Evidence map›Paper›PMID 24378194›Full record

ArticleGlobal health action2013

Reduction in STIs in an empowerment intervention programme for female sex workers in Bangalore, India: the Pragati programme.

Dennis Souverein, Sjoerd M Euser, Rajendra Ramaiah, Pushpalatha Rama Narayana Gowda, Chandra Shekhar Gowda, Diana C Grootendorst, Snehal Barot, Françoise Jenniskens, Sunil Kumar, Shiv Kumar and 1 more

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Review
  6. Article
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  11. Article
  12. Predictors of Inconsistent Condom Use among Female Sex Workers: A Community-Based Study in a Red-Light Area of Kolkata, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Dennis SouvereinDepartment of Epidemiology, Regional Public Health Laboratory Kennemerland, Haarlem, The Netherlands; d.souverein@streeklabhaarlem.nl.
Sjoerd M EuserDepartment of Epidemiology, Regional Public Health Laboratory Kennemerland, Haarlem, The Netherlands.
Rajendra RamaiahSwasti A Health Resource Center, Bangalore, India.
Pushpalatha Rama Narayana GowdaSwathi Mahila Sangha, Bangalore, India.
Chandra Shekhar GowdaSwasti A Health Resource Center, Bangalore, India.
Diana C GrootendorstDepartment of Epidemiology, Regional Public Health Laboratory Kennemerland, Haarlem, The Netherlands.
Snehal BarotSwasti A Health Resource Center, Bangalore, India.
Françoise JenniskensFrançoise Jenniskens HIV and Health Advice, Haarlem, The Netherlands.
Sunil KumarKarnataka Health Promotion Trust, Bangalore, India.
Shiv KumarSwasti A Health Resource Center, Bangalore, India.
Jeroen W Den BoerDepartment of Epidemiology, Regional Public Health Laboratory Kennemerland, Haarlem, The Netherlands.
National Health Systems Resource Centre · INSpaarne Gasthuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveThe Pragati programme is an on-going empowerment programme for female sex workers (FSWs) working and living in Bangalore, India. Pragati aims to reduce transmission of HIV and sexually transmitted infections (STIs) among FSWs. This study describes the STI incidence rate, contact rate, and condom use during follow-up years.

designBetween April 2005 and November 2010, 20,330 FSWs participated in the programme. Outcome measures were programme exposure (number of contacts per person-year), STI incidence rate, and condom use. All analyses were stratified by year of follow-up. STIs were diagnosed by syndromic case management in either programme or referral clinics. We restricted our analyses to the period between April 2005 and July 2008 (when the majority of STIs were diagnosed in programme clinics), in order to minimise the possible influence of differences in STI diagnosis between clinic types.

resultsResults showed a significant increase of programme exposure (p-value for trend<0.001) and a significant decrease in the STI incidence rate (p-value for trend<0.001) over the follow-up time (between April 2005 and July 2008). Reported condom use at last paid sex increased from 77.6% in year 1 to 100% in year 4 of follow-up (p-value for trend<0.001).

conclusionOur data seem to suggest that the Pragati programme had a positive effect on the STI incidence rate and condom use, possibly as a result of increased programme exposure. We recommend for future studies to invest more in the study design, type of data collection, and recording mechanisms before starting with an intervention. Incorporation of empowerment strategies as an approach in HIV prevention programmes can have a beneficial effect on the lives and livelihoods of FSWs.

Indexed as

Sex WorkersAdolescentAdultChildCondomsFemaleHealth PromotionHIV InfectionsHumansIncidenceIndiaMiddle AgedPower, PsychologicalProgram EvaluationSexually Transmitted DiseasesYoung AdultempowermentIndiapreventionsexual healthsyndromic management

Identifiers

PMID24378194
PMCPMC3875344
OpenAlexW2035027633

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.