Banadakoppa M Ramesh|Tara Beattie|Isac Shajy|Reynold Washington|L. Jagannathan|Sushena Reza?Paul|James Blanchard|Stephen Moses
Changes in risk behaviours and prevalence of sexually transmitted infections following HIV preventive interventions among female sex workers in five districts in Karnataka state, south India
University of Manitoba|Karnataka Health Promotion Trust|London School of Hygiene & Tropical Medicine|Karnataka Health Promotion Trust|University of Manitoba|Karnataka Health Promotion Trust|St.John's Medical College Hospital|Bangalore Medical Center|University of Manitoba|University of Manitoba|University of Manitoba
objectives examine impact largescale hiv prevention programme female sex workers fsw karnataka state south india prevalence hiv sexually transmitted infections sti condom use programme coveragemethods baseline followup integrated biological behavioural surveys conducted random samples fsw five districts karnataka 2004 2009results 4712 fsw participated study baseline 2312 followup 2400 followup surveys conducted 28e37 months baselineby followup 85 fsw reported contact peer educator visited project sti cliniccompared baseline reductions prevalence hiv 196 vs 164 adjusted odds ratio aor 081 95 ci 067 099 p004 hightitre syphilis 59 vs 34 aor 053 95 ci 037 077 p0001 chlamydia gonorrhoea 89 vs 70 aor 072 95 ci 054 094 p002reported condom use last sex increased significantly repeat clients 661 vs 841 aor 198 95 ci 158 248 p0001 marginally occasional clients 829 vs 880 aor 122 95 ci 089 166 p02 remained stable regular partners 32compared street homebased fsw brothelbased fsw highest risk hiv sti despite high levels reported condom useconclusions largescale hiv prevention programme fsw achieved reductions hiv sti prevalence high rates condom use clients high rates programme coverageimproved strategies increase condom use regular partners reduce vulnerability brothelbased fsw hiv required