Background
Methods
Description of study sites
Baseline survey
Intervention
Evaluation
Analyses
Ethical aspects
Results
Participation
Baseline | Follow-up | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Intervention | Control | Intervention | Control | ||||||||
% |
N
| % |
N
| p-value | % |
N
| % |
N
| p-value | ||
Place verification | Found | 74 |
55
| 75 |
71
| 0.388 | 74 |
58
| 100 |
53
| 0.002 |
Found, refused interview | 2 | 0 | 0 | 0 | |||||||
Not found | 14 | 11 | 0 | 0 | |||||||
Closed temporarily | 0 | 0 | 7 | 0 | |||||||
Closed permanently | 2 | 0 | 14 | 0 | |||||||
Not visited | 7 | 14 | 5 | 0 | |||||||
Type of place | Sherbeen | 55 |
42
| 60 |
53
| 0.439 | 26 |
43
| 15 |
52
| 0.042 |
Bar/restaurant | 36 | 36 | 60 | 83 | |||||||
Night club | 5 | 4 | 5 | 2 | |||||||
Hotel/guest house | 5 | 0 | 9 | 0 | |||||||
Gender respondent | Male | 74 |
42
| 62 |
53
| 0.233 | 37 |
43
| 57 |
53
| 0.059 |
Female | 26 | 38 | 63 | 43 | |||||||
Position of respondent | Staff | 57 |
42
| 54 |
52
| 0.749 | 74 |
43
| 87 |
53
| 0.122 |
Patron | 43 | 46 | 26 | 13 | |||||||
Refused interview | 2 |
42
| 0 |
53
| 0.259 | 0 |
43
| 0 |
53
| - | |
Beer drinking | 95 |
41
| 100 |
53
| 0.104 | 98 |
43
| 100 |
53
| 0.264 | |
Spirits drinking | 71 |
41
| 62 |
53
| 0.305 | 58 |
38
| 76 |
50
| 0.071 | |
Dancing | 56 |
41
| 45 |
53
| 0.298 | 93 |
42
| 94 |
48
| 0.865 | |
Men meet new female sexual partners here | 78 |
41
| 79 |
53
| 0.888 | 100 |
43
| 92 |
52
| 0.063 | |
Women meet new male sexual partners here | 78 |
40
| 79 |
53
| 0.839 | 98 |
43
| 90 |
52
| 0.146 | |
Men meet new male sexual partners here | 0 |
41
| 0 |
52
| - | 21 |
43
| 15 |
52
| 0.483 | |
Women come to sell sex | 78 |
41
| 76 |
53
| 0.770 | 93 |
43
| 73 |
52
| 0.012 |
Men | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Baseline | Follow-up | |||||||||
Intervention | Control | Intervention | Control | |||||||
% |
N
| % |
N
| p-value | % |
N
| % |
N
| p-value | |
Refusals | 3.3 |
155
| 1.3 |
261
| 0.172 | 0 |
199
| 0 |
222
| - |
Single | 30 |
198
| 45 |
221
| 0.003 | |||||
Married/cohabiting | 61 | 50 | ||||||||
Divorced | 8 | 2 | ||||||||
Widowed | 1 | 3 | ||||||||
From township | 82 |
148
| 63 |
254
| 0.019 | 88 |
199
| 91 |
220
| 0.392 |
Another township | 16 | 36 | 8 | 8 | ||||||
From out of town | 1 | 2 | 4 | 1 | ||||||
Est
|
95% CI
|
Est
|
95% CI
|
p-value
|
Est
|
95% CI
|
Est
|
95% CI
|
p-value
| |
Median age | 29 | 30 | 31 | 30 | ||||||
Mean age | 28.6 | 27.8-29.3 | 30.8 | 29.3-32.3 | < 0.001 | 32.4 | 30.8-34.1 | 31.0 | 29.7-32.2 | < 0.001 |
Median no school years | 12 | 12 | 11 | 12 | ||||||
Mean no school years | 11.2 | 10.9-11.6 | 11.0 | 10.2-11.7 | 0.025 | 10.4 | 9.9-11.0 | 11.6 | 11.1-12.1 | < 0.001 |
Women
| ||||||||||
Baseline
|
