Document 0322
 DOCN  M9650322
 TI    Modelling the impact of alternative HIV intervention strategies in rural
       Uganda.
 DT    9605
 AU    Robinson NJ; Mulder DW; Auvert B; Hayes RJ; INSERM Unit 88, National
       Hospital of Saint-Maurice, France.
 SO    AIDS. 1995 Nov;9(11):1263-70. Unique Identifier : AIDSLINE MED/96126181
 AB    OBJECTIVE: To assess the likely impact on HIV incidence of increased
       condom use, a reduction in casual sexual partners, treatment programmes
       for other sexually transmitted diseases (STD) and combinations of these
       in rural Uganda. METHODS: A simulation model for the transmission
       dynamics of HIV infection and STD was employed, drawing on data from a
       rural population cohort in South-West Uganda with an HIV prevalence of
       9% among adults in 1990. RESULTS: For the scenario most consistent with
       data from the study population, 39% of all adult HIV infections were
       averted, in the 10 years from 1990, when condoms were used consistently
       and effectively by 50% of men in their contacts with one-off sexual
       partners (such as bar girls and commercial sex workers). Reducing by 50%
       the frequency of men's sexual contacts with one-off partners averted 68%
       of infections. Reducing by 50% the duration of all STD episodes averted
       43% of infections. Combining these three interventions averted 82% of
       all adult infections in the 10 years from 1990. CONCLUSION: A
       substantial proportion of HIV infections may be averted in general
       populations through interventions targeted only on less regular sexual
       partnerships.
 DE    Adult  Aged  *Computer Simulation  Condoms  Female  Human  HIV
       Infections/EPIDEMIOLOGY/PREVENTION & CONTROL/*TRANSMISSION  Male  Middle
       Age  Sex Behavior  Sexually Transmitted Diseases/EPIDEMIOLOGY/PREVENTION
       & CONTROL/  *TRANSMISSION  Support, Non-U.S. Gov't  Uganda  JOURNAL
       ARTICLE

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