negotiate condom use with occasional clients (60.3% vs 19.7%; adjusted OR (AOR) =6.3, 95% CI 4.8 to 8.4) as well as regular partners (62.8% vs 20.2%; AOR =6.4, 95% CI 4.9 to 8.4); confident in facing troublesome stakeholders (73.5% vs 38.8%; AOR =4.3, 95% CI 3.3 to 5.6), confident in supporting fellow FSWs in a crisis (76.1% vs 49.6%; AOR =2.9, 95% CI 2.2 to 3.7), received help from other FSWs when a client or partner was violent (73.9% vs 46.3%; AOR =3.5, 95% CI 2.7 to 4.5) and had stood up to the police or madams/brokers to help fellow FSWs in the past 1 year (5.8% vs 3.3%; AOR =2.7, 95% CI 1.5 to 4.9).

CONCLUSION

The results suggest that the strategy of collectivisation in HIV prevention programme has much broader benefits than merely the promotion of safer sex practices. Future HIV prevention interventions in India and elsewhere may include collectivisation as the core strategy within HIV prevention programmes.

Authors+Show Affiliations

FHI 360 Maharashtra, 501-505 Balarama Building, Bandra-Kurla Complex, Bandra East, Mumbai 400 051, India. sgaikwad@fhi360.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22760223

Citation

Gaikwad, Sanjeev Singh, et al. "How Effective Is Community Mobilisation in HIV Prevention Among Highly Diverse Sex Workers in Urban Settings? the Aastha Intervention Experience in Mumbai and Thane Districts, India." Journal of Epidemiology and Community Health, vol. 66 Suppl 2, 2012, pp. ii69-77.
Gaikwad SS, Bhende A, Nidhi G, et al. How effective is community mobilisation in HIV prevention among highly diverse sex workers in urban settings? The Aastha intervention experience in Mumbai and Thane districts, India. J Epidemiol Community Health. 2012;66 Suppl 2:ii69-77.
Gaikwad, S. S., Bhende, A., Nidhi, G., Saggurti, N., & Ranebennur, V. (2012). How effective is community mobilisation in HIV prevention among highly diverse sex workers in urban settings? The Aastha intervention experience in Mumbai and Thane districts, India. Journal of Epidemiology and Community Health, 66 Suppl 2, ii69-77. https://doi.org/10.1136/jech-2011-200514
Gaikwad SS, et al. How Effective Is Community Mobilisation in HIV Prevention Among Highly Diverse Sex Workers in Urban Settings? the Aastha Intervention Experience in Mumbai and Thane Districts, India. J Epidemiol Community Health. 2012;66 Suppl 2:ii69-77. PubMed PMID: 22760223.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How effective is community mobilisation in HIV prevention among highly diverse sex workers in urban settings? The Aastha intervention experience in Mumbai and Thane districts, India. AU - Gaikwad,Sanjeev Singh, AU - Bhende,Amrita, AU - Nidhi,Gaurav, AU - Saggurti,Niranjan, AU - Ranebennur,Virupax, Y1 - 2012/07/03/ PY - 2012/7/5/entrez PY - 2012/7/5/pubmed PY - 2012/12/12/medline SP - ii69 EP - 77 JF - Journal of epidemiology and community health JO - J Epidemiol Community Health VL - 66 Suppl 2 N2 - BACKGROUND: This paper examines the association between degree of confidence in collective efficacy and self-efficacy for condom use and empowerment among heterogeneous female sex workers (FSWs) in two metropolitan Indian cities with high HIV prevalence. METHODS: The study utilises data from the Behavioural Tracking Survey, a cross-sectional behavioural study with 2106 FSWs recruited from 411 intervention sites in Mumbai and Thane. The key independent measures used determine the degree of confidence in collective efficacy (belief in the power to achieve goals and address problems together) and outcome measures included: self-efficacy for condom use with occasional clients and condom use with regular partners, self-confidence in handling a crisis situation and public speaking ability. Univariate and multivariate statistical methods were used to examine the study objectives. RESULTS: Of the analytical sample of 2106 FSWs, 532 (25.3%) reported high degree of collective efficacy for achieving certain goals and 1534 (72.8%) reported collective efficacy for addressing specific problems. FSWs reporting a higher collective efficacy as compared with those reporting lower collective efficacy were as follows: more likely to negotiate condom use with occasional clients (60.3% vs 19.7%; adjusted OR (AOR) =6.3, 95% CI 4.8 to 8.4) as well as regular partners (62.8% vs 20.2%; AOR =6.4, 95% CI 4.9 to 8.4); confident in facing troublesome stakeholders (73.5% vs 38.8%; AOR =4.3, 95% CI 3.3 to 5.6), confident in supporting fellow FSWs in a crisis (76.1% vs 49.6%; AOR =2.9, 95% CI 2.2 to 3.7), received help from other FSWs when a client or partner was violent (73.9% vs 46.3%; AOR =3.5, 95% CI 2.7 to 4.5) and had stood up to the police or madams/brokers to help fellow FSWs in the past 1 year (5.8% vs 3.3%; AOR =2.7, 95% CI 1.5 to 4.9). CONCLUSION: The results suggest that the strategy of collectivisation in HIV prevention programme has much broader benefits than merely the promotion of safer sex practices. Future HIV prevention interventions in India and elsewhere may include collectivisation as the core strategy within HIV prevention programmes. SN - 1470-2738 UR - https://www.unboundmedicine.com/medline/citation/22760223/How_effective_is_community_mobilisation_in_HIV_prevention_among_highly_diverse_sex_workers_in_urban_settings_The_Aastha_intervention_experience_in_Mumbai_and_Thane_districts_India_ L2 - https://jech.bmj.com/lookup/pmidlookup?view=long&pmid=22760223 DB - PRIME DP - Unbound Medicine ER -