AEGiS-14IAC: Contrastive study between mobile and clinic centre for sex workers.

14th International AIDS Conference


Barcelona, Spain - July 7-12, 2002

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Contrastive study between mobile and clinic centre for sex workers.

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. D11150)

Sadipun C
Kupang, Indonesia

ISSUES: Awareness of get transmitted and transmit of STD among the sex workers is still low. This is supported by self-treatment behavior and asymptomatic STD. It is difficult for them to do regular health care even though they have high-risk behavior.

DESCRIPTION: Tanpa Batas Foundation has program of STD care for the sex workers by using syndromic approach with speculum check. For about 2,5 years, we provided a mobile clinic for the sex workers in four brothels. Once a month, the staff visited these brothels for mobile clinic. In 2001, we decided to focus all clinical activities in drop in center, with aims to train the sex workers for seeking health care, to reduce their dependency to the agency. During mobile clinic, total visit was 337 visited (1999), 253 (2000). In 2001, total visit in clinic center was 136. LESSONS LEARNT: Effectiveness and efficiency of an approach is different with another. Once a model of approach is applied should be according to the target population. For the sex workers in the brothels, the mobile clinic is not too efficient for agency but it reaches more patients and they can get therapy based on the syndromes while a clinic center has proved efficient for agency but the sex workers objected for clinic which reduce number of visit and total cases. The reasons they refuse to visit clinic center are the location of the clinic is far from the brothel, they feel lazy, or they prefer to wait until they get serious sick, and they prefer us to provide transportation to pick them up. RECOMMENDATION: The mobile clinic is not efficient for agency but good for the sex workers and effective for the agency and the sex workers. Mobile clinic is a recommended model for the brothel based sex workers supported with regular education, training, and focus group discussion to raise awareness and behavior change.

Keywords: AEGIS, Prostitution, Ambulatory Care Facilities, Demography, Health Services Needs and Demand, Focus Groups, Health Education, HumanKWDaegis,prostitution,ambulatorycarefacilities,demography,healthservicesneedsanddemand,focusgroups,healtheducation,human

020707
D11150

Copyright © 2002 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.