14th International AIDS Conference Barcelona, Spain - July 7-12, 2002

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. D11161)

Voundi nee Mbenyindi E, Nyangono J, Dipoko D, Wango M; Association des amis de la prudence, Yaounde, Cameroon

BACKGROUND: To help CSWS in Yaounde - Cameroon to well prevent STI'S /HIV: AIDS. CSW say during the education meeting and informal inquiry that men preference is dry sex; this obliged women to use traditional medicines and others things such as soil to render the vaginal becomes tight and dry to faze their customers. Incidence of STi'S /HIV in CSWS was found to be high. It can be attribute to the ulceration in vagina due to the tightness of the vagina because of the medicine administration.

METHODS: CSWS say that they use traditional medicine like "piece blanche, ottou'ou, tobacco, cinders and others" things to such vagina fluid but after 3, 4 or 5 sexual intercourse with several customers they have pain and ulceration in their vagina. To supply at dry sex, we have to use CSWS by health talks, sketches, album, debate, discussion on the consequences of medicines they use to have dry sex; advantages of wet sex and use of condom for all intercourse. Yes they want to have a lot of money, but we can have it only when you are in good health. Because they have ulceration, pain and did not use condom. They risk to contract STi'S/HIV. CSWS have an essential role to play in fight against AIDS: First: they have to reduce intercourse, look at small job (servant, baby sister, seller), to bring their customers to use condom and give them importance of wet sex; second, they have to educate their small sisters, child to not do prostitution because it's not good, they have to encourage them to go to school and look for a job and marriage. We organise discussion, debate, target CSWS and their teenagers in sexuality twice a quarter at every sector, and one health talk target only CSWS every two weeks/sector to help in the risk reduction of AIDS transmission.

RESULTS: From February 1st to November 4th 2001, we manage 6 debates (CSWS - teenagers) by sector; - 20 health talks by sector; sensitise 4400 CSWS; distribute 9000 condoms and folders; 10000 condoms sell during health talks. Among 4400 CSWS sensitise, 30% have stop to use medicine for a dry sex; 37% use correctly condoms; 15% have small job (servant, seller and baby sister); 60% controlled their health at the hospital; 25% speak with their teenagers and peers about sexuality.

CONCLUSIONS: Peer education practice is appropriate to facilitate communication in sexuality and to promote good health.

020707
D11161

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