Resource Logo

The agglutinating approach to joint STD/AIDS prevention and control in female sex workers in the Dominican Republic.


Int Conf AIDS. 1989 Jun 4-9;5:708 (abstract no. Th.D.O.10). Unique

OBJECTIVE: To describe and analyze the conceptual approach to STD/AIDS prevention in Dominican female sex workers (FSW), as well as the detection, diagnosis and treatment strategies and their results from 1987 to mid 1989. METHODS: On the basis of an agglutinating approach that incorporates FSW leaders elected by their peers to the National Struggle against AIDS, sex workers receive educational preventive training, at-cost monthly physical exams, laboratory tests and treatment for STD, in 12 new sentinel posts in the Dominican Republic. FSW receive 50 condoms gratis in each visit. RESULTS: As of December 1988, 22,000 medical exams have been delivered to 5,000 FSW; 12% have been treated for syphilis and 10% for gonorrhoea. Out of 3,000 voluntary HIV tests, 2.6% have been seropositive. CONCLUSION: Aggressive control of genital ulcer disease (GUD) through joint peer/professional intervention provides an unique opportunity for educating sex workers, detecting STD at an early stage, treating these diseases opportunely, and reducing the risk of HIV infection.

Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*PREVENTION & CONTROL Contraception Behavior Dominican Republic/EPIDEMIOLOGY Female Gonorrhea/THERAPY Human HIV Infections/*PREVENTION & CONTROL Physical Examination *Prostitution Sex Behavior Sex Education Sexually Transmitted Diseases/EPIDEMIOLOGY/*PREVENTION & CONTROL Syphilis/THERAPY ABSTRACT


Information in this article was accurate in September 30, 1990. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.