Kamanga J, Mulenga C, Ndubani P, Obiero W, Manda KD, Tembo M, Kaitano L; International Conference on AIDS (15th : 2004 : Bangkok, Thailand).

Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. WePeC6192.

Family Health International (FHI), Lusaka, Zambia

Background: The Cross-Border Initiative project targets female sex workers with STI treatment and BCI. To provide evidence of HIV prevention efforts second BBSS was done 2003. Method: Mapping, identification of primary sampling units and estimation of FSW population was done prior to survey. Sampling followed a time location method. FSW were recruited in the night between 22.00hrs and 24.00hrs from their place of work such as bars and hotels. Facilitators, most of them FSW themselves, identified partcipants and introduced them to a data collector. A female nurse researcher obtained a witnessed consent and assisted FSW produce specimen. Biological specimen for syphilis (Tp), trichomonas (TV) culture, for gonorrhea (GC) and Chlamydia (CT) polymerase chain reaction (PCR) were obtained and tested. Physical examination was done and partcipants were treated using a modified syndromic approach to STI care. Results: On physical examination 4% had genital ulcers, 41% abnormal vaginal discharge, 7% lower abdominal pains and 0.7% inguinal swellings. The prevalence of STIs in those registered with project was 23% syphilis, 23% TV, 10% GC and 3% CT. The prevalence of STIs for not registered was 27% syphilis, 35% TV, 14% GC and 6% CT. The difference in CT and TV is statistically significant (PV=0.008 and 0.006). When results for round 1 and 2 are compared prevalence of GC declined from 20% to 10% CT from 7% to 4%, TV from 50% to 28% and Tp from 34% to 23%. The reduction in GC, TV and Tp is statistically significant (pv=0.001). Conclusion Prevalence of STIs among FSW is still high. However results show reductions in STIs among FSW registered for STI services. But many FSW who target same clients are not registered therefore control of STIs would be difficult. Therefore strategies are needed to expand STI services to all.

Publication Types:

• Meeting Abstracts

Keywords:

• Acquired Immunodeficiency Syndrome
• Chlamydia Infections
• Female
• Gonorrhea
• Humans
• Prevalence
• Syphilis
• Vaginal Discharge
• Zambia
• epidemiology
• methods

Other ID:

• GWAIDS0039894

UI: 102284110

From Meeting Abstracts