Abstract Book Vol. 2 [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

XIV International AIDS Conference

Abstracts WePeE6566-WePeE6569 225

that the programs fundamentally reach sex workers who lead a normal social life
and did not want to divulge their profession.
Methods: The data stems from carrying out 94 individual structured interviews
from 1999 to 2001 and the analysis of the results of 303 HIV tests conducted on
the interviewees.
Results: In all, 95.7% were women with an average age of 34.8 years and a standard deviation of 9.6 years. Of these, 41.5% were Spaniards and 46.8% were
South Americans, of which were 61.3% Colombians. In total, 89.4% worked in
heterosexual prostitution. 76.6% of the participants of the program always used
condoms in their sexual practices and 56.4% of them worked in night-clubs. With
respect to their income, 37.2% of them made 600 Euro or less per month, 27.7%
between 600 and 1,502 Euro and 35.1% more than 1,800 Euro per month. In
addition, 81.9% of the participants had parents and/or children that depended on
them economically. Only 8.5% admitted to take some type of drugs. The results
of the HIV test were negative in 100% of the trials.
Conclusions: The results confirm the initial hypothesis that the waiting programs
are preferred by sex workers that are socially integrated and wish confidentiality
and anonymity. Furthermore, it shows that seroprevalence of HIV in this group is
nil.
Presenting author: Rosa Morales Morales, C/ San Sebastian 75, 38005 Santa
Cruz de Tenerif, Spain, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeE6566 Knowlledge, attitudes and practice with women
sex professional in Joao Pessoa, PB - Brazil
V.M. Machado, VA.L. Torres. Amazona - Prevengqo a AIDS, Rua Joao Amorim,
342, Centro, 58013-310, Joao Pessoa - PB, Brazil
Background: In June 2001 AMAZONA took up a study with Sex Professional in
order to compare the growing of information and its real practice and attitudes
with these women, after 5 years of preventing DST/AIDS works in Joao Pessoa -
PB - Brazil.
Methodology: The study was done with 156 women sex professionals that are
the representative of an amount of 500 women. Data instrument used was a questionnaire applied by a group of 3 social workers. Average of attendance was what
data used as a base.
Results: 151 women were interviewed, 79% between 18 and 30 years old and
21% between 31 and 41 years of age, where 5% are illiterate and 78% finished
elementary school; 7854,32was on account of financial problems, but 25% say
that it was on account of personal desire; 50,33only 16% are for less than 1 year.
48and policemen in the streets; 82about AIDS; 96% say the condom is the best
way to prevent oneself from DST/AIDS in sexual intercourses and 52% state using the preservative with habitual partners.
Conclusions: The violence suffered by their clients and policemen stated by sex
professionals is a factor that leads us to know that there is a lot to do for those
women's rights guarantees. This is still another indicator of their vulnerability. Although knowing about it has increased since 1996, it is still necessary that actions
are continued so that this vulnerable situation to which those women are exposed
do not give cause to a retrocession on those results. Greater support might be
given to the Sex Professional Association - APROS, so that they can fight for their
rights.
Presenting author: Viviane Machado, Rua Joao Amorim, 342, Centro, 58013 -310, Joao Pessoa - PB, Brazil, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
WePeE6567 Examination on the financial ability of prostitutes
as customers to afford services of Putat Jaya STD
Clinic in Surabaya
S. Hartiningsih, A. Rivai. Airlangga University Post Graduate Programme,
SHAPSP FHI INDONESIA, Directorate GeneralaPPM & PLP Ministry of Health,
JI. Percetakan Negara No. 29 Jakarta, Indonesia
Background: To examine and to make assessments on prostitutes' financial ability to afford services at Putat Jaya (PJ) STD Clinic, consisting of monthly simple
laboratory examination for STD and complete laboratory examination of STD every six months.
Methods: Data were acquired by interviewing 50 prostitutes as respondents randomly picked by cluster random sampling method from a population of 1800 prostitutes in PJ Sby and interviewing 18 pimps picked randomly as respondents.
Pimps function as finance managers of the prostitutes. Interviews were conducted
Feb - Mar 2001.
Results: Results showed 38 (76%) prostitutes stated they needed the clinic, 26
(52%) wanted 4 health exam visits at clinic per month, and 34 (68%) went to
clinic motivated by their own conscience. Regarding income, 28 (56%) stated
their financial matters were managed by pimps and 34 (68%) agreed health care
expenses range from 10 to 20 thousand rupiahs per visit. Fifty (100%) had no

knowledge of Health Insurance System but 36 (72%) agreed the system existed
for their own good. Among the pimp group, 15 (84%) pimps had responsibility for
preventing STDs among prostitutes, 16 (90%) agreed with the idea of a Health
Insurance System, and 14 (78%) agreed health care cost should be 5000 rupiahs
per visit.
Conclusions: Prostitutes have a high financial ability to afford clinic services,
and the clinic is needed. The Health Insurance Plan is acceptable and must be

