Baseline survey analysis of the China-UK Program in Chengjiang

Objective In order to control HIV/AIDS epidemic in Chengjiang and support the AIDS control strategy and the implementation of action planning in China-UK Program further. Methods In the whole county, the commercial sex workers (CSWs) in entertainment establishments and injecting drug users (IDUs) in community and detoxification centers were under comprehensive surveillance according to the survey scheme of National Office, including questionnaire survey of knowledge and behavior, and HIV syphilis testing by drawing intravenous blood. Results 366 CSWs from Fenglu, Xinhekou and Luchong three communities were surveyed; among the 350 blood samples, there are 6 with HIV positive (1.7%) and 15 with syphilis (4.3%); among 203 IDUs, 202 people were drawn blood, 70 cases were tested HIV positive ( including 43 old cases before tested), the 1 case was tested syphilis. In the questionnaire of knowledge and behavior survey, the findings show that the knowledge awareness is rising but the behavior change is slow. The rates of using condom among CSWs having sex with clients in last time and in last month were 95.3% and 78.6% respectively. The reasons of not using condom were: clients refusal accounting for 62.5%, without condoms at hand being 13.63%, using other contraception methods being 9.09%, and the other factors( forgetting, not knowing and believing clients) being 13.6%. The rates of not sharing injectors in last time, in last month when using drugs were 92.10% and 83.7%. Conclusion Through the implementation of this round China-UK Program, there are some achievements, but some intervening measures were not so powerful and the dissemination and education are not wide and deep enough; the VCT network system and its management were not so perfect, and the VCT resource integration had some problems. The intervention should be strengthened among the high risk populations, and VCT work should be improved to identify the people with HIV and provide the intervention and treatment.

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