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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
HIV prevalence and characteristics of sex work among female sex workers in Hargeisa, Somaliland, Somalia
AIDS, Volume 24, No. SUPPL. 2, Year 2010
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Description
Objective: To measure prevalence of HIV and syphilis and describe characteristics of sex work among female sex workers (FSWs) in Hargeisa, Somaliland, Somalia. Methods: A cross-sectional survey recruited 237 FSWs using respondent-driven sampling (RDS). A face-to-face, structured interview using handheld-assisted personal interviewing (HAPI) on personal digital assistants (PDAs) was completed and blood collected for serological testing. Results: FSWs 15-19 years old accounted for 6.9% of the population; 20-24 year-old constituted an additional 18.0%. The majority (86.6%) never attended school. International (59.0%) and interzonal (10.7%) migration was common. Most (95.7%) reported no other source of income; 13.8% had five or more clients in the last 7 days. A minority (38.4%) had heard of STIs, even fewer (6.9%) held no misconceptions about HIV. Only 24% of FSW reported using a condom at last transactional sex, and 4% reported ever been tested for HIV. HIV prevalence was 5.2% and syphilis prevalence was 3.1%. Conclusion: Sex work in Hargeisa, Somaliland, Somalia, is characterized by high numbers of sexual acts and extremely low knowledge of HIV. This study illustrates the need for targeted HIV prevention interventions focusing on HIV testing, risk-reduction awareness raising, and review of condom availability and distribution mechanisms among FSWs and males engaging with FSWs. © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Authors & Co-Authors
Kriitmaa, Kelsi
Switzerland, Geneva
Organisation Internationale Pour Les Migrations
Testa, Adrienne
Switzerland, Geneva
Organisation Internationale Pour Les Migrations
Osman, Mohamed
Somaliland, Hargeisa
Somaliland National Aids Commission
Boẑiĉević, Ivana
Croatia, Zagreb
University of Zagreb School of Medicine
Riedner, Gabriele
Egypt, Cairo
Who/emro
Malungu, Jacqueline
Kenya, Nairobi
Who Somalia Liaison Office
Irving, Greg
Switzerland, Geneva
Organisation Internationale Pour Les Migrations
Abdalla, Ismail
Kenya, Nairobi
Who Somalia Liaison Office
Statistics
Citations: 41
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1097/01.aids.0000386735.87177.2a
e-ISSN:
14735571
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Somalia
Participants Gender
Female