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Behavioural survey for HIV/AIDS infection in Asosa, among the general population and commercial sex workers


Mesfin Eshetu
Kerege Kebede
Shabbir Ismail
Edward Sanders
Dawit Wolday
Tsehaynesh Messele
Belete Tegbaru
Alemayehu Worku

Abstract

Background: Assessment of high-risk behavior for HIV/AIDS transmission is rare in emerging regions of Ethiopia.

Objective: To assess high-risk behaviors and factors for voluntary counseling and testing. Examination of the situation has been undertaken.

Methods: A cross-sectional behavioral survey was done in Asosa Town on randomly selected adults and all female sex workers.

Results: From 631 sexually active adults, 527 (84.6%) had sexual intercourse in last the 12months, 67(12.7%) sex in exchange with money and 88(16.7%) with their non-regular non-commercial partner. Ever use of condom among the general population and female sex workers was found in 168(26.6%) and 185(88.5%) respectively. More than one third of the respondents among the general population knew a person who died of HIV /AIDS and 47.6 % of the respondents lost a close relative due to the same cause. Among the general population, 421(47.6%) were aware of being engaged in high-risk practices, which expose them to HIV/AIDS. Multi variate analysis revealed female [OR= 1.5, 95%CI=1.02-2.10] and individuals who had a positive attitude to take VCT test [OR=1.60: 95% CI=1.2-2.2] felt themselves more at risk.

Conclusion: High-risk behavior, low levels of condom use and knowledge about the epidemic have been found in Asosa. Behavioral change communication has to be implemented to reduce those risky behavior and scale up condom use. [Ethiop.J.Health Dev. 2004;18(2):75-81]

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