Aids

International audienc

BMJ Open

To describe sexual and reproductive health (SRH) needs of female sex workers (FSWs) to inform the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention in this population. The ANRS 12361 PrEP-CI cross-sectional and mixed-methods study was designed and implemented with two community-based organisations in Côte d'Ivoire. A convenience sample of 1000 FSWs aged ≥18, not known as HIV-positive, completed a standardised questionnaire assessing sociodemographic characteristics, sexual practices, use of community health services and a priori acceptability of PrEP. Twenty-two indepth interviews and eight focus group discussions were also conducted to document FSWs' risky practices and sexual behaviours, experiences with violence and discrimination, attitudes regarding HIV and sexually transmitted infections (STIs), and barriers to SRH services. Although 87% described consistent condom use with clients, more than 22% declared accepting condomless sexual intercourse for a large sum of money. Furthermore, condom use with their steady partner and knowledge of their partner's HIV status were low despite their acknowledged concurrent sexual partnerships. While inconsistent condom use exposed FSWs to STIs and undesired pregnancies, the prevalence of contraceptive strategies other than condoms was low (39%) due to fear of contraception causing sterility. FSWs faced obstacles to accessing SRH care and preferred advice from their peers or self-medication. Despite adoption of preventive behaviour in most cases, FSWs are still highly exposed to HIV. Furthermore, FSWs seem to face several barriers to accessing SRH. Implementing PrEP among FSWs in West Africa, such as in Côte d'Ivoire, constitutes an opportunity to consider the regular follow-up of HIV-negative FSWs. PrEP initiation should not condition access to SRH services; conversely, SRH services could be a way to attract FSWs into HIV prevention. Our results highlight the importance of developing a people-focused approach that integrates all SRH needs when transitioning from PrEP efficacy trials to implementation

Estimating EAF indicators from scientific trawl surveys: theoretical and practical concerns

Under the context of an ecosystem approach to fisheries (EAF), there is keen interest in providing insights into the evolution of exploited ecosystems using simple ecosystem indicators. Many nations have long-term scientific research surveys, originally driven by conventional approaches in fisheries assessment and management. The aim of this study is to address the practical concerns linked to current objectives of monitoring simple EAF indicators, using data from surveys that were not historically designed for the purpose. Based on the results of an expert survey designed to collect expert knowledge on research surveys from scientists working on different ecosystems worldwide, a list of challenges faced during indicator estimation is highlighted, along with associated concerns and constraints. The work provides additional information useful in the interpretation of the results obtained on the state and trends of ecosystems using EAF indicators by the IndiSeas WG. Further, the related discussion provides potential pathways that could be useful for future research and development aiming to improve the ecosystem indicator approach in the operational context of EAF. The question of the utility for EAF of using historical dataseries of scientific trawl series is also discussed. Such long-term series are concluded to be useful, that they are even inescapable (since the past cannot be resamplied), and that EAF therefore brings a supplementary reason for continuing such monitoring and to incorporate new insights in how research surveys may be conducted

Life strategy traits of the liana Sericostachys scandens spreading in the montane forests in the Kahuzi-Biega national park (DR Congo)

Sericostachys scandens is a monocarpic and heliophilous liana, native in tropical African forests. In the montane forests of the Kahuzi-Biega National Park (KBNP) (East of DR Congo), it has been expanding very strongly for a decade, and is currently considered as having negative impacts on biodiversity conservation. In this paper, we test if S. scandens differs from three co-occurring, native, non spreading lianas (Gouania longispicata, Tacazzea apiculata and Adenia bequaertii) for functional traits which might influence plant expansion. For leaf traits (SLA, dry matter content, nitrogen concentration), S. scandens did not show extreme values compared to those of the three other lianas. In contrast, S. scandens had much higher biomass allocation to sexual reproduction. It also differs from the three other lianas for its reproductive strategy that combines both vegetative propagation and sexual reproduction, and propagule dispersal by wind. Moreover, S. scandens has larger leaves and a greater number of lateral branches per unit stem length. It is argued that the particular combination of functional traits exhibited by S. scandens may in part explain its propensity to behave as an opportunistic weed in the disturbed areas in the montane forests of Kahuzi-Biega. © 2012 Science Press, Institute of Mountain Hazards and Environment, CAS and Springer-Verlag Berlin Heidelberg.SCOPUS: ar.jinfo:eu-repo/semantics/publishe