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ResearchResultsDisseminationPASMO Belize2010
TRaC BELIZE (2010)                  Tracking Results Continuously      HIV/AIDS TRaC Study evaluating      condom use amon...
STUDY OBJECTIVESMonitoring:Behavior of variables and indicatorsthrough time.Segmentation:What     are    the     factors  ...
PASMO’S IMPACT                                                                *                                           ...
PASMO’S IMPACT                         Mitigation effect               Exposed     exposed       Not
Female Sex Workers (FSW)
Belize City      Place:             Cayo                         Orange Walk                         Corozal Town         ...
FSW that Used Condom in the last Sexual Encounter                Total Cases used condom                   total cases    ...
2007 (N=82)        2009 (N=252)                                                                    96.7%            New cl...
2007 (N=82)         2009 (N=252)                                                                            5.94          ...
2007 (N=82)         2009 (N=252)                                                      44.3%Lubricant use during last sex *...
2007 (N=82)          2009 (N=252)                                                           92.9%Important to get tested (...
2007 (N=82)       2009 (N=252)                                                 77.5%      Carried a condom ***            ...
.
Did not use a   Used a condom  condom                             Condom use                            during last sex
-                                  +                       Condom use probability      * = p<.05                          ...
WHICH FACTORS DETERMINE NOT USING    A CONDOM USE IN FSW WITH ANY CLIENT?-                                                ...
•   Inconsistencies in program activities in 2010 may have affected the success    in target populations’, knowledge and b...
•   The fall in lubricant use provides an opportunity for addressing the    component of water based lubricants use in pro...
Men who have Sex with Men         (MSM)
Belize City      Place:             Cayo                         Orange Walk                         Corozal Town         ...
2007 (N=80)    2009 (N=227) Occasional (ns)                                                      92.1%                    ...
2007 (N=80)   2009 (N=227) Occasional (ns)                                  81.9%                                         ...
2007 (N=80)   2009 (N=227) Occasional (ns)                                                       2.5                      ...
2007 (N=80)     2010 (N=227) Occasional                   2.7    (ns)                      2.7   Stable *                 ...
2007 (N=80)         2009 (N=227)Lubricant use during last sex                  62.5%            ***                       ...
2007 (N=80)           2009 (N=227)Knows where to get tested (ns)                                                       93....
2007 (N=80)       2009 (N=227)                                         57.4%      Carried a condom (ns)                   ...
.
2007 (N=80)         2009 (N=227)                                            22.2%VIVE is their favorite brand *           ...
-                            +                           Condom use probability      * = p<.05                            ...
-                                                         +    Probability of NOT using a condom           Did not use    ...
•   Taking into account that MSM report an increase in the number of    occasional partners over the past 12 months, progr...
•   Positive health seeking behaviors that include getting tested for HIV with    post-counseling and seeking treatment fo...
Pasmo research
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Transcript of "Pasmo research"

  1. 1. ResearchResultsDisseminationPASMO Belize2010
  2. 2. TRaC BELIZE (2010) Tracking Results Continuously HIV/AIDS TRaC Study evaluating condom use among Female SexWorkers (FSW) and Men who have sex with Men (MSM) in Belize City, Cayo,Orange Walk, Corozal Town and Stann Creek (Second round)
  3. 3. STUDY OBJECTIVESMonitoring:Behavior of variables and indicatorsthrough time.Segmentation:What are the factors andcharacteristics that can influencehealthy behaviors.Evaluation:Establish the effectiveness of theactivities of the PASMO Programes.
  4. 4. PASMO’S IMPACT * Exposed exposed NotPASMO can determine if changes in indicators can be attributed to their program or if it is a general change. It can also be determined if it was due to mass media intervention messages or IPC programs
  5. 5. PASMO’S IMPACT Mitigation effect Exposed exposed Not
  6. 6. Female Sex Workers (FSW)
  7. 7. Belize City Place: Cayo Orange Walk Corozal Town Stann CreekFSW Methodology: 2007: Multi stage clustered sample 2010: Census Sample: 2007= 85 2009=252 Dates: Feb 2007 – Aug 2010 Characteristics: Venue/fixed 2007= 53% 2009=88% Ambulatory 2007= 37% 2009=12%
  8. 8. FSW that Used Condom in the last Sexual Encounter Total Cases used condom total cases used condom 2007 (%) 2009 (%) 2007 2007 2009 2009Belize District 50 50 100 99 55 55.6Cayo 1 1 100 38 26 68.4Orange Walk 25 25 100 54 39 72.2Corozal Town 7 7 100 24 21 87.5Stan Creek 2 2 100 37 27 73TOTAL 85 85 100 252 168 66.7
  9. 9. 2007 (N=82) 2009 (N=252) 96.7% New client * 79.9% 91.6% Occasional client (ns) 87.2% 87.7% Regular client (ns) 85.2% 62.7% Affective partner ** 36.7% 60.1%Any client or partner*** 35.3%
  10. 10. 2007 (N=82) 2009 (N=252) 5.94 New clients ** 4.11 5.18 Occasional clients (ns) 4.88 2.99 Regular clients (ns) 3.52 1.86Affective partners (year) *** 3.31
  11. 11. 2007 (N=82) 2009 (N=252) 44.3%Lubricant use during last sex ** 27.6% 57.7% Lubricant use sometimes last month *** 27.6%
  12. 12. 2007 (N=82) 2009 (N=252) 92.9%Important to get tested (ns) 95.2% 75.8% Tested last year (ns) 68.5% 95.7% Received results (ns) 97.0% 75.6% Post counselling (ns) 64.8%
  13. 13. 2007 (N=82) 2009 (N=252) 77.5% Carried a condom *** 46.9% 89.6%Can find a condom within 10 minutes (ns) 84.1%
  14. 14. .