Follow-up
| |||||||||
Intervention
|
Control
|
Intervention
|
Control
| |||||||
%
|
N
|
%
|
N
|
p-value
|
%
|
N
|
%
|
N
|
p-value
| |
Refusals | 2.9 |
33
| 3.1 |
77
| 0.953 | 0 |
65
| 0 |
51
| - |
Single | 41 |
65
| 56 |
51
| 0.264 | |||||
Married/cohabiting | 16 | 24 | ||||||||
Divorced | 22 | 17 | ||||||||
Widowed | 20 | 4 | ||||||||
From township | 83 |
31
| 76 |
70
| 0.537 | 96 |
65
| 94 |
51
| 0.796 |
Another township | 17 | 24 | 3 | 5 | ||||||
From out of town | 0 | 0 | 1 | 1 | ||||||
Est. |
95% CI
|
Est. |
95% CI
|
p-value
|
Est. |
95% CI
|
Est. |
95% CI
|
p-value
| |
Median age | 24 | 24 | 30 | 28 | ||||||
Mean age | 24.0 | 22.5-25.5 | 25.6 | 23.7-27.6 | 0.002 | 29.8 | 27.1-32.5 | 27.5 | 25.2-29.8 | < 0.001 |
Median no school years | 10 | 9 | 9 | 9 | ||||||
Mean no school years | 10.4 | 9.7-11.0 | 9.1 | 8.4-9.8 | < 0.001 | 9.1 | 8.5-9.6 | 10.1 | 8.7-11.6 | < 0.001 |
The intervention process
Monitoring
Impact
Baseline | Follow-up | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Intervention | Control | Intervention | Control | ||||||||
% |
N
| % |
N
| p-value | % |
N
| % |
N
| p-value | ||
Ever HIV prevention activities in venue | 22 |
41
| 21 |
42
| 0.888 | 91 |
43
| 30 |
50
| < 0.001 | |
Ever HIV-related lectures/seminars in venue | 2 |
41
| 2 |
53
| 0.854 | 14 |
43
| 6 |
50
| 0.196 | |
Ever HIV-related pamphlets/leaflets in venue | 2 |
41
| 0 |
53
| 0.253 | 19 |
43
| 2 |
50
| 0.007 | |
Ever HIV-related posters in venue | 15 |
41
| 15 |
53
| 0.950 | 26 |
43
| 4 |
50
| 0.003 | |
Ever condom distribution in venue | 10 |
41
| 21 |
53
| 0.149 | 84 |
43
| 20 |
50
| < 0.001 | |
Ever peer education in venue | 0 |
41
| 0 |
53
| - | 46 |
43
| 8 |
50
| < 0.001 | |
How often condoms available | Always | 32 |
41
| 17 |
52
| 0.036 | 84 |
43
| 33 |
51
| < 0.001 |
Sometimes | 32 | 19 | 16 | 35 | |||||||
Never | 37 | 64 | 0 | 31 | |||||||
Where do you obtain condoms that available to people who come to this venue? | Buy them | 0 |
43
| 58 |
43
| < 0.001 | |||||
Obtain from NGO | 95 | 14 | |||||||||
Obtain from district | 2 | 26 | |||||||||
Other | 2 | 2 | |||||||||
Condom free of charge to guests | 100 |
43
| 24 |
42
| < 0.001 | ||||||
Condoms at time of visit | 49 |
41
| 24 |
53
| 0.015 | 86 |
43
| 56 |
52
| 0.001 | |
If yes, Can I see one? | 100 |
19
| 100 |
13
| - | 97 |
37
| 100 |
28
| 0.381 | |
Posters observed by interviewers | 29 |
41
| 21 |
53
| 0.341 | 15 |
41
| 2 |
53
| 0.020 | |
Leaflets observed by interviewers | 0 |
41
| 0 |
53
| - | 2 |
41
| 0 |
53
| 0.253 | |
Willingness among staff to distribute free condoms | 100 |
31
| 98 |
43
| 0.393 | ||||||
Willingness among staff to sell condoms? | 88 |
24
| 70 |
27
| 0.138 |
Baseline | Follow-up | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Intervention | Control | Intervention | Control | ||||||||
