29.01 Risk on HIV/AIDS among the hotel based sex workers in Dhaka metropolitan area

Tuesday, April 28, 2009
Nusret Fisek (The Hilton Istanbul Hotel )
Dr. Md. Rezaul Karim National Institute of Preventive and Social Medicine(NIPSOM), Mohakhali, Bangladesh
Introduction: The commonest risk behavior for HIV/AIDS across Asia is trading of sex for money. In the context of a conservative society like Bangladesh, the issues surrounding sexuality and STDs are stifled, stigmatized and hence hidden. This study aimed to assess the risk of HIV/AIDS among the hotel based sex workers (HBSWs) which may help the policy makes in implementing programs to prevent spread of HIV/AIDS.
Objectives: To assess the risk of HIV/AIDS among hotel based sex workers in Dhaka Metropolitan area.
Methodology:  Data was collected from seven residential hotels and three NGO clinics at old Dhaka, Motijheel and Mohakhali. Face to face interview of 120 hotel based sex workers were done using a pre-tested semi structured questionnaire.
Results: The study revealed important information regarding risk behavior, average tenure of HBSWs in this profession was 19 months. Significant numbers of HBSWs were new in this profession, one third of the HBSWs came within the 6 month and more than half came within 1 year in this profession. Besides vaginal sex, 10% HBSWs reported having anal sex and 9% having oral sex with their clients. HBSWs average around 15 sex acts daily.57.50% received foreign clients and 80.83% had non commercial sexual relation with her husband or lover (maximum of these non commercial sex was unprotected). Knowledge on HIV prevention 81.67% know about use of condom, 38.33% blood screening, 14.17% use new needle syringe and 3.33% know avoid commercial sex as a HIV prevention method and 18.33% hotel based sex workers do not know any prevention method. Nobody said of using condom constantly.
Conclusion: Based on this study the risk of HIV/AIDS is very high among the hotel based sex workers of Dhaka city. Appropriate initiative is needed to increase the level of knowledge about safer sex among HBSWs.

Learning Objectives: By the end of the presentation the audience will be able to: -identify the risk behavior on spread of HIV/AIDS among the hotel based sex workers (HBSWs) in Bangladesh. -recognize hotel based sex workers' knowledge on spread of HIV/AIDS. -define the measures undertaken by the HBSWs in preventing HIV/AIDS.

Sub-Theme: Progress on prevention and control of HIV/AIDS, Malaria, and Tuberculosis
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