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Kathmandu, Thursday June 19, 2003  Ashadh 05,  2060.

Effective programmes vital to curb AIDS menace

By Perina Pathak

KATHMANDU, June 18 : A study conducted on commercial sex workers (CSW) actively working in the busiest highway reveals that more than two thousand women are in this profession and are in need of treatment of Sexually-Transmitted Diseases (STD), awareness about the HIV/AIDS and condom use.

The research made available by National Centre for AIDS and STD Control (NCASC), conducted in various phases in a four-year period, states that there is a need of effective programmes to minimise the increasing number of HIV/AIDS-infected and STD patients.

The research finding says that one among five sex workers is suffering from STD every year and most of them do not even have a health check-up.

As part of awareness and prevention programmes, the Health Ministry in co-ordination with various non-government organisations is providing STD treatment services through private and public health institutions. "The government is also providing HIV/AIDS prevention programme through condom promotion," said Dr. Benu Bahadur Karki, spokesperson at Health Ministry.

"Government only co-ordinates, facilitates and promotes other NGOs," said Karki.

Apart from the government, various NGOs, on a private basis are actively providing training on condom use to empower sex workers working in various locations.

"We have been providing training and awareness programmes about HIV/AIDS and STD to sex workers so that they relay the message among themselves," said Mahesh Bhattarai, executive director of the General Welfare Pratisthan, an organisation working along the busiest routes of Prithvi, Tribhuvan and East –West (Purba-Paschhim) highways.

"There is a need of quality health services to these people," said Bhattarai. "The increasing number of STD patients also shows that there is no cent-percent use of condoms."

According to Bhattarai, regular clients of CSWs are drivers (both bus and truck), peasants, police, army and surprisingly in some areas, school and college students are also found visiting CSWs.

In the behaviour change programme conducted by the Pratisthan in the Nagdhunga to Janakpur route on the Prithvi highway and Mugling to Raxaul on the Tribhuvan Highway, revealed that around 1500 CSWs are actively working in those areas. Around 700 women are in the sex trade in the Gorusinghe to Kanchanpur route on the East-West highway.

The women involved in the sex trade work in disguised form either in restaurants, shops, and massage parlours or in cabin restaurants.

In a survey conducted in 2000, showed that 42 percent of drivers visit brothels regularly, which in the year 2001 increased to 61 percent. Similarly, in the same period, peasants visiting sex workers increased up to 30 percent from 11 percent. Whereas only 60 percent of drivers and 45 percent of the peasants use condom regularly during sex, states the research.

"The recent scenario directs us to inform sex workers about STD, expand the condom market and reduction of partners," said Bhattarai. "Though there has been some increase in condom use among the drivers, there is a need for free distribution of condoms, its demonstration, ways to negotiate with clients, ways to deal with alcoholic clients and to increase the condom purchase points."


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