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IAS 2013 Kuala Lumpur Malaysia July, 2013

Six-Month Follow Up Data from RCT Testing Brief Alcohol Reduction Intervention with Female Sex Workers in Mombasa, Kenya Presenter: Peter Mwarogo FHI 360. IAS 2013 Kuala Lumpur Malaysia July, 2013. Study Objective.

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IAS 2013 Kuala Lumpur Malaysia July, 2013

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  1. Six-Month Follow Up Data from RCT Testing Brief Alcohol Reduction Intervention withFemale Sex Workers in Mombasa, KenyaPresenter: Peter MwarogoFHI 360 IAS 2013 Kuala Lumpur Malaysia July, 2013

  2. Study Objective • To investigate whether FSWs at drop-in centers in Mombasa, Kenya, who report harmful or hazardous alcohol intake and participate in a brief alcohol intervention, will reduce their alcohol use and incidence of STIs, HIV, and sexual violence, as well as increase their condom use.

  3. Study Design • Recruited FSWs through APHIA Plus, Mombasa • 818 participants enrolled March-October 2011 • Participants randomized to 6-month alcohol intervention, or 6-month nutrition intervention • Alcohol intervention based on an adaptation of WHO brief intervention • Data collection at baseline, 6 month, and 12 month follow-up • Clinical testing for HIV, trichomoniasis, gonorrhea, chlamydia • Behavioral survey on alcohol, condom use, physical and sexual violence • 6-month follow-up rate: 86% (n=701)

  4. Study Sample Characteristics at Baseline

  5. Alcohol Use at 6 Months 1Women who had sex with client in last 30 days 2Women with non-paying partner 1For women who reported sex with client in last 30 days 2For women with non-paying partners

  6. Sexual and Physical Violence at 6 Months

  7. Key Observations • Participants are young, have little education, are predominantly Christian, and many are separated/divorced • Intervention and control groups have similar demographic characteristics • Alcohol use at 6 months was reported be lower in intervention than control group, regarding: • Alcohol use in past 30 days • Sex while feeling drunk in past 30 days • Binge drinking 3+ drinks; Binge drinking 5+ drinks before sex • Low rates of incident STIs and HIV seroconversion from baseline to 6 month follow-up • Condom use is high with paying clients and lower with non-paying partners • Physical and sexual violence by clients and partners is common

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