Community-based prevention leads to an increase in condom use and a reduction in sexually transmitted infections (STIs) among men who have sex with men (MSM) and female sex workers (FSW): the Frontiers Prevention Project (FPP) evaluation results

<p>Abstract</p> <p>Background</p> <p>India has an estimated 2.0 million to 3.1 million people living with HIV; it has the highest number of HIV-positive people in Asia and ranks third in the world. The Frontiers Prevention Project (FPP) was implemented in 2002 to conduct targeted prevention intervention geared towards female sex workers (FSW) and men who have sex with men (MSM) in the state of Andhra Pradesh (AP). This paper reports the overall changes in behaviour and STI outcomes between 2003/4 and 2007 and also describes the changes attributed to the FPP.</p> <p>Methods</p> <p>The evaluation used two cross-sectional surveys among MSM and FSW at 24 sites in AP. Surveys were implemented using a similar methodology. Univariate analyses were conducted by comparing means: baseline vs. four-year follow-up and FPP vs. non-FPP. For both MSM and FSW, random and fixed-effects logit regression models at the site level were estimated for <it>condom use with last partner</it>, <it>syphilis sero-positivity </it>and <it>HSV 2 sero-positivity</it>. In addition, for FSW we estimated models for <it>condom use with regular partner</it>, and for MSM we estimated models for <it>condom use with last female partner</it>.</p> <p>Results</p> <p>Among MSM, fixed-effects analysis revealed that FPP was positively correlated with the probability of <it>condom use with last female sexual partner </it>and negatively correlated with the individual probability of <it>sero-positivity to syphilis and HSV 2</it>. Among FSW, the FPP intervention was significantly correlated with increased <it>condom use with regular partners </it>and with lower probability of <it>STI sero-positivity</it>.</p> <p>Discussion</p> <p>Important changes in behaviours related to an increase in prevention activities translated to reductions in STI sero-prevalence in AP, India. In contrast with non-FPP sites, the FPP sites experienced an intense community approach as part of the FPP intervention, and the general increase in condom use and its effect on STI sero-prevalence reflected the efficacy of these intense prevention activities focused on key populations in AP.</p

Irish Heart Attack Audit summary report 2017-2020

The Irish Heart Attack Audit (IHAA) focuses on the care of patients who have suffered a major heart attack in Ireland. This type of heart attack is known as an ST elevation myocardial infarction (STEMI). A STEMI is a very serious type of heart attack in which the supply of blood to the heart is suddenly cut off. This can cause significant damage to the heart and urgent treatment is necessary. All patients with STEMI should have specialist treatment to unblock clogged arteries. There are two types of treatment - thrombolysis, which is a clot-dissolving drug and primary percutaneous coronary intervention (primary PCI) which involves inserting a wire into the blocked artery in order to open it with a balloon and stent. There are 10 hospitals in Ireland, known as PCI centres, who carry out primary PCI. </p

Irish Heart Attack Audit summary report 2021

The Irish Heart Attack Audit measures the care of patients who suffered a major heart attack in 2021 and were treated in one of 10 specialist cardiac hospitals.  </p

Irish Heart Attack Audit summary report 2022 and 2023

The Irish Heart Attack Audit measures the care of patients who suffered a major heart attack in 2022 and 2023 and were treated in one of 10 specialist cardiac hospitals, known as PCI centres. This type of heart attack is known as an ST elevation myocardial infarction (STEMI). A STEMI happens when the supply of blood to the heart is suddenly cut off, usually by a blood clot (thrombosis). In Europe, heart disease is the largest cause of death for both men and women.</p

Irish Heart Attack Audit national report 2022 and 2023

This is the third Irish Heart Attack Audit National Report, reporting on data from 3,102 patients with an ST elevation myocardial infarction (STEMI) who received treatment in one of the 10 primary percutaneous coronary intervention (PCI) centres in Ireland, and on data from their referring hospitals, during 2022 and 2023. The data provide detailed information about the care received, the processes of care delivered and the outcomes of patients with a STEMI, enabling each participating hospital to benchmark itself against comparable hospitals in Ireland. The quality of care delivered is measured against national and international key quality indicators (KQIs), and opportunities for quality improvement (QI) are identified. For the first time, we present data on the risk-adjusted in-hospital mortality of patients with a STEMI by PCI centre in 2023, allowing benchmarking of observed hospital mortality against expected mortality.</p

Irish Heart Attack Audit national report 2021

The Irish Heart Attack Audit National Report 2021 includes data from 1,491 patients with an ST elevation myocardial infarction (STEMI) who received treatment in a percutaneous coronary intervention (PCI) centre during 2021. STEMI was more common in males (n=1154, 77%), with females presenting at an older median age (67 years versus 61 years in males) and with a higher burden of comorbidities. The data provide detailed information about the care, processes and outcomes received by patients with a STEMI, and enable each participating hospital to benchmark itself against comparable hospitals in Ireland. The quality of care delivered is measured against national and international key quality indicators (KQIs), and opportunities for quality improvement (QI) are identified. </p