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首页> 外文期刊>Sexually Transmitted Infections >Scale-up and coverage of Avahan: a large-scale HIV-prevention programme among female sex workers and men who have sex with men in four Indian states
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Scale-up and coverage of Avahan: a large-scale HIV-prevention programme among female sex workers and men who have sex with men in four Indian states

机译：扩大和覆盖Avahan：在印度四个州的女性性工作者和与男性发生性关系的男性中开展大规模的艾滋病毒预防计划

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Objective Documenting the implementation of a public health programme as per its design is critical to interpretation of results from survey-led outcome and impact evaluation activities, the authors describe the scale-up and coverage of large-scale HIV-prevention services provided to female sex workers (FSWs) and high-risk men who have sex with men (HR-MSM) during the first 5 years of the Avahan programme in India.Methods Implementing NGO partner-generated denominator estimates from 70 districts were used to estimate the programme's intended coverage. Routine programme-monitoring data until December 2008 were used to describe the service and commodity availability, service utilisation to generate internal estimates of coverage. Coverage was validated in few districts using data from a cross-sectional survey. Results In December 2008, the estimated denominators for intended services were about 217 000 FSWs and 80 000 HR-MSM. By January 2007, 79% of eventual total clinics and 75% drop-in centres were established, and 83% of eventual peer educators were active. By month 48, sufficient condoms to cover all estimated FSW commercial sex acts were distributed free. By month 60, 75% of the estimated denominator intended to be covered was met monthly. 86% of FSWs and 67% of HR-MSM ever contacted had used sexually transmitted infections services at least once. Cross-sectional survey generated coverage results suggest that programme-monitoring data provide a proxy to coverage of services. Conclusion Avahan's monitoring data show that Avahan achieved infrastructure scale by year 3 and high contact coverage through peers and with commodities by year 5 of implementation as per the design.
机译：目标按照计划设计记录公共卫生计划的实施对于解释由调查主导的结果和影响评估活动的结果至关重要，作者描述了为女性提供的大规模艾滋病毒预防服务的扩大规模和覆盖范围在印度Avahan计划的前5年中，工作人员（FSW）和与男性发生性关系的高风险男性（HR-MSM）。方法采用实施自70个地区的NGO合作伙伴生成的分母估算值来估算该计划的预期覆盖范围。截至2008年12月的例行计划监测数据用于描述服务和商品的可获得性，服务利用情况，以产生内部覆盖率估计。使用横断面调查的数据在几个地区对覆盖范围进行了验证。结果2008年12月，预期服务的分母约为217 000 FSW和80 000 HR-MSM。到2007年1月，已经建立了最终诊所总数的79％和下沉中心的75％，并且最终活跃的同伴教育者是83％。到第48个月，免费分发了足以覆盖所有估计的FSW商业性行为的避孕套。到第60个月，每月将满足计划涵盖的估计分母的75％。曾经接触过的86％的FSW和HR-MSM的67％曾使用过性传播感染服务至少一次。横断面调查得出的覆盖范围结果表明，方案监测数据可提供服务覆盖范围的代理。结论Avahan的监控数据显示，根据设计，Avahan在第3年实现了基础架构规模，并在实施的第5年实现了通过同行和与商品的高联系覆盖率。

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