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An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings

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The 100% condom use programme in Asia.

Wiwat Rojanapithayakorn¹

¹World Health Organization China, Beijing, China. wiwatr@chn.wpro.who.int

Reproductive Health Matters

|November 15, 2006

Summary

The 100% Condom Use Programme significantly reduced HIV transmission among sex workers in Asia. This intervention, promoting "No condom - No sex," has been successfully scaled across multiple countries.

Area of Science:

Public Health
Epidemiology
Infectious Disease Prevention

Background:

HIV transmission is high in Asian countries, largely due to transmission among sex workers and clients.
Effective interventions are crucial to curb the spread of HIV within this population.

Purpose of the Study:

To evaluate the impact of the 100% Condom Use Programme on HIV prevention in Asian sex work settings.
To highlight the effectiveness of promoting consistent condom use through a structured program.

Main Methods:

Implementation of the 100% Condom Use Programme based on the "No condom - No sex" principle.
Collaboration between local authorities, businesses, and sex workers.
Variations in program components including self-help groups and peer education.

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Main Results:

In Thailand, condom use in sex work increased from 14% to over 90% since 1992.
Nationwide programs in Thailand and Cambodia are linked to a decline in HIV epidemics.
Program activities are expanding to six other Asian countries.

Conclusions:

The 100% Condom Use Programme is a highly effective strategy for HIV prevention in sex work.
Empowerment of sex workers and community collaboration are key to program success.
The program's scalability offers a viable solution for reducing HIV transmission across Asia.