Model Study on Two-Way Intervention Between Commercial Sex Workers and Their Clients

Objective To explore effective HIV/AIDS intervention model through conducting CSWs (commercial sex worker) intervention and CSW and their clients' intervention respectively. Methods Clients of CSWs participated in HIV/AIDS prevention through local pedicab association and bosses of entertainments; HIV/AIDS health education and intervention had been conducted among CSWs and their clients for 1 year. The effectiveness of this program was evaluated by surveying the changes in the knowledge of HIV/AIDS, the relevant behaviors among CSWs or CSWs and their clients in two places. Results Before intervention, the knowing rate of 3 HIV/AIDS transmission routes was 38.38% and 58.04% among CSWs in two interventions respectively, and the rate of answering all problems accurately was 21.21% and 27.68% respectively,the rate of HIV testing was 7.78% and 4.46% respectively. The rate of condom using was 56.58% in the last commercial sex behavior among clients, only 6.97% of which are hand-carry condoms. After intervention, the rate of answering all problems accurately was 37.25%, the rate of answering 3 HIV/AIDS transmission routes accurately was 91.50%, the rate of HIV testing was 16.00% and the rate of condom using in the last commercial sex behavior was 83.00% among the CSWs in the intervention which was conducted among CSWs and their clients. All the rates were higher than that in the intervention conducted only in CSWs. Conclusion CSWs and their clients should be the key populations of HIV/AIDS intervention. It could improve the effect of intervention by carrying out two-way intervention.