Basu Ishika, Jana Smarajit, Rotheram-Borus Mary Jane, Swendeman Dallas, Lee Sung-Jae, Newman Peter, Weiss Robert
STD/HIV Intervention Programme, Calcutta, India.
J Acquir Immune Defic Syndr. 2004 Jul 1;36(3):845-52. doi: 10.1097/00126334-200407010-00012.
To test the efficacy of a sustainable community-level HIV intervention among sex workers, the Sonagachi Project was replicated, including community organizing and advocacy, peer education, condom social marketing, and establishment of a health clinic. Sex workers were randomly selected in 2 small urban communities in northeastern India (n = 100 each) and assessed every 5-6 months over 15 months (85% retention). Overall condom use increased significantly in the intervention community (39%) compared with the control community (11%), and the proportion of consistent condom users increased 25% in the intervention community compared with a 16% decrease in the control community. This study supports the efficacy of the Sonagachi model intervention in increasing condom use and maintaining low HIV prevalence among sex workers.
为了测试一项针对性工作者的可持续社区层面艾滋病毒干预措施的效果，索纳加奇项目进行了复制，包括社区组织与宣传、同伴教育、避孕套社会营销以及建立一家健康诊所。在印度东北部的2个小城区随机挑选性工作者（每个社区100名），并在15个月内每5至6个月进行一次评估（保留率85%）。与对照社区（11%）相比，干预社区的总体避孕套使用率显著提高（39%），干预社区中始终坚持使用避孕套者的比例增加了25%，而对照社区则下降了16%。本研究支持索纳加奇模式干预措施在提高避孕套使用率以及维持性工作者中低艾滋病毒感染率方面的效果。
