Publications

The purpose of the Behavioural Surveillance Survey (BSS) in Sri Lanka are to:

• monitor change in HIV-related behaviours of specified populations or sub-populations over time
• inform the development of prevention-related interventions and activities
• evaluate the impact and effectiveness of prevention-related interventions and activities.

The first round of behavioural surveillance produced some very interesting results. Six groups considered at risk of HIV infection were surveyed between October 2006 and March 2007: factory workers in the Free Trade Zones (FTZ), three-wheel drivers (drivers of three-wheeled taxis), female sex workers, drug users, men who have sex with men (MSM), and beach boys.

The objective of the project is to determine changes in the prevalence of sexually transmitted infection (STI)/HIV in female sex workers (FSWs) after a community HIV prevention intervention project in five border provinces of Vietnam. The project focused on providing user-friendly STI services for FSWs using mobile teams operating at multiple sites depending on local client preferences.

The HIV Serosurveillance survey (HSS) 2003 found a 1.9% HIV prevalence among adults aged 15-49 years. Using HSS 2003 figures, it was estimated that 123,000 adults were living with HIV/AIDS including 57,000 women and that an estimated 9,000 children were living with HIV in 2003. The HSS round IX was conducted from November 2006 to February 2007. HSS 2006-2007 HIV prevalence estimates will be calibrated with the CDHS 2005-2006 HIV prevalence estimates in a consensus workshop that will be held at NCHADS in April 2007. The output of this expert consultation will include updated official estimates of HIV prevalence among the general population of adults and children, and estimates of the number of adults and children in need of ART. After reaching the 3 by 5 targets in 2005, Cambodia has committed to further strengthen its response to the HIV/AIDS epidemic and reach Universal Access by 2010. 

To generate knowledge on sexual risk behaviour and practices, condom use, STI symptoms and STI disease burden among youth clients of female sex workers in Dhaka.

Many countries in Asia are experiencing epidemics of human immunodeficiency virus (HIV) in injecting drug users and female sex workers. These epidemics are characterized by a marked contrast in patterns of HIV transmission both within and between countries. The situation in the neighbouring countries of Cambodia, the Lao People’s Democratic Republic and Viet Nam provides a part ticular illustration of sharply contrasting epidemic patterns. As part of the intervention project Community Action for Preventing HIV/AIDS in Cambodia, Viet Nam and the Lao People’s Democratic Republic, baseline surveys were conducted in 2002 to provide a basis for short- and long-term evaluation. This report aims to study patterns and determinants of HIV prevalence and risk-behaviour characteristics in different population groups in four border provinces of Viet Nam.

The Child in Need Institute (CINI) operated an HIV/AIDS Voluntary Confidential Counseling and Testing (VCCT) center and a Reproductive Health (RH) clinic at separate locations. Concerns about lack of service coordination as well as cost and revenue considerations led CINI to integrate the two services. CINI conducted an operations research (OR) study to examine the impact of integration on utilization and revenues. The objective of this study was to examine whether integration of services would yield an increase in clients served and improve the financial position of the program. A monitoring system was established to capture utilization, cost, and revenue data. The utilization analysis focused on determining if more clients received services, and measuring the proportion of clients who received both RH and VCCT services. The financial analysis focused on determining whether the provision of services to a client (separately or together) added more to program costs or to program revenues.

In 2005 and 2006 the Cook Islands Ministry of Health, with technical assistance from the Secretariat of the Pacific Community, conducted second generation surveillance (SGS) surveys of antenatal women and youth. This report summarizes the results of the SGS surveys in the two population groups. Surveys were administered to a total of 100 antenatal women between May 2005 and June 2006, and 94 surveys were eligible for final reporting.

There is limited understanding of knowledge and behaviors related to HIV and other sexually transmitted diseases (STD) in the Republic of the Marshall Islands (RMI). The RMI Ministry of Health, in collaboration with the Secretariat of the Pacific Community and with technical assistance from the U.S. Centers for Disease Control and Prevention, conducted a Second Generation HIV Surveillance (SGS) survey. This report summarizes the results of the SGS survey of pregnant women at the Majuro Hospital Antenatal Clinic.

In 2003, a regional proposal to strengthen HIV surveillance and related laboratory capacity in six sentinel Pacific Island Countries and Territories (PICTs) - Fiji, Kiribati, Samoa, Solomon Islands, Tonga, and Vanuatu - was funded by the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM). The implementation of Second Generation HIV Surveillance (SGS) will develop and enhance existing sexually transmitted infection (STI), HIV and behavioural surveillance systems and provide epidemiological data on which to design and evaluate targeted interventions.

The 2005 Cambodia Demographic and Health Survey (CDHS) is a nationally representative sample of 16,823 women and 6,731 men age 15-49. The 2005 CDHS is the second comprehensive survey conducted in Cambodia as part of the worldwide Demographic and Health Surveys (DHS) projects. The primary purpose of the CDHS is to provide the policymakers and planners with updated and reliable data on fertility, family planning, infant, child and maternal mortality, maternal and child health, nutrition, malaria, knowledge of HIV/AIDS, prevalence of HIV, women’s status and domestic violence. The 2005 CDHS is the first survey in Cambodia to provide population-based prevalence estimates for HIV.