ArticleBMC public health2010
Community-based prevention leads to an increase in condom use and a reduction in sexually transmitted infections (STIs) among men who have sex with men (MSM) and female sex workers (FSW): the Frontiers Prevention Project (FPP) evaluation results.
Article in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Better Together?: A Systematic Review of the Effectiveness of HIV Prevention Interventions that Build or Strengthen Social Ties.AIDS and behavior · 2025Pooled it
- Implementation practice models for development in low- and middle-income countries: systematic review of peer-reviewed literature.BMC public health · 2022Pooled it
- Effectiveness of peer-led interventions to increase HIV testing among men who have sex with men: a systematic review and meta-analysis.AIDS care · 2017Pooled it
- A community empowerment approach to the HIV response among sex workers: effectiveness, challenges, and considerations for implementation and scale-up.Lancet (London, England) · 2015Pooled it
- The impact of community mobilisation on HIV prevention in middle and low income countries: a systematic review and critique.AIDS and behavior · 2014Pooled it
- Behavioral interventions to reduce the transmission of HIV infection among sex workers and their clients in low- and middle-income countries.The Cochrane database of systematic reviews · 2012Pooled it
- A pilot RCT of an intervention to reduce HIV sexual risk and increase self-acceptance among MSM in Chennai, India.AIDS and behavior · 2014Trial
- Defining strata of women at risk for HIV in Sub-Saharan Africa: a pooled latent class analysis.Annals of epidemiology · 2026Article
- Increasing Syphilis Prevalence Among MSM Across India Despite Improvements in the HIV Care Continuum.Journal of acquired immune deficiency syndromes (1999) · 2026Article
- Learning from community-based HIV prevention to inform control and mitigation of the COVID-19 pandemic.Preventive medicine · 2023Article
- A scoping review of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI+) people's health in India.PLOS global public health · 2023Article
- Control of sexually transmitted infections and global elimination targets, South-East Asia Region.Bulletin of the World Health Organization · 2021Review
- The effect of public health awareness and behaviors on the transmission dynamics of syphilis in Northwest China, 2006-2018, based on a multiple-stages mathematical model.Infectious Disease Modelling · 2021Article
- Public health interventions to control syphilis.Sexual health · 2015Article
- Impact evaluation of a community-based intervention to reduce risky sexual behaviour among female sex workers in Shanghai, China.BMC public health · 2015Article
- Global epidemiology of HIV among female sex workers: influence of structural determinants.Lancet (London, England) · 2015Review
- Investing in communities: evaluating the added value of community mobilization on HIV prevention outcomes among FSWs in India.AIDS and behavior · 2014Article
- Non-paying partnerships and its association with HIV risk behavior, program exposure and service utilization among female sex workers in India.BMC public health · 2014Article
- Patterns of condom use by men who have sex with men before and after the Avahan intervention in Andhra Pradesh state of India.BMC public health · 2014Article
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndia has an estimated 2.0 million to 3.1 million people living with HIV; it has the highest number of HIV-positive people in Asia and ranks third in the world. The Frontiers Prevention Project (FPP) was implemented in 2002 to conduct targeted prevention intervention geared towards female sex workers (FSW) and men who have sex with men (MSM) in the state of Andhra Pradesh (AP). This paper reports the overall changes in behaviour and STI outcomes between 2003/4 and 2007 and also describes the changes attributed to the FPP.
methodsThe evaluation used two cross-sectional surveys among MSM and FSW at 24 sites in AP. Surveys were implemented using a similar methodology. Univariate analyses were conducted by comparing means: baseline vs. four-year follow-up and FPP vs. non-FPP. For both MSM and FSW, random and fixed-effects logit regression models at the site level were estimated for condom use with last partner, syphilis sero-positivity and HSV 2 sero-positivity. In addition, for FSW we estimated models for condom use with regular partner, and for MSM we estimated models for condom use with last female partner.
resultsAmong MSM, fixed-effects analysis revealed that FPP was positively correlated with the probability of condom use with last female sexual partner and negatively correlated with the individual probability of sero-positivity to syphilis and HSV 2. Among FSW, the FPP intervention was significantly correlated with increased condom use with regular partners and with lower probability of STI sero-positivity. DISCUSSION: Important changes in behaviours related to an increase in prevention activities translated to reductions in STI sero-prevalence in AP, India. In contrast with non-FPP sites, the FPP sites experienced an intense community approach as part of the FPP intervention, and the general increase in condom use and its effect on STI sero-prevalence reflected the efficacy of these intense prevention activities focused on key populations in AP.
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