Larsen Mandi M, Sartie Moï-Tenga, Musa Tamba, Casey Sara E, Tommy Judith, Saldinger Martha
Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue B-3, New York, New York 10032, USA.
Disasters. 2004 Sep;28(3):239-54. doi: 10.1111/j.0361-3666.2004.00256.x.
Sierra Leone suffered from 11 years of civil war (1991-2002) resulting in tens of thousands of deaths and mutilations together with massive population displacement. In 2001, ARC International, Sierra Leone conducted a baseline survey of 201 commercial sex workers (CSWs) and 202 military respondents on the knowledge, attitudes and practices surrounding HIV/AIDS and STIs in Port Loko, Sierra Leone. In 2003, a comparable post-intervention survey of 202 CSWs and 205 military respondents was performed. Comparison of baseline and post-intervention results showed that HIV/AIDS knowledge increased among both groups, with those able to name three effective means of avoiding AIDS increasing from 5 per cent to 70 per cent among CSWs, and 11 to 75 per cent among the military. Reported condom use during last sex increased among CSWs from 38 to 68 per cent and among military from 39 to 68 per cent. These results demonstrate that, despite the challenges inherent in a post-conflict country, good-quality AIDS-prevention programmes can be effective.
塞拉利昂遭受了长达11年的内战（1991 - 2002年），导致数万人死亡、致残，大量人口流离失所。2001年，国际援救委员会塞拉利昂分会对塞拉利昂洛科港的201名商业性工作者和202名军人就围绕艾滋病毒/艾滋病和性传播感染的知识、态度及行为进行了基线调查。2003年，对202名商业性工作者和205名军人进行了类似的干预后调查。基线调查结果与干预后结果的比较显示，两组人群对艾滋病毒/艾滋病的知识均有所增加，能够说出三种有效预防艾滋病方法的商业性工作者比例从5%增至70%，军人比例从11%增至75%。据报告，商业性工作者中最近一次性行为时使用避孕套的比例从38%增至68%，军人中这一比例从39%增至68%。这些结果表明，尽管冲突后国家存在固有挑战，但高质量的艾滋病预防方案仍可发挥成效。
