Segura P, Garcia P, Sanchez J; International Conference on AIDS.
Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. WePeD4811.
P. Segura, Peruvian STD/AIDS Control Program, Av Salaverry cuadra 8 2nd Piso, Jesus Maria, Lima 14 - Peru, Peru, Tel.: +(511) 3322295, Fax: +(511) 4336232, E-mail: psegura@minsa.gob.pe
Issues: In 1995 a condom promotion and strengthened STD detection intervention among female sex workers (FSW) in Lima was evaluated. The intervention lead to a significant decrease in the prevalence of N. gonorrhoea, C. trachomatis, T. Vaginalis, Bacterial Vaginosis, and the increase of condom use from 60 to 84%. The model was expanded in 1996 to all the Regions in the country. In 1997 a community-based intervention was designed to enhance the model and expand the activities to unserved FSW. Description: 455 settings of commercial sex were identified in 11 cities. FSW leaders were invited to participated in training courses for peer educators (PE). 339 FSW were trained. A five days of classroom and field training that include topics on STD symptoms, risk factors for transmission, prevention measures, and location for sites for testing and treatment. Participants were trained how to approach colleagues in the streets, bars, brothels, massage parlors, etc. The training reviewed techniques to improve interpersonal communication, negotiate condom use, encourage care of one's body, and to promote self-esteem. After training, PE began to identify locations new locations of commercial sex. They provide prevention messages and health services information using flipcharts and distributing brochures; also, refer their colleagues to the Ministry of Health's health centers. PE record key information each week and attend additional training sessions with specialists and other PE. The PE receive a small stipend to cover the cost of their transportation, supplies and phone calls. Conclusion: In 1999 PE identified 362 new commercial sex settings, distributed 207,271 condoms and 63,173 pamphlets. The PE system provides 20% of all attendees for periodic medical examination in the STD reference centers (53% of new clients and 32% of the non regular clients). Sentinel surveillance data available about the HIV, STD and behavior rates in this group will be presented.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Behavior
- Condoms
- Federal Government
- Female
- HIV Infections
- HIV Seropositivity
- Health Services
- Humans
- Peer Group
- Peru
- Research
- Safe Sex
- Teaching
- education
Other ID:
UI: 102241181
From Meeting Abstracts