socialized. Thus, cost for clinic services may be raised to 15000 rupiahs per visit,
altering ratio of Paid Cost compared to Operational Unit Cost of simple STD examination compared to Operational Unit Cost of complete STD examination, from
1:10:60 to 1:1:6. Clinic may become a self-supporting unit given to distinct market
share. Furthermore, Clinic may take proactive steps by providing additional services, such as contraceptive service, as a cross-subsidy for STD control services.
Presenting author: S Hartiningsih, SHAPSP, FHI INDONESIA, Directorate General PPM & PLP, Ministry of Health, JI. Percetakan Negara No. 29 Jakarta, Indonesia, Tel.: [phone], Fax: [phone], E-mail: [email protected].
id
WePeE6568 Hidden sex trade -callgirls of kolkatta
I. Majumdar. Bhoruka Public Welfare Trust, 63 RafiAhmed Kidwai Road, Kolkata
700016, India
Background: She may be seemingly self-confident executive, a company asset.
Or she may be the typical middle class house wife walking past you, leading a
child by the hand. Or just a college girl who usually "Hansout" with her friends
in discos. Yet, all it takes is a phone call. A "contact" for a "program" and these
housewives, executives, actress, college students become call girls. The study is
intended to explore the factors that act as catalyst agent towards the HIV risk for
the call girl of Kolkata. The continuum of vulnerability for call girls of Kolkata that
affects both their physical, mental and social state are addressed here through a
detailed analysis of call girls reproductive health, their socio economic profile and
the factors of their socialisation process.
Methods: A disproportionate, stratified random sampling method was adopted in
order to develop a generalised view of homogenous strata and cluster sampling
was adopted for heterogeneous strata. This was followed by collection of emperical data through depth interviews, focus group discussion and questionaire
administration along with review of literature.
Results: The study exhibits that the call girls of Kolkata are non-brothel based
mobile female heterosexual, commercial sex worker who operate independently
or through a pimp with a high program rate with a low frequency of conducting
sex program in the most directed places like hotels and flats, coming from upper
middle class as well as upper cast family background. Their high concentration
in irregular mode of condom usage along with type of sex they practice and their
clients' misconception i.e "no need to use condom, call girls are clean and do
not have infection" leads them towards the vulnerable area in the perspective of
STD/HIV/AIDS.
Conclusion: Group specific targeted intervention with awareness generation,
adoption of safer sex practice and prompt treatment of STD/HIV is highly needed
for this hidden sex workers.
Presenting author: Ishita Majumdar, 63 Rafi Ahmed Kidwai Road, Kolkata
700016, India, Tel.: +91*33*2174019, Fax: +91*33*2458341, E-mail: bpwt@cal.
vsnl.net.in
WePeE6569 Typologies of prostitution in big cities of
Central-Africa: the case of Yaounde in Cameroon
A. Touko1, D. Ward2, L. Foyet2, K. Richter3. 1Cameroon Psychology Forum,
PO. Box 8030, Yaounde, Cameroon; 2PSI-Cameroon, Yaounde, Cameroon;
3PSi-Washington, Washington, United States
Objective: To identify and describe the different forms of prostitution practised in
the city of Yaounde, in order to develop a map of this activity.
Methods: Simulated Client Technique was applied for a description of the physical environment within which prostitution is practised, and Focus Group Discussions (FGDs) were conducted with prostitutes and their clients in oct. 2000. In
all, 15 FGDs were carried out: 10 for the female prostitutes and 5 for the male
clients. Discussions were held during the day for some classes of prostitutes, and
at night for those not easy to be regrouped in day time. Information collected was
transcribed, typeset and imported into Ethnograph5 soffware for codification and
analysis.
Results: Prostitutes drawn from the study site can be classified into 3 categories
of socio-economic levels: High(Level 1), middle(level 2), and low(level 3). To the
different socio-economic levels, are attached different characteristics. The first
level prostitution is quite discrete, the second level rather aggressive and young,
the third commonplace with longest duration in sex work. Geographically, central business districts, streets and the vicinity of big hotels are occupied by levels
1 and 2 prostitution, whereas the other is present in slum quarters and bars.
With regards to the daily returns, the first rely heavily on the cost of encounters
whereas the others count rather more on the number of clients. The use of condom is less systematic with level 3, while protective behaviour is quite common
among levels 1 and 2. AIDS is well known within all the circles, but more often
discussed among prostitutes and their clients than among the girls themselves.
Finally, the prostitutes did not see themselves more exposed to HIV than school
girls or married women.

Conclusion: Prostitution in big cities assumes several geographical, economic
and social facets that should be taken into account in the mapping of the phenomenon.
Presenting author: Adonis Touko, PRO. Box 8030, Yaounde, Cameroon, Tel.:
[phone], Fax: [phone], E-mail: [email protected]