Michel Alary|Pradeep Banandur|S Rajaram|U Thamattoor|M K Mainkar|Ramesh Paranjape|Rajatashuvra Adhikary|Thierry Duchesne|Shajy Isac|Stephen Moses
Increased HIV Prevention Program Coverage and Decline in HIV Prevalence Among Female Sex Workers in South India
Centre Hospitalier Universitaire de Québec|Université Laval|Family Health International 360|National AIDS Research Institute|Université Laval|National Institute of Mental Health and Neurosciences|University of Manitoba|Université Laval|Karnataka Health Promotion Trust|Université Laval|Centre Hospitalier Universitaire de Québec|National AIDS Research Institute|Centre Hospitalier Universitaire de Québec|National AIDS Research Institute|Family Health International 360|Université Laval|Université Laval|Centre Hospitalier Universitaire de Québec|National AIDS Research Institute|Karnataka Health Promotion Trust|University of Manitoba|Karnataka Health Promotion Trust|Université Laval|National Institute of Mental Health and Neurosciences
one way assessing impact avahan india aids initiative bill melinda gates foundation examined association hiv prevention program indicators changes hiv prevalence among female sex workers fsws 2005 2009we conducted secondary data analysis 2 large crosssectional surveys 20052006 20082009 across 24 districts south india n 11000 per round randomeffect multilevel logistic regression analysis performed using hiv outcome individual independent variables surveys level 1 districtlevel fswspecific program indicators contextual variables level 2 program indicators included 2006 value difference values 2008 2006 interaction difference study roundhiv prevalence among fsws decreased 170 142 p 0001 decline varied significantly p 0006 across levels difference program coverage fsws contacted program given year odds ratios comparing hiv prevalence rounds changed level increase coverage statistically significant coverage increase quartile q 1 odds ratio 085 q1 078 q2 066 q3 051 q4these findings suggest increased program coverage associated declining hiv prevalence among fsws covered avahan program triangulation results approaches used evaluating avahan suggests major impact intervention hiv epidemic southern india