Document 0149
 DOCN  M9490149
 TI    Evaluation of a targeted AIDS prevention intervention to increase condom
       use among prostitutes in Ghana.
 DT    9411
 AU    Asamoah-Adu A; Weir S; Pappoe M; Kanlisi N; Neequaye A; Lamptey P;
       Ministry of Health, Accra, Ghana.
 SO    AIDS. 1994 Feb;8(2):239-46. Unique Identifier : AIDSLINE MED/94318208
 AB    OBJECTIVE: To assess the short- and long-term impact of a 6-month pilot
       intervention program on condom use among prostitutes in Accra, Ghana.
       DESIGN: The 4-year prospective study follows-up cohorts enrolled in the
       intervention in 1987 and 1988, comparing condom use in 1991 with that
       among a comparison group not enrolled in the intervention. SETTING: The
       community-based intervention was initiated in Accra, Ghana in 1987.
       PARTICIPANTS: Self-identified female prostitutes who volunteered
       participation. INTERVENTION: The educational intervention used local
       health workers to train and support selected prostitutes to be health
       educators and condom distributors to their peers. OUTCOME MEASURES:
       Self-reported condom use with clients. RESULTS: Reported condom use
       increased dramatically between 1987 and 1988 during the first 6 months
       of the intervention. In 1991, after 3 years of program relapse, 107
       (43%) of the 248 women who had enrolled in 1987 or 1988 were still in
       prostitution and located for interview. Their level of condom use in
       1991 was higher than pre-enrollment but similar to use among prostitutes
       never enrolled. Sixty-four per cent of those followed-up reported always
       using condoms with clients in 1991. These 'always users' were more
       likely to have maintained informal contact with project staff, know that
       HIV can be transmitted by healthy clients, and report that clients
       frequently initiate condom use. CONCLUSIONS: Findings support the
       development of long-range educational strategies that recognize the
       career longevity of prostitutes, available channels for informal program
       diffusion, individual changes in condom use over time, and the role of
       clients in condom negotiation.
 DE    Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/  PSYCHOLOGY
       Adolescence  Adult  Aged  Attitude to Health  Comparative Study
       Condoms/*UTILIZATION  Female  Follow-Up Studies  Ghana/EPIDEMIOLOGY
       Human  Middle Age  Nonoxynol  Peer Group  Pilot Projects  Program
       Evaluation  Prostitution/*STATISTICS & NUMER DATA  Support, Non-U.S.
       Gov't  Support, U.S. Gov't, Non-P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).