AEGiS-14IAC: Declining sexually transmitted disease and HIV prevalences among antenatal clinic (ANC) attenders in Nairobi, Kenya, from 1992-2001.

14th International AIDS Conference

Barcelona, Spain - July 7-12, 2002

Declining sexually transmitted disease and HIV prevalences among antenatal clinic (ANC) attenders in Nairobi, Kenya, from 1992-2001.

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. WeOrC1272)

Moses S, Ngugi EN, Costigan A, Kariuki C, Plummer FA
Department of Medical Microbiology, University of Manitoba, WInnipeg, Canada

BACKGROUND: An HIV/STD surveillance program was established in 3 health centres to monitor the impact of an intervention program in the clinics and their catchment areas consisting of: 1) improved primary level STD services; and 2) community HIV/STD prevention programs for female sex workers.

METHODS: Eight survey rounds were completed from 1992-2001 with samples of about 200-300 female ANC attenders per centre per round. A questionnaire was administered, cervical specimens were collected for gonorrheal culture, and blood was drawn for syphilis, HIV & chlamydia serology.

RESULTS: Trends in STD/HIV prevalence are shown. Declines are statistically significant (P < 0.001) for gonorrhea, chlamydia and syphilis, and for HIV in women under 20 from Surveys 2-8. [Image not included] Behavioural changes were also observed, including significant declines in women reporting selling sex, declines in numbers of reported sex partners, and increases in condom knowledge and use.

CONCLUSION: The prevalences of the "conventional" STDs, and HIV infection in young women have declined, probably due in part to these interventions.

Keywords: AEGIS, Sexually Transmitted Diseases, Prevalence, HIV Infections, Condoms, Syphilis, Gonorrhea, HIV Seropositivity, Chlamydia Infections, Ambulatory Care Facilities, Data Collection, Kenya, Human, Female

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WeOrC1272