Stephen Moses|Banadakoppa M Ramesh|Nico Nagelkerke|Ajay Khera|Shajy Isac|Parinita Bhattacharjee|Vandana Gurnani|Reynold Washington|Kudur H Prakash|Pradeep Banandur|James Blanchard
Impact of an intensive HIV prevention programme for female sex workers on HIV prevalence among antenatal clinic attenders in Karnataka state, south India: an ecological analysis
University of Manitoba|University of Manitoba|Karnataka Health Promotion Trust|United Arab Emirates University|University of Manitoba|National AIDS Control Organisation|Karnataka Health Promotion Trust|Karnataka Health Promotion Trust|Karnataka Health Promotion Trust|University of Manitoba|Karnataka Health Promotion Trust|Karnataka Health Promotion Trust|Karnataka Health Promotion Trust|University of Manitoba
objectives examine impact intensive hiv preventive intervention ipi among female sex workers fsw community hiv transmission represented hiv prevalence among young antenatal clinic anc attenders karnataka state south india methods ipi initiated 18 27 districts karnataka 2003 generally scale mid2005 covering 80 urban fsw population examined trends time hiv prevalence annual hiv surveillance conducted among anc attenders karnataka age 25 years 2003 2007 comparing ipi districts results overall hiv prevalence among anc attenders 25 years age declined 140 077 multivariate model decline hiv prevalence ipi districts compared districts statistically significant p 001 adjusted annual odds ratio 088 95 ci 079097 decline standardized hiv prevalence ipi districts period 56 compared 5 nonipi districts conclusions although analysis limited lack precise comparative data intervention coverage intensity supports notion scaledup intensive targeted hiv preventive interventions among highrisk groups measurable relatively rapid impact hiv transmission general population particularly young sexually active populations represented anc attenders focused intervention programmes rapidly taken scale hiv epidemics especially concentrated epidemics india