Mandar Mainkar|Dilip B Pardeshi|Jayesh Dale|Sucheta Deshpande|Shirin Khazi|Abhishek Gautam|Prabuddhagopal Goswami|Rajatashuvra Adhikary|Shreena Ramanathan|Bitra George|Ramesh Paranjape
Targeted interventions of the Avahan program and their association with intermediate outcomes among female sex workers in Maharashtra, India
National AIDS Research Institute|National AIDS Research Institute|National AIDS Research Institute|National AIDS Research Institute|National AIDS Research Institute|National Heart Institute|National Heart Institute|National Heart Institute|National Heart Institute|National Heart Institute|National AIDS Research Institute
avahan india aids initiative partner supporting targeted interventions high risk populations indias national aids control organisation naco since 2004 state maharashtra paper presents assessment avahan program among female sex workers fsws maharashtra coverage outcomes achieved association avahan program analytical framework based avahan evaluation design used addressing assessment questions program implementation intermediate outcomes association outcomes avahan data routine program monitoring two rounds crosssectional integrated behavioural biological assessments ibbas conducted 2006 round 1 r1 2009 round 2 r2 quality assessments program clinics used bivariate multivariate analysis conducted using complex samples module spss 15 ibm somers ny avahan program achieved coverage 66 fsws within four years implementation ibba data showed increased contact peers r2 compared r1 aor234 p0001 reported condom use clients increased r2 number fsws reporting zero unprotected sex acts increased 762 r1 946 r2 aor 51 p0001 significant declines observed prevalence syphilis rpr 158 108 aor054 p0001 chlamydia 8 62 aor065 p0010 gonorrohoea 74 39 aor060 p0026 r1 r2 hiv prevalence increased 258 275 aor129 p004 districtwise analysis showed decline three districts increase mumbai thane districts fsws exposed avahan higher consistent condom use occasional 943 vs 906 aor 155 p004 regular clients 925 vs 860 aor 195 p0001 compared fsws unexposed avahan decline high titre syphilis associated avahan exposure avahan program scaled achieved high coverage fsws maharashtra amidst multiple intervention players avahan coverage fsws associated improved safe sexual practices declines stis prevalence hiv increased requiring detailed understanding data confirmed new approaches hiv control