5 research outputs found
High burden of self-reported sexually transmitted infections among key populations in Mozambique: the urgent need for an integrated surveillance system
Background: Key populations - men who have sex with men (MSM), female sex workers (FSW) and people who inject drugs (PWID) - are at high risk for sexually transmitted infections (STI) given their sexual risk behaviours along with social, legal and structural barriers to prevention, care and treatment services. The purpose of this secondary analysis is to assess the prevalence of self-reported STIs and to describe associated risk factors among participations of the first Biological Behavioural Surveillance (BBS) in Mozambique.
Methods: Responses from the first BBS surveys conducted in 2011-2014 were aggregated across survey-cities to produce pooled estimates for each population. Aggregate weighted estimates were computed to analyse self-reported STI prevalence. Unweighted pooled estimates were used in multivariable logistic regression to identify risk factors associated with self-reported STI.
Results: The prevalence of self-reported STI was 11.9% (95% CI, 7.8-16.0), 33.6% (95% CI, 29.0-41.3), and 22.0% (95% CI, 17.0-27.0) among MSM, FSW and PWID, respectively. MSM who were circumcised, had HIV, reported drug use, reported receptive anal sex, and non-condom use with their last male partner had greater odds of STI self-report. STI-self report among FSW was associated with living in Beira, being married, employment aside from sex work, physical violence, sexual violence, drug use, access to comprehensive HIV prevention services, non-condom use with last client, and sexual relationship with a non-client romantic partner. Among PWID, risk factors for self-reported STI included living in Nampula/Nacala, access to HIV prevention services, and sex work.
Conclusion: The high-burden of STIs among survey participants requires integrated HIV and STI prevention, treatment, and harm reduction services that address overlapping risk behaviours, especially injection drug use and sex work. A robust public health response requires the creation of a national STI surveillance system for better screening and diagnostic procedures within these vulnerable populations
Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
OBJECTIVE: Universal coverage with insecticide-treated bed nets
is a cornerstone of modern malaria control. Mozambique has
developed a novel bed net allocation strategy, where the number
of bed nets allocated per household is calculated on the basis
of household composition and assumptions about who sleeps with
whom. We set out to evaluate the performance of the novel
allocation strategy. METHODS: 1,994 households were visited
during household surveys following two universal coverage bed
net distribution campaigns in Sofala and Nampula Provinces in
2010-2013. Each sleeping space was observed for the presence of
a bed net, and the sleeping patterns for each household were
recorded. The observed coverage and efficiency were compared to
a simulated coverage and efficiency had conventional allocation
strategies been used. A composite indicator, the product of
coverage and efficiency, was calculated. Observed sleeping
patterns were compared with the sleeping pattern assumptions.
RESULTS: In households reached by the campaign, 93% (95% CI:
93-94%) of sleeping spaces in Sofala and 84% (82-86%) in Nampula
were covered by campaign bed nets. The achieved efficiency was
high, with 92% (91-93%) of distributed bed nets in Sofala and
93% (91-95%) in Nampula covering a sleeping space. Using the
composite indicator, the novel allocation strategy outperformed
all conventional strategies in Sofala and was tied for best in
Nampula. The sleeping pattern assumptions were completely
satisfied in 66% of households in Sofala and 56% of households
in Nampula. The most common violation of the sleeping pattern
assumptions was that male children 3-10 years of age tended not
to share sleeping spaces with female children 3-10 or 10-16
years of age. CONCLUSIONS: The sleeping pattern assumptions
underlying the novel bed net allocation strategy are generally
valid, and net allocation using these assumptions can achieve
high coverage and compare favorably with conventional allocation
strategies. This article is protected by copyright. All rights
reserved
Sleeping arrangements and mass distribution of bed nets in six districts in central and northern Mozambique
OBJECTIVE: Universal coverage with insecticide-treated bed nets
is a cornerstone of modern malaria control. Mozambique has
developed a novel bed net allocation strategy, where the number
of bed nets allocated per household is calculated on the basis
of household composition and assumptions about who sleeps with
whom. We set out to evaluate the performance of the novel
allocation strategy. METHODS: 1,994 households were visited
during household surveys following two universal coverage bed
net distribution campaigns in Sofala and Nampula Provinces in
2010-2013. Each sleeping space was observed for the presence of
a bed net, and the sleeping patterns for each household were
recorded. The observed coverage and efficiency were compared to
a simulated coverage and efficiency had conventional allocation
strategies been used. A composite indicator, the product of
coverage and efficiency, was calculated. Observed sleeping
patterns were compared with the sleeping pattern assumptions.
RESULTS: In households reached by the campaign, 93% (95% CI:
93-94%) of sleeping spaces in Sofala and 84% (82-86%) in Nampula
were covered by campaign bed nets. The achieved efficiency was
high, with 92% (91-93%) of distributed bed nets in Sofala and
93% (91-95%) in Nampula covering a sleeping space. Using the
composite indicator, the novel allocation strategy outperformed
all conventional strategies in Sofala and was tied for best in
Nampula. The sleeping pattern assumptions were completely
satisfied in 66% of households in Sofala and 56% of households
in Nampula. The most common violation of the sleeping pattern
assumptions was that male children 3-10 years of age tended not
to share sleeping spaces with female children 3-10 or 10-16
years of age. CONCLUSIONS: The sleeping pattern assumptions
underlying the novel bed net allocation strategy are generally
valid, and net allocation using these assumptions can achieve
high coverage and compare favorably with conventional allocation
strategies. This article is protected by copyright. All rights
reserved