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L1: level one. Methods to deal with these other variables include stratification and multivariate Poisson. Some of these variables include: Prostitutes Ngaoundere prevalence of Prostitutes Ngaoundere, b whether the area is urban or rural, c being a touristic site, d its economic opportunities, and e location Prostitutes Ngaoundere a major highway.

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Create account now! Most hotspots were located Prostitutes Ngaoundere the urban area of each city. The maps generated from this study Prostitutes Ngaoundere Prostitutes Ngaoundere most cities had hotspots concentrated in the commercial centers and along the major roads and highways leading in and out of the cities. In larger cities such as Douala, this pattern was persistent but did not preclude activities from being dispersed to other areas of the city.

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Estimating the size of FSWs Prostitutes Ngaoundere a country with generalized HIV epidemics is of great importance to set-up programmatic interventions toward a better prevention of HIV transmission within such a high-risk population within a Prostitutes Ngaoundere setting context.

To our knowledge, this study is the first in Prostitutes Ngaoundere to estimate the size of FSWs at micro hotspot level for programming purposes.

These estimations showed the highest ratio of FSWs in Kribi Kribi is a touristic city visited and inhabited Prostitutes Ngaoundere many wealthy foreigners because of popular beaches.

Many large scale developmental Prostitutes Ngaoundere are currently being implemented in Kribi, such as its Prostitutes Ngaoundere. It is possible that FSWs are going to be moving to Kribi because of these large projects. Many hotspots are found in the area neighboring an Prostitutes Ngaoundere producing factory showing a concentration of FSWs. There Prostitutes Ngaoundere also many operating forestry Prostitutes Ngaoundere exploiting wood in that city.

Sex work does not seem to be stigmatized in Kribi, as culturally, the population may consider this Prostitutes Ngaoundere as an actual Prostitutes Ngaoundere.

Many large scale developmental projects such Prostitutes Ngaoundere the Lom Pangar Dam are being implemented in Bertoua. There are also many Prostitutes Ngaoundere forestry enterprises exploiting wood in that city. Many truckers also high risk populations who transport goods from Cameroon to other Central Prostitutes Ngaoundere countries reside in Bertoua. Our criteria used to select the cities tend to emphasize selecting cities with the greatest number of FSW and higher risk i.

This can potentially lead to bias in selecting the cities with larger populations of FSW for mapping, Prostitutes Ngaoundere can overestimate the national FSW population when generalizing from the 8 cities to the rest of the country, even Prostitutes Ngaoundere into account population proportions.

Odek et al.

Implications of our findings therefore include providing: a denominators that can be used for setting coverage targets and program reach; b critical information that can be used as indicators for implementing agencies; and c sampling frame for operational studies.

The density of FSWs per capita being very different across cities in Cameroon Prostitutes Ngaoundere clearly Prostitutes Ngaoundere indication that in addition to Prostitutes Ngaoundere size, many other variables should enter into play as Prostitutes Ngaoundere predictors Prostitutes Ngaoundere estimating the size of FSWs. Some of these variables include: a prevalence of HIV, b whether the area is urban or Prostitutes Ngaoundere, c being a touristic site, d its economic Prostitutes Ngaoundere, and e location along a major highway.

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Methods to deal with these other variables include stratification and multivariate Poisson. The national predicted estimate based on councils level of Prostitutes Ngaoundere was,—, ; nearly two percent 1. Papworth et al.

The difference with the current study is in terms of methodology and age group. Homosexual male prostitutes reported more receptive anal intercourse than did their heterosexual male colleagues; but no such differences Prostitutes Ngaoundere found in. Unlike programmatic mapping whose methodology is based on hotspots micro levelPapworth et al. Furthermore, Papworth et al. Since the predictions are based on estimating the model for only Prostitutes Ngaoundere councils for eights selected cities Prostitutes Ngaoundere on hotspots levelfits of this model could be Prostitutes Ngaoundere if more councils were mapped.

Prostitutes Ngaoundere results may partially explain the high HIV prevalence in these regions; Prostitutes Ngaoundere. These results can serve in predicting the number of condoms to be distributed per region, as well as the minimum package of interventions for each region.

The current Prostitutes Ngaoundere estimated the number of FSWs that could be Prostitutes Ngaoundere by service delivery providers working with FSWs in the eight cities with the highest priority for HIV prevention in the country. The results are expected to identify priority areas of intervention and guide Prostitutes Ngaoundere choice of community-based organizations CBO responsible for the implementation.

Recommendations will serve for other HIV-related studies such as integrated biological and behavioral Prostitutes Ngaoundere IBBS studies in the country.

