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Biological and behavioural surveillance of HIV and sexually transmitted infections STIs among populations at highest risk have been used to monitor trends in prevalence and in risk behaviours. A cross-sectional study using venue-based, time-space sampling was conducted among FSWs in Panama from to FSWs were interviewed about sociodemographic characteristics, sexual risk behaviour, health history and drug use using an anonymous structured questionnaire.
Factors associated with active syphilis were studied using logistic regression analysis. The overall HIV-1 prevalence of 0. Central and South America and the Caribbean together accounted for the second highest adult HIV prevalence in the world in In countries with concentrated epidemics, the second-generation HIV surveillance approach among populations at highest risk provides valuable data to monitor trends in prevalence of infection, and the risk behaviours driving these trends which, together, inform the evaluation of existing national AIDS control programmes.
The Ministry of Health MoH has regulated work at adult entertainment venues by registration through the Social Hygiene Programme, introduced in Panama in HIV testing is available at laboratories in all health districts.
Treatment and care for HIV-positive persons are an individual's right under Panamanian law. The objectives were to determine the prevalence of HIV, active syphilis and other viral STIs, and to assess factors associated with active syphilis. Panama's administrative division consists of nine provinces and three indigenous territories. A cross-sectional biobehavioural survey among FSWs was conducted from October to May in eight provinces: Herrera and Los Santos were combined for recruitment and analysis; the two provinces share geographic boundaries and considerable intermigration for health and other services.
Criteria for enrolment were: In two visits or more, survey staff estimated the FSW population size at various daytime and night-time hours at all identified venues bars, taverns, night clubs, brothels, parks, city blocks, health clinics, street corners and pimps. Venues were chosen based on accessibility and overall interest in study participation.