An increase in HIV prevalence among female sex workers in Bali; an alarming situation for an epidemic to general population

dr. Pande Putu Januraga, M.Kes, DrPH, PANDE PUTU JANURAGA (2010) An increase in HIV prevalence among female sex workers in Bali; an alarming situation for an epidemic to general population. -, -. ISSN -

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Abstract

Bali Heath Office every year since 2000 has conducted HIV-AIDS sero surveys among female sex workers (FSW’s). Data from the same population over time can provide insight into trends of HIV prevalence but until now there has been no study which tries to analyze these data; this paper aim is to address this issue. Data were collated from the sero survey database available at the Bali Health Office between 2000 and 2009. Data were obtained from 2628 indirect FSW’s working as therapists in more than 20 massage parlours in Denpasar and 2228 direct FSW’s working in some low class brothels in the Denpasar area. HIV prevalence in both types of FSW’s has increased significantly especially in direct FSW’s. The HIV prevalence among direct FSW’s increased constantly from 0.75% in 2000 to 8.84 in 2004 then within the following 5 years the prevalence doubled to 20.50% in 2009. The prevalence of HIV among indirect FSW’s increased slightly from 0% in 2000 to 0.34% in 2004 then rising sharply to 6.06% in 2009. Compare to the national data, Bali has recorded the second highest HIV prevalence among FSW’s after Papua. The dissimilar rising trends between direct and indirect FSW’s could be influenced by the nature of their work. Findings from some surveys show direct FSW’s have more clients than indirect FSW’s and the percentages of condom use were higher among indirect FSW’s. The increase in HIV prevalence among FSW’s indicates that this group may play a significant role in the chain of HIV transmission through heterosexual transmission. The potential wave of transmission of HIV infection from the FSW’s epicentre is very worrying; the risk of transmission that occurs between the FSW’s and their clients could be a bridge for an epidemic in the general population. Locally adequate and appropriate interventions from all social structures should be conducted soon as a response to the epidemic.

Item Type: Article
Uncontrolled Keywords: -
Subjects: L Education > L Education (General)
Divisions: Faculty of Law, Arts and Social Sciences > School of Education
Depositing User: Mr. Repository Admin
Date Deposited: 07 Jun 2016 21:58
Last Modified: 21 Jun 2016 05:58
URI: http://erepo.unud.ac.id/id/eprint/8184

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