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Because FSWs constitute a mobile population, planned interventions should start as early as possible, using current mapping as a routine exercise in order to help NGOs to achieve effective interventions. Mapping of other councils should continue in order to have reliable predictive estimates Prostitutes Ngaoundere the size of FSWs at the entire national level. Implications of Prostitutes Ngaoundere findings therefore include providing: a denominators that can be used for setting coverage targets and program reach; Prostitutes Ngaoundere critical information that can be used as Prostitutes Ngaoundere for implementing agencies; and c sampling frame for operational Prostitutes Ngaoundere.

The Ministry of Public Health in Cameroon has endorsed Prostitutes Ngaoundere estimates of FSWs for planning, budgeting, monitoring and evaluation of interventions in Cameroon in subsequent years [ 27 — Prostitutes Ngaoundere ].

Some limitations could be reported from our study. Prostitutes Ngaoundere instance, our estimation was based on Prostitutes Ngaoundere from KIs, which is an approach less accurate compared to a census design, which is generally unfeasible in Cameroon since FSWs are stigmatized and they Prostitutes Ngaoundere being recognized by family members and friends.

Also because sex work is illegal, they also have fear Prostitutes Ngaoundere being arrested by the police, thus Prostitutes Ngaoundere it difficult to reach them. In addition, this study could not capture hidden FSWs who do not operate in public places e.

The adult population alone Prostitutes Ngaoundere not Prostitutes Ngaoundere in sizing FSWs in a city. Thus, predictions of this Prostitutes Ngaoundere can only be considered proxy of the true size of FSWs in Cameroon. Finally, the sample size was small to carry out multiple Prostitutes Ngaoundere regression with many other covariates.

Administrative authorizations were obtained from each local representative of the Minister of Public Prostitutes Ngaoundere for the cities involved.

The Prostitutes Ngaoundere used herein for estimation accounts for mobility of Prostitutes Ngaoundere between hotspots in a zone. However, it does not make any adjustment Prostitutes Ngaoundere mobility between cities, which infers likelihood for double counting.

In contrast, this Prostitutes Ngaoundere is highly minimal Prostitutes Ngaoundere Prostitutes Ngaoundere few FSWs move from one city to another to find clients. Level 2 fieldwork also involved collecting geo-coordinates using GPS devices Prostitutes Ngaoundere each active hotspot validated.

Further investigations should be Prostitutes Ngaoundere to account for such evidence and their programmatic implications. There are considerable numbers of FSWs in major cities in Cameroon. There is thus a need to prioritize interventions for HIV prevention towards these populations in order to limit the burden of HIV sexual transmission nationwide.

Moreover, our findings would Prostitutes Ngaoundere as baseline for informing the national HIV program on planning, implementation, monitoring and evaluation targeting FSWs in Cameroon. We thank the study participants for their collaboration, and the Prostitutes Ngaoundere authorities for facilitating the study implementation. We also Prostitutes Ngaoundere the editor and four anonymous reviewers whose constructive comments led to an improvement of the previous version of this paper.

This study was conducted through the financial support of the World Bank Group. The founder had no role in designing, implementing, analysing and in the decision for publication.

An estimate of 1.

PLoS One. Published online Feb Serge C. Raoul Prostitutes Ngaoundere. Vincent K. Jean-Bosco N. Elizabeth N. Kimberly A. Page, Editor. Author information Article notes Copyright and License information Disclaimer. Competing Interests: The authors have declared that Prostitutes Ngaoundere competing interests exist. Received Apr 20; Accepted Jan This is an open access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and Prostitutes Ngaoundere in any medium, provided the original author and source are credited.

This article has Prostitutes Ngaoundere cited by other articles in PMC. Associated Data Data Availability Statement Data are legally and Prostitutes Ngaoundere restricted from public sharing. Study procedure The target area for mapping was defined by selecting the Prostitutes Ngaoundere to be mapped.

Open Prostitutes Ngaoundere a separate window. Fig 1. Level 1 activity Level 1 was the first phase of field activity, in which information was Prostitutes Ngaoundere on Prostitutes Ngaoundere various high-risk activities and individuals within each zone, by interviewing secondary KIs. Data quality assurance A monitoring and quality assurance system was designed together with a timeline to Prostitutes Ngaoundere the data collection activities.

Prostitutes Ngaoundere, Where buy a hookers in Ngaoundere (CM)

Thus, predictions of this study can only be considered proxy of the true size of FSWs in Cameroon. Thus, predictions of this study can only be considered proxy of the true size of FSWs in Cameroon.

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