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Open Access 01-12-2011 | Editorial

Evaluation of the Avahan HIV prevention initiative in India

Authors: Lalit Dandona, Eric G Benotsch

Published in: BMC Public Health | Special Issue 6/2011

Excerpt

The Avahan HIV prevention initiative is a major effort funded by the Bill and Melinda Gates Foundation that aims to reduce HIV transmission in the general population by focusing HIV prevention efforts on female sex workers and their clients, men who have sex with men, truck drivers and injecting drug users who are at high risk of getting HIV [1]. Avahan has been implemented in six states of India since 2003 that have had a high HIV burden – four large states in southern India (Andhra Pradesh, Karnataka, Maharashtra, and Tamil Nadu) and two small states in northeast India (Manipur and Nagaland) through 134 local non-governmental organizations [2]. It is important to note that Avahan, while unique and substantial, complements the much larger national HIV prevention effort in India. …

Bill and Medlina Gates Foundation: Avahan overview - The India AIDS Initiative. [http://www.gatesfoundation.org/avahan/Pages/overview.aspx]

Chandrasekaran P, Dallabetta G, Loo V, Mills S, Saidel T, Adhikary R, Alary M, Lowndes CM, Boily MC, Moore J, et al: Evaluation design for large-scale HIV prevention programmes: the case of Avahan, the India AIDS initiative. AIDS. 2008, 22: S1-S15.PubMedCrossRef

Piot P: Setting new standards for targeted HIV prevention: the Avahan initiative in India. Sex Transm Infect. 2010, 86 Suppl 1 (86): i1-2.PubMedCrossRef

Rachakulla HK, Kodavalla V, Rajkumar H, Prasad SPV, Kallam S, Goswami P, Dale J, Adhikary R, Paranjape R, Brahman GNV: Condon use and prevalence of syphilis and HIV among female sex workers in Andhra Pradesh, India - following a large-scale HIV prevention intervention. BMC Public Health. 2011, 11 (Suppl 6): S1-10.1186/1471-2458-11-S6-S1.PubMedPubMedCentralCrossRef

Mainkar MM, Pardeshi DB, Dale J, Deshpande S, Khazi S, Gautam A, Goswami P, Adhikary R, Ramanathan S, George B, Pranjape RS: Targeted interventions of the Avahan program and their association with intermediate outcomes among female sex worker in Maharashtra, India. BMC Public Health. 2011, 11 (Suppl 6): S2-10.1186/1471-2458-11-S6-S2.PubMedPubMedCentralCrossRef

Thilakavathi S, Boopathi K, Girish Kumar CP, Santhakumar A, Senthilkumar R, Eswaramurthy C, Bharathy VI, Ramakrishnan L, Thongamba G, Adhikary R, Paranjape S: Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC Public Health. 2011, 11 (Suppl 6): S3-10.1186/1471-2458-11-S6-S3.PubMedPubMedCentralCrossRef

Deering KN, Bhattacharjeei P, Bradley J, Moses SS, Shannon K, Shaw SY, Washington R, Lowndes CM, Boily MC, Ramesh BM, Rajaram S, Gurav K, Alary M: Condom use within non-commercial partnerships of femlae sex workers in southern India. BMC Public Health. 2011, 11 (Suppl 6): S11-10.1186/1471-2458-11-S6-S11.PubMedPubMedCentralCrossRef

Deering KN, Boily MC, Lowndes CM, Shoveller J, Tyndall MW, Vickerman P, Bradley J, Gurav K, Pickles M, Moses S, Ramesh BM, Washington R, Rajaram S, Alary M: A dose-response relationship between exposure to a large-scale HIV preventive interention and consistent condom use with different sexual partners of female sex workers in south India. BMC Public Health. 2011, 11 (Suppl 6): S8-10.1186/1471-2458-11-S6-S8.PubMedPubMedCentralCrossRef

Jain AK, Saggurti N, Mahapatra B, Sebastian MP, Modugu HR, Halli SS, Verma RK: Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India. BMC Public Health. 2011, 11 (Suppl 6): S5-10.1186/1471-2458-11-S6-S5.PubMedPubMedCentralCrossRef

10.

Bradley J, Rajaram S, Alary M, Isac S, Washington R, Mosesi S, Ramesh BM: Determinants of condom breakage among female