Drug use can harm to sex workers. Abstinence intervention,
however, may not be appropriate since drug use fosters their career
performance. The objective was to develop the culturally appropriate model for
sex workers participation on drug demand reduction at the Thailand/Malaysian
border
This study was a pre-post quasi-experimental design.
Tripartite participation was used to develop the model aiming to reduce harm
regarding drug use. The study carried out during June 2010-May 2011. Data were
collected from 150 key informant interviews, 56 focus group discussions, 22
participant observations in various situations, and numerous related materials.
Descriptive statistics, survival analysis and 95% confidence interval were
utilized for quantitative data. Qualitative data were analyzed by content
analysis.
Drug related harm reduction was evaluated at two-week time
along implementation period of 12 months. 89.5% of all sessions introduced
could decrease drug related harm. Of all sex workers participated in the study,
intended to treat analysis showed 86.9% success rate (95% CI; 77.1, 96.7). Of
these, 32.6% became abstinence, 39.1% reduced most of drug related harm. 13.0%
reduced partial drug related harm either less frequency, less quantity, less
concentration, decrease types of drugs/switch to safe drugs or safer method of
administration. 2.2% was infancy stage, which needed further support.
Key success of the model was tripartite participation. With
active leaders and strong support, sex workers were continually motivated to
reduce harm regarding drug use.
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