TITLE

Lost opportunities in HIV prevention: programmes miss places where exposures are highest

AUTHOR(S)
Sandøy, Ingvild F.; Siziya, Seter; Fylkesnes, Knut
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8, p31
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Efforts at HIV prevention that focus on high risk places might be more effective and less stigmatizing than those targeting high risk groups. The objective of the present study was to assess risk behaviour patterns, signs of current preventive interventions and apparent gaps in places where the risk of HIV transmission is high and in communities with high HIV prevalence. Methods: The PLACE method was used to collect data. Inhabitants of selected communities in Lusaka and Livingstone were interviewed about where people met new sexual partners. Signs of HIV preventive activities in these places were recorded. At selected venues, people were interviewed about their sexual behaviour. Peer educators and staff of NGOs were also interviewed. Results: The places identified were mostly bars, restaurants or sherbeens, and fewer than 20% reported any HIV preventive activity such as meetings, pamphlets or posters. In 43% of places in Livingstone and 26% in Lusaka, condoms were never available. There were few active peer educators. Among the 432 persons in Lusaka and 676 in Livingstone who were invited for interview about sexual behaviour, consistent condom use was relatively high in Lusaka (77%) but low in Livingstone (44% of men and 34% of women). Having no condom available was the most common reason for not using one. Condom use in Livingstone was higher among individuals socializing in places where condoms always were available. Conclusion: In the places studied we found a high prevalence of behaviours with a high potential for HIV transmission but few signs of HIV preventive interventions. Covering the gaps in prevention in these high exposure places should be given the highest priority.
ACCESSION #
51489007

 

Related Articles

  • Briefing: riding the tiger: Contextualizing HIV prevention in South Africa. Campbell, Catherine; Williams, Brian // African Affairs;Jan2001, Vol. 100 Issue 398, p135 

    Discusses factors affecting the fight to reduce HIV transmission in South Africa. Formulation of the National AIDS Plan in 1994; Dynamics underpinning the formulation of local HIV-related policies and interventions by non-local experts; Paradigm drift away from health education towards...

  • Coping with HIV in Pakistan.  // Contemporary Sexuality;Oct2011, Vol. 45 Issue 10, p8 

    The article presents information on efforts to treat and prevent HIV and AIDS in Pakistan, noting how intravenous drug users and migrant workers returning from Arab states have increased concerns of HIV transmission.

  • Earlier Diagnosis of Human Immunodeficiency Virus (HIV) Infection and More Counseling. Drotman, D. Peter // Annals of Internal Medicine;5/1/89, Vol. 110 Issue 9, p680 

    Deals with early diagnosis of human immunodeficiency virus (HIV) infection. Efforts to control HIV transmission; Discussions on what physicians can do to curb the effect of AIDS; Lack of specific HIV vaccines.

  • The HIV/AIDS Epidemic.  // Population Reports;Apr99, Vol. 27 Issue 1, p6 

    States that the extent of the AIDS epidemic underscores the urgent need for condoms. How HIV affects the human body; How HIV/AIDS spreads; Prospects for AIDS in sub-Saharan Africa and developing countries of Asia.

  • HIV-1-Discordant Couples in Sub-Saharan Africa: Explanations and Implications for High Rates of Discordancy. Guthrie, Brandon L.; De Bruyn, Guy; Farquhar, Carey // Current HIV Research;Oct2007, Vol. 5 Issue 4, p416 

    In sub-Saharan Africa, approximately 1 in 2 HIV-1-infected persons living in a couple have a serodiscordant partner. Recent data suggest a large proportion of new HIV-1 infections in mature epidemics occur within discordant couples, making discordancy a major contributor to the spread of...

  • MISINTERPRETATION OF THE 'SAFE SEX/NO SEX' PREVENTION STRATEGY. Mutinta, G.; Whiteside, A. // Southern African Journal of HIV Medicine;Dec2011, Vol. 12 Issue 4, p39 

    A letter to the editor is presented in response to the article "Feasibility and Acceptability of Sexual Abstinence for Interruption of HIV Transmission Among Individuals With Acute Infection Formative Data from CHAVI 011" in the 2011 issue.

  • POINT/COUNTER. Cotton, Mark; Beckerman, Karen P. // Infectious Diseases in Children;May2010, Vol. 23 Issue 5, p11 

    The authors comments on using nevirapine to prevent transmission of HIV from mother to child.

  • Mercy mission. Southam, Hazel // Geographical (Geographical Magazine Ltd.);Feb2013, Vol. 85 Issue 2, p27 

    The article focuses on the role of Biblical parable of Good Samaritan in reducing the prevalence rates of HIV/AIDS pandemic among rural communities of sub-Saharan African countries. It informs that theses religious workers are using biblical story of the Good Samaritan as its base in explaining...

  • SPANISH CATHOLIC CHURCH OKs CONDOM USE, THEN BACKTRACKS. Wockner, Rex // Just Out;2/4/2005, Vol. 22 Issue 7, p21 

    Reports that Spain's Roman Catholic Church broke with the Vatican by approving the use of condoms to protect against HIV transmission. Church's stance on masturbation, oral sex and use of birth control methods; Possible role of condoms in the global prevention of AIDS.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics