Reproductive health and sexual transmitted diseases (STD)

Sex workers are at a very high risk of becoming infected with reproductive tract infections (RTIs) including STDs and HIV. RTIs facilitate the transmission of HIV and it is therefore even more essential to prevent them through the use of condoms or treat them early. As many women and to a lesser extent men with STI have no symptoms, and persons without symptoms do not seek treatment, clinic-based STI management should be combined with active regular screening and treatment of high-risk people. MAM clinics will provide STI screening and treatment. To reach the large group of a-symptomatic STI carriers, people at high risk (female sex workers and homosexuals) will be invited to come for monthly clinic visits for STI screening. To convince people who are at high risk, but who have no complaints, to come to the clinic, a good relationship between the health provider and high-risk persons, including brothel owners, will be essential.