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Controlling HIV in Africa: effectiveness and cost of an intervention in a high-frequency STD transmitter core group.
- Source :
-
AIDS (London, England) [AIDS] 1991 Apr; Vol. 5 (4), pp. 407-11. - Publication Year :
- 1991
-
Abstract
- Since 1985, a population of over 1,000 predominantly HIV-positive female prostitutes residing in a low-income area of Nairobi, has been enrolled in a sexually transmitted disease (STD)/HIV control programme. The major elements of the programme include the diagnosis and treatment of conventional STD, and the promotion of condom use to prevent the transmission of HIV and other sexually transmitted infections. Using estimates of numbers of HIV-seropositive prostitutes, numbers of sexual contacts, susceptibility of clients to HIV, HIV transmission efficiency, rates of condom use and the basic reproductive rate of HIV infection in Kenya, we estimate that the programme is responsible for preventing between 6,000 and 10,000 new cases of HIV infection per year among clients and contacts of clients. The total annual operating cost of the programme is approximately US$77,000 or between US$8.00 and US$12.00 for each case of HIV infection prevented. Programmes to reduce the transmission of HIV and other sexually transmitted infections which are targeted at high-frequency STD transmitters, such as prostitutes, can be effective and relatively inexpensive to undertake. More such programmes should be developed and evaluated in different settings.
- Subjects :
- Acquired Immunodeficiency Syndrome economics
Acquired Immunodeficiency Syndrome transmission
Cohort Studies
Contraceptive Devices, Male economics
Contraceptive Devices, Male statistics & numerical data
Cost-Benefit Analysis
Female
HIV Infections economics
HIV Infections transmission
HIV Seropositivity diagnosis
Humans
Kenya epidemiology
Male
Program Evaluation
Sex Work
Sexually Transmitted Diseases, Viral economics
Sexually Transmitted Diseases, Viral transmission
Acquired Immunodeficiency Syndrome prevention & control
HIV Infections prevention & control
Health Education economics
Sexually Transmitted Diseases, Viral prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 0269-9370
- Volume :
- 5
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- AIDS (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 1905555