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By law, FSW working in Guatemala must register routine un to health centers in an official booklet to certify that they do not have an STI infection [9].

Specialized counseling for FSW is also escuintlx by health personnel who receive periodic trainings in stigma and discrimination and who have an awareness and understanding of the implication of stigma in creating obstacles to effective HIV prevention. The VICITS model, which integrates provision of STI diagnostic and treatment services, HIV prevention including condom promotion and behavioral interventions, and routine monitoring of clinical, behavioral, and laboratory data for surveillance purposes, was first implemented in Bolivia [10]. Additionally, as measures of success of the VICITS strategy, we investigated scale-up, retention, and factors associated with retention at four clinics.

STI health center No. The attending physician or nurse collected data using a standard medical record form from a face-to-face interview on patient demographics, sexual relationships, medical history, and findings from the physical evaluation and laboratory test results at each visit.

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Women seeking sex in escuintla Demographic information, and alcohol and illicit drug use were assessed during the first visit only. Laboratory test results were assessed every three and six months. All STI testing procedures followed the national algorithm [11]. Syphilis and HIV results were delivered 45 minutes after samples were collected. Statistical analysis Following each visit, data from the form were Women seeking sex in escuintla into an Epi-Info database. The unique patient identifier was an alphanumeric code comprising initials of first and last names, sex, and birth date. We analyzed socio-demographic characteristics age, marital status, literacy, nationality and behavioral variables age at first sexual intercourse, number of years in sex work, number of clients within the past week, consistent condom use with clients in the past 30 days, sex work location e.

Prevalence of HIV infection included laboratory results up to and including the respective year. The models regressed laboratory-confirmed infection status on year of first visit to identify time trends in prevalence. Transforms of year square, cubed, square root were also examined. Discrete quantitative variables e. Separately, person-level logistic regression models controlling for facility assessed factors associated with HIV infection and retention among first-time VICITS clinic attendees. Scale-up of services and retention of clients over time were also assessed as indicators of program performance. Retention was defined as the percentage of patients who returned for one or more follow-up visits to the same or a different clinic within 12 months of the initial visit.

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