TITLE

EVALUATION OF A MOBILE OUTREACH CLINIC PROVIDING SEXUAL HEALTH SERVICES TO STREET COMMERCIAL SEX WORKERS

AUTHOR(S)
Keegan, H.; Bell, G.; Bates, S.M.
PUB. DATE
June 2003
SOURCE
Sexually Transmitted Infections;Jun2003 Supplement 1, Vol. 79, pA26
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The incidence of sexually transmitted infections among commercial sex workers (CSWs) is high. However, accessing sexual health services is of low priority to street based sex workers. Numerous approaches to encourage health seeking behaviour and facilitate access to GU clinics have been reported. Here we report on the acceptance of a mobile sexual health facility offering on-site health promotion, opportunistic screening, and treatment. Eight pilot clinics have been held and 11 CSWs have accepted a medical consultation. Seven women (64%) accepted one or more screening tests. Two cases of hepatitis C infection (5 screened, 40% prevalence), 2 cases of gonorrhoea (7 screened, 29% prevalence), and 6 cases of bacterial vaginosis (7 screened, 86% prevalence) have been detected. Both cases of gonorrhoea have been treated and one woman subsequently attended the GU clinic for test of cure. No cases of HIV, syphilis, or chlamydia have been identified. All CSWs accepting a medical consultation who had not previously been vaccinated agreed to start a hepatitis B vaccination programme. Of these 10 women, two (20%) have returned for second vaccines. Although the figures to date are small, in comparison with previous initiatives to encourage CSWs to attend clinic the response has been good. Despite weekly outreach health promotion sessions in the preceding year, only 8 new street workers attended clinic. The introduction of outreach clinical management appears to be an effective way of accessing a difficult to reach population group at significant risk of infection.
ACCESSION #
10218832

 

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