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Chennai, India, Voluntary Health Services, AIDS Prevention and Control Project, . 43 p.In Tamil Nadu, India, there are no research studies undertaken to establish the prevalence of HIV among women in prostitution. However, the clinical data from various sources reveal that a significant proportion of them are infected with HIV. The situational assessment conducted by the nongovernmental organization (NGO) partners facilitated by AIDS and Prevention and Control (APAC) revealed various factors, which made women more prone to the infection. It was mainly due to the inconsistent usage of condoms; various myths and misconceptions; lower empowerment; lower social status and educational level. To this effect, the APAC project adopted the implementation of holistic, participatory gender specific and culture sensitive prevention programs among women in prostitution. It provides relevant information to risk population groups, promotion of quality condoms, enhancement of sexually transmitted disease and counseling services, and explorative research for increasing the effectiveness of the project. It is noted that APAC supports six NGOs in six towns in Tamil Nadu to implement the targeted intervention among women in prostitution.
JAMA. Southeast Asia. 2000 Feb; 16(1 Suppl):65-8.In the Philippines, as in most countries with passive reporting systems, it is difficult to estimate the true magnitude of the sexually transmitted disease (STD) problem. There were over 50,000 cases of STDs reported in 1995 and a fluctuating trend is seen per year. However, this is primarily due to the erratic reporting to the central office. In contrast, studies reveal that there is an increasing incidence of STDs in the country. This reported increase, and STDs' strong interrelationship with HIV, prompted the Department of Health to declare STDs a public health priority. Several major activities are being undertaken. The government's responses include: strengthening program management; strengthening STD services; assisting specialized STD services; strengthening laboratory support; promoting prevention and health-seeking behavior through information, education, and communication; establishing condom programs; and monitoring STDs. For the nongovernmental organizations, efforts in responding to the STD epidemic are in the form of training and service delivery. Moreover, the international agencies are also assisting and collaborating with the Department of Health to control STDs. Despite such initiatives, there is still a need to have a concerted effort to face all of these challenges.
Lancet. 2000 Jul 8; 356(9224):144.This article reports the efforts of the Roll Back Malaria (RBM) initiative in controlling malaria deaths worldwide. It is shown that the RBM partnership meeting could substantially decrease malaria morbidity and mortality and may bring broader health benefits. Although RBM has been criticized for its narrow focus, Richard Allan of WHO believes that strengthening surveillance, vector control, diagnostic services, and treatment protocols will reinforce emergency health systems. The RBM strategy involves nongovernmental organizations (NGOs) that work in emergencies with WHO and the RBM inter-agency technical support network. Overall, it is noted that agencies clearly identified the need for WHO to provide improved standardized advice and information, technical assistance on the ground, and training for field staff. Furthermore, expansions of technical support network and field courses for NGO staff are also key initiatives planned.