Programme coverage, condom use and STI treatment among FSWs in a large-scale HIV prevention programme: results from cross-sectional surveys in 22 districts in southern India

Ramakrishnan, L.; Gautam, A.; Goswami, P.; Kallam, S.; Adhikary, R.; Mainkar, M.K.; Ramesh, B.M.; Morineau, G.; George, B.; Paranjape, R.S.; Ramakrishnan, L; Gautam, A; Goswami, P; Kallam, S; Adhikary, R; Mainkar, M.K; Ramesh, B.M; Morineau, G; George, B; Paranjape, R.S

doi:10.1136/sti.2009.038760

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Programme coverage, condom use and STI treatment among FSWs in a large-scale HIV prevention programme: results from cross-sectional surveys in 22 districts in southern India

Ramakrishnan, L.; Gautam, A.; Goswami, P.; Kallam, S.; Adhikary, R.; Mainkar, M.K.; Ramesh, B.M.; Morineau, G.; George, B.; Paranjape, R.S.

Sexually Transmitted Infections 86 Suppl. 1: I62-I68

2010

ISSN/ISBN: 1368-4973

PMID: 20167734

DOI: 10.1136/sti.2009.038760

Document Number: 209530

This paper evaluates Avahan programme's coverage of female sex workers (FSWs), focus on high-risk FSWs and intermediate outcomes. First round of cross-sectional survey data, Integrated Behavioral and Biological Assessments (IBBA), conducted in 22 districts, were aggregated into district categories: Solo, where Avahan was the sole service provider covering all FSWs and Major or Minor where Avahan was not the sole provider, but intended coverage was >50% or or=15 clients in the past week had a higher chance of being exposed to core services (AOR=1.56; 95% CI 1.03 to 2.35). Exposure to the three services in Solo Avahan districts was significantly associated with correct knowledge on condom use (AOR=1.36; 95% CI 1.05 to 1.78), consistent condom use with occasional clients (AOR=3.17; 95% CI 2.17 to 4.63) and regular clients (AOR=2.47; 95% CI 1.86 to 3.28) and STI treatment-seeking behaviour (AOR=3.00; 95% CI 1.94 to 4.65). Higher coverage of FSWs was achieved in districts where Avahan was the only intervention compared with districts having multiple and longstanding non-Avahan programmes. Exposure in Solo districts was associated with intermediate outcomes; this need to be further evaluated in comparison with non Avahan areas and substantiated through data from next IBBA.