  15. 15. Did not use a Used a condom condom Condom use during last sex
  16. 16. - + Condom use probability * = p<.05 Condom use ** = p<.01 *** = p<.001 during last sexns = non significant
  17. 17. WHICH FACTORS DETERMINE NOT USING A CONDOM USE IN FSW WITH ANY CLIENT?- + Probability of NOT using a condom Did not use * = p<.05 ** = p<.01 Condom last sex *** = p<.001 ns = not significant
  18. 18. • Inconsistencies in program activities in 2010 may have affected the success in target populations’, knowledge and behavior.• Taking into account that FSW report an increase in the number of stable partners over the past 12 months program messages should focus on the importance of condom use with all partners at every sexual contact.• Given the positive segmentation result of FSW carrying a condom linked to the increased use of condoms programs should advocate carrying a condom and provide supporting materials (e.g. condom cases) to promote this behavior.
  19. 19. • The fall in lubricant use provides an opportunity for addressing the component of water based lubricants use in programming. The information and materials distributed should underscore the increased risk of not only engaging in unprotected sex but that without lubricants. The exposure to materials from the IPC activities appears to be successful and should be continued.• There is a need for sustained activities among the FSW. Continued emphasis should be placed on using condoms with all partners and changing the perception of condoms making sex less pleasant. In this respect, the protective qualities of condoms should be highlighted to clients. More research is needed on the appearance, flavor and other consumer qualities of the favorite brands of condoms with results of this study serving as a basis for possible changes in procurement and distribution policies.
  20. 20. Men who have Sex with Men (MSM)
  21. 21. Belize City Place: Cayo Orange Walk Corozal Town Stann CreekMSM Methodology: Respondent Driven Sampling (RDS) Sample: 2007= 80 2009=227 Dates: Feb 2007 – Aug 2010 Characteristics: Gay 2007= 53.8% 2009=72.0% Bisexual 2007= 38.8% 2009=21.5% Heterosexual 2007= 3.8% 2009=4.0% Trans 2007= 3.8% 2009= 2.5%
  22. 22. 2007 (N=80) 2009 (N=227) Occasional (ns) 92.1% 82.3% Stable (ns) 69.8% 79.0%Commercial (ns) 60.7% 86.1% Female * 50.4% 74.3%Any partner (ns) 85.4% 79.6%
  23. 23. 2007 (N=80) 2009 (N=227) Occasional (ns) 81.9% 78.1% Stable (ns) 74.7% 56.7%Commercial (ns) 84.8% 74.9% Male * 73.5% 57.0% Female (ns) 61.5% 61.2% All (ns) 72.0% 63.6%
  24. 24. 2007 (N=80) 2009 (N=227) Occasional (ns) 2.5 2.4 Stable * 0.7 1.4Commercial (ns) 1.6 1.7 Female (ns) 2.2 1.9
  25. 25. 2007 (N=80) 2010 (N=227) Occasional 2.7 (ns) 2.7 Stable * 3.7 6.1Commercial 0.1 * 0.9 Female * 2.0 1.0 Male * 6.5 9.7 Total (ns) 8.6 10.7
  26. 26. 2007 (N=80) 2009 (N=227)Lubricant use during last sex 62.5% *** 90.1%Lubricant use sometimes last 65.7% month *** 87.9% Think that lub + condom 49.4% reduce risk (ns) 58.8%
  27. 27. 2007 (N=80) 2009 (N=227)Knows where to get tested (ns) 93.2% 85.2% Tested last year (ns) 72.7% 77.4% Received results (ns) 96.5% 96.0% Post counselling ** 71.4% 91.2%
  28. 28. 2007 (N=80) 2009 (N=227) 57.4% Carried a condom (ns) 61.7% 65.3%Can find a condom within 10 minutes (ns) 74.3%
  29. 29. .
  30. 30. 2007 (N=80) 2009 (N=227) 22.2%VIVE is their favorite brand * 38.9% 100.0% An HIV+ person can look healthy ** 87.0%
  31. 31. - + Condom use probability * = p<.05 Condom use ** = p<.01 *** = p<.001 during last sexns = non significant
  32. 32. - + Probability of NOT using a condom Did not use * = p<.05 ** = p<.01 Condom last sex *** = p<.001 ns = not significant
  33. 33. • Taking into account that MSM report an increase in the number of occasional partners over the past 12 months, program messages should focus on the importance of condom use with all partners at every sexual contact. Program messages should target issues arising out of concurrent and multi partnering relationships.• Vive Lubricants have not been in the market during the program years. Despite this product absence, the use of lubricants both at last sex and consistent use significantly increased. This suggests that there is a demand for the product and should therefore be considered for reintroduction.
  34. 34. • Positive health seeking behaviors that include getting tested for HIV with post-counseling and seeking treatment for STIs significantly increase. Programs should maintain activities that promote these positive goal- healthier behaviors.• Continued emphasis should be placed on changing the perception of condoms making sex less pleasant. In this respect, the protective qualities of condoms should be highlighted. More research is needed on the appearance, flavor and other consumer qualities of the favorite and other brands of condoms with results of this study serving as a basis for possible changes in procurement and distribution policies.
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