Interventions among male clients of female sex workers in Benin, West Africa: an essential component of targeted HIV preventive interventions
- 1 December 2007
- journal article
- Published by BMJ in Sexually Transmitted Infections
- Vol. 83 (7), 577-581
- https://doi.org/10.1136/sti.2007.027441
Abstract
Objectives: To assess the impact of interventions targeted towards female sex workers (FSWs) and their male clients on client HIV/STI prevalence and sexual behaviour. Methods: From 1993 to 2006, an HIV/STI preventive intervention focusing on condom promotion and STI care was implemented among FSWs in Cotonou, Benin, and then expanded to cover their male sexual partners in 2000. The interventions were scaled up to five other cities of Benin in 2001–2002. Serial cross-sectional surveys of HIV/STI prevalence and sexual behaviour were carried out among clients in Cotonou in 1998, 2002 and 2005; and in the five other cities (O/Cotonou) in 2002 and 2005. Results: Significant declines in gonorrhoea prevalence among clients of FSWs: Cotonou, from 5.4% in 1998 to 1.6% in 2005; O/Cotonou: from 3.5% in 2002 to 0.59% in 2005. Chlamydia prevalence also declined O/Cotonou, from 4.8% to 1.8%, while HIV prevalence remained stable. Reported condom use by clients with both FSWs and casual non-FSW partners, but not regular partners, increased significantly. While condom use at last sex with an FSW was similar in Cotonou to O/Cotonou around the time of implementation of the interventions (56% in 1998 vs 49% in 2002, respectively), it had risen to similar levels by 2005 (95% and 96%, respectively). Conclusions: These results demonstrate that it is possible to implement preventive and clinical services for clients of FSWs, and suggest that such interventions, integrated with those targeted towards FSWs, can have a significant effect on sexual behaviour and STI prevalence (particularly gonorrhoea) among this population.Keywords
This publication has 19 references indexed in Scilit:
- STI declines among sex workers and clients following outreach, one time presumptive treatment, and regular screening of sex workers in the PhilippinesSexually Transmitted Infections, 2006
- HIV prevalence and risk behavior among clients of female sex workers in Abidjan, Côte d'IvoireAIDS, 2003
- The impact of HIV epidemic phases on the effectiveness of core group interventions: insights from mathematical modelsSexually Transmitted Infections, 2002
- Role of core and bridging groups in the transmission dynamics of HIV and STIs in Cotonou, Benin, West AfricaSexually Transmitted Infections, 2002
- Diagnostic Detection of Human Immunodeficiency Virus Type 1 Antibodies in Urine: a Brazilian StudyJournal of Clinical Microbiology, 2002
- Decline in the prevalence of HIV and sexually transmitted diseases among female sex workers in Cotonou, Benin, 1993–1999AIDS, 2002
- How to reach clients of female sex workers: a survey by surprise in brothels in Dakar, Senegal.2002
- Sexual behaviour in Britain: partnerships, practices, and HIV risk behavioursThe Lancet, 2001
- Multicentre study on factors determining differences in rate of spread of HIV in sub-Saharan Africa: methods and prevalence of HIV infectionAIDS, 2001
- Evidence of Declining STD Prevalence in a South African Mining Community Following a Core-Group InterventionSexually Transmitted Diseases, 2000