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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya
BMC Public Health, Volume 8, Article 143, Year 2008
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Description
Background. Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level. Methods. A pre-intervention survey in 2000, recruited 503 FSW using snowball sampling. Thereafter, peer educators provided STI/HIV education, condoms, and facilitated HIV testing, treatment and care services. In 2005, data were collected using identical survey methods, allowing comparison with historical controls, and between FSW who had or had not received peer interventions. Results. Over five years, sex work became predominately a full-time activity, with increased mean sexual partners (2.8 versus 4.9/week; P < 0.001). Consistent condom use with clients increased from 28.8% (145/503) to 70.4% (356/506; P < 0.001) as well as the likelihood of refusing clients who were unwilling to use condoms (OR = 4.9, 95%CI = 3.7-6.6). In 2005, FSW who received peer interventions (28.7%, 145/506), had more consistent condom use with clients compared with unexposed FSW (86.2% versus 64.0%; AOR = 3.6, 95%CI = 2.1-6.1). These differences were larger among FSW with greater peer-intervention exposure. HIV prevalence was 25% (17/69) in FSW attending ≥ 4 peer-education sessions, compared with 34% (25/73) in those attending 1-3 sessions (P = 0.21). Overall HIV prevalence was 30.6 (151/493) in 2000 and 33.3% (166/498) in 2005 (P = 0.36). Conclusion. Peer-mediated interventions were associated with an increase in protected sex. Though peer-mediated interventions remain important, higher coverage is needed and more efficacious interventions to reduce overall vulnerability and risk. © 2008 Luchters et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Luchters, Stanley M.F.
Kenya, Mombasa
International Centre for Reproductive Health Kenya
Belgium, Ghent
Universiteit Gent
Chersich, Matthew Francis
Kenya, Mombasa
International Centre for Reproductive Health Kenya
Belgium, Ghent
Universiteit Gent
Rinyiru, Agnes
Kenya, Mombasa
International Centre for Reproductive Health Kenya
Barasa, Mary Stella
United States, Durham
Fhi 360
King'Ola, Nzioki
Kenya, Mombasa
International Centre for Reproductive Health Kenya
Mandaliya, Kishor N.
Kenya, Mombasa
Coast Provincial General Hospital, Kenya
Bosire, Wilkister
Kenya, Mombasa
International Centre for Reproductive Health Kenya
Wambugu, Samuel
United States, Durham
Fhi 360
Mwarogo, Peter
United States, Durham
Fhi 360
Temmerman, Marleen I.L.
Belgium, Ghent
Universiteit Gent
Statistics
Citations: 148
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1186/1471-2458-8-143
e-ISSN:
14712458
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya
Participants Gender
Female