Layout 1 ISDS Annual Conference Proceedings 2012. This is an Open Access article distributed under the terms of the Creative Commons Attribution- Noncommercial 3.0 Unported License (http://creativecommons.org/licenses/by-nc/3.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ISDS 2012 Conference Abstracts FSWs Typology and Condoms Use Among HIV High Risk Groups in Sindh, Pakistan: A Developing Country Perspective Suleman M. Otho*1, Shazia Perveen2 and Qamar Abbas1 1Aga Khan University Hospital, Karachi, Pakistan; 2Global Funds for AIDS, TB and Malaria, Round 9, Sindh AIDS Control Program, Karachi, Pakistan Objective We aimed to determine the association of FSWs typology with condom use among HIV high risk groups in Sindh, Pakistan Introduction HIV is growing rapidly worldwide resulting in estimated 34 mil- lion population [1]. Recently, its epidemic has spread in Africa, Latin America, and the Caribbean, and most parts of Asia [2]. According to Antenatal sero surveillance study conducted in 2011 by Agriteam canada, it’s prevalence in Pakistan is <0.1 [3].Focusing narrowly, its prevalence in Sindh, (one of the provinces of Pakistan) is similar in general population, but it is in the phase of concentrated epidemic (having more than 5% of prevalence in high risk groups)in vulnera- ble groups like IDUs and Male sex workers and transgender [4]. Sexual intercourse has been identified as major route especially in HIV high risk groups including male sex workers, female sex work- ers (FSWs), transgender (hijras) and IV drug users. Among them, FSWs are at high risk because of unprotected sex and illicit drug use. Their prevalence is found to be 30.7% in low and middle income countries [5]. South Asia contributed with 12.63 lakh FSW in India only [6]. On the basis of their station of work, they are categorized into facility based (kothikhana, brothel or home) and mobile (street, mobile or beggars). They use different preventive measures including condom for their protection from HIV [7]. It varies with availability and access [8] . FSWs typology have different cliental and mode of action, therefore, it important to explore the preventive methods. Methods Data was extracted from Second Generation Surveillance, Inte- grated behavioral and biological survey, Round IV for HIV infection conducted by Agriteam Canada in partnership with National AIDS Control Program, Pakistan in 2011. It was a cross sectional survey for high risk groups including FSWs from Pakistan. It was ethically approved by Review Board of the Public Health Agency of Canada and HOPE International’s Ethical Review Board, Pakistan. From Sindh province, FSWs based in Karachi, Sukkur and Larkana were recruited. Considering typology, they were categorized as mobile or facility based. After informed consent, socio-demographic and risk behavior were inquired. HIV was tested by ELISA/EIA and con- firmed by Western Blot. Data was analyzed on SPSS 19. Continuous variables were expressed as mean±SD while categorical as fre- quency(%). Logistic regression assessed the association of FSWs ty- pology with condoms use among HIV high risk groups. Results Out of 4567 high risk population, 1127 were identified as FSWs. Mean age was 26.9 years. Most of them were facility based (72.8%) and 81.3% used condoms. Typology, age, education, duration of in- volvement, number of client per day, number of paid oral sex per month, knowledge about STI and knowledge about drop in center were significantly associated with condom use among HIV high risk groups. Conclusions Majority of facility based FSWs use condoms to prevent HIV in- fection. Awareness and access to home based FSWs should be in- creased. It may help in targeting and designing preventive strategies for them at government and mass level. Keywords FSW; typology; condoms; HIV high risk groups; Pakistan References World Health Organization. Global summary of HIV/AIDS epidemic De- cember 2010. Accessed on June 19, 2012. URL: http://www.who.int/ hiv/data/en/. 2. UNAIDS. 2010. UNAIDS report on the global HIV epidemic: 2010. Accessed on June 19, 2012. URL: http://www.unaids.org/globalre- port/global_report.htm. 3. USAID/ Pakistan: HIV/ AIDS Health Profile. Accessed on June 19, 2012. URL: http://www.usaid.gov/our_work/global_health/aids/ Countries/asia/pakistan_profile.pdf. 4. Enhanced HIV/AIDS Control Program Sindh. Data. Accessed on June 19 2012. URL: http://www.sacp.org.pk/data.php. 5. Baral S, Beyrer C, Muessig K, Poteat T, Wirtz AL, Decker MR, et al. Burden of HIV among female sex workers in low-income and middle- income countries: a systematic review and meta-analysis. 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