Traore, I.T., Meda, N., Hema, N.M., et al. Journal of the International AIDS Society (September 2015), 18(1):20088. doi: 10.7448/IAS.18.1.20088, eCollection 2015.
This prospective, interventional cohort study among 321 HIV-uninfected female sex workers (FSWs) aged 18–25 years in Ouagadougou, Burkina Faso, conducted from 2009 to 2011, assessed the impact of a comprehensive, dedicated intervention targeting FSWs. The intervention included locally available combined prevention and care, including peer-led education sessions, free syndromic management of sexually transmitted infections, condoms and hormonal contraceptives, psychological support, and free general medical and HIV care. At enrolment and during subsequent quarterly visits, participants completed a standardized questionnaire documenting sexual behaviors and alcohol consumption during the previous week, including the number and type of sexual partners; received a physical examination; and provided urine, vaginal, and endocervical samples, as well as a blood sample after a voluntary HIV counseling session. No seroconversion occurred during the study, though the modeled seroconversion rate was 1.23 infections per 100 person-years. Although the average number of casual clients did not change during follow-up, the odds of consistent condom use significantly increased; and the adjusted odds of having more than one regular client diminished significantly. Moreover, the odds of consistent condom use with regular clients increased over time. The authors concluded that integrating community-based prevention had a significant impact on HIV incidence among young FSWs in Burkina Faso.