% |
N
| % |
N
| p-value | % |
N
| % |
N
| p-value | ||
Come to meet sexual partner | 53 |
150
| 58 |
267
| 0.649 | 29 |
224
| 32 |
211
| 0.720 | |
Ever met sexual partner here | 70 |
180
| 66 |
326
| 0.453 | 55 |
260
| 54 |
264
| 0.792 | |
Condom last time partner from here | 57 |
116
| 55 |
217
| 0.745 | 82 |
126
| 68 |
123
| 0.075 | |
How often condom w/new partner last month | Always | 52 |
135
| 37 |
249
| 0.050 | 66 |
118
| 52 |
147
| 0.102 |
Sometimes | 41 | 46 | 21 | 20 | |||||||
Never | 7 | 17 | 13 | 29 | |||||||
Paid for last condom | 22 |
170
| 72 |
170
| < 0.001 | ||||||
Condom with you? | 39 |
178
| 32 |
325
| 0.277 | 11 |
243
| 7 |
257
| 0.289 | |
Condom shown if claimed to have brought | 94 |
79
| 90 |
114
| 0.350 | 100 |
21
| 96 |
14
| 0.189 | |
How effective are condoms | Very | 51 |
178
| 38 |
325
| 0.054 | 67 |
264
| 57 |
272
| 0.0961
|
Somewhat | 17 | 22 | 17 | 23 | |||||||
Not very | 25 | 26 | 6 | 12 | |||||||
Not at all | 7 | 7 | 5 | 6 | |||||||
Don't know | 1 | 8 | 5 | 1 | |||||||
At risk of HIV | No | 32 |
179
| 36 |
325
| 0.211 | 41 |
264
| 36 |
271
| 0.736 |
Moderate | 40 | 33 | 34 | 40 | |||||||
High | 21 | 18 | 18 | 16 | |||||||
Very high | 6 | 14 | 7 | 8 | |||||||
Discussed with anyone how to prevent infection | 81 |
178
| 75 |
324
| 0.391 | 71 |
263
| 66 |
271
| 0.372 | |
If yes, with whom | Parents | 4 |
148
| 0.4 |
249
| 0.012 | 1 |
197
| 2 |
184
| 0.823 |
Spouse | 41 |
148
| 39 |
249
| 0.783 | 19 |
197
| 29 |
184
| 0.105 | |
Friends | 85 |
148
| 81 |
249
| 0.458 | 72 |
197
| 65 |
184
| 0.328 | |
Peer educators | 11 |
148
| 21 |
249
| 0.0571
| 55 |
197
| 6 |
184
| < 0.001 | |
Health personnel | 24 |
148
| 31 |
249
| 0.361 | 22 |
197
| 28 |
184
| 0.299 | |
Ever experienced any HIV preventive activities in this venue | 62 |
242
| 16 |
257
| < 0.001 |
Baseline | Follow-up | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Intervention | Control | Intervention | Control | |||||||||||
Est. |
N
| SD1
| Est. |
N
| SD1
| p-value | Est. |
N
| SD1
| Est. |
N
| SD1
| p-value | |
Median number sex partners last 4 weeks | 3 |
177
| 3 |
323
| 1 |
260
| 1 |
273
| ||||||
Mean number sex partners last 4 weeks | 3.04 |
177
| 1.85 | 3.16 |
323
| 2.19 | 0.200 | 2.30 |
260
| 19.1 | 2.04 |
273
| 5.22 | 0.443 |
Median number new sex partners last 4 weeks | 2 |
177
| 2 |
323
| 0 |
254
| 1 |
268
| ||||||
Mean number new sex partners last 4 weeks | 1.75 |
177
| 1.46 | 2.09 |
323
| 1.83 | < 0.001 | 1.20 |
254
| 4.19 | 1.78 |
268
| 5.03 | < 0.001 |
Median number sex partners last 12 months | 2 |
256
| 2 |
262
| ||||||||||
Mean number sex partners last 12 months | - | - | - | - | - | 5.26 |
256
| 21.3 | 7.61 |
262
| 16.9 | < 0.001 |