High Burden of HIV Infection and Risk Behaviors among Female Sex Workers in Three Main Urban Areas of Mozambique

This is the first integrated biological and behavioral survey among female sex workers (FSW) in Mozambique. Using respondent-driven sampling, 400, 411 and 429 FSW were enrolled respectively in Maputo, Beira and Nampula in 2011-2012. Estimates were produced using RDSAT 7.1. 

HIV prevalence was 

• 31.2% in Maputo
• 23.6% in Beira
• 17.8% in Nampula. 

Among HIV-positive FSW, 

• 48.1% in Maputo
• 79.8% in Beira
• 89.6% in Nampula, were unaware of their serostatus. 

Condom use at last sex with a client was 

• 85.8% in Maputo
• 73.4% in Beira
• 62.8 % in Nampula among FSW. 

HIV was associated with current age, age of first sex for money, low educational level, and having had a genital ulcer in the last 6 months. 

Results suggest the urgent need to increase behavioral and structural interventions in this key population.

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By: Augusto ÂD1, Young PW, Horth RZ, Inguane C, Sathane I, Ngale K, Benedetti M, Cummings B, Botão CF, Baltazar CA, Frank H, Fagan J, Fisher Raymond H,McFarland W.

• 1Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique, araugustoangelo@gmail.com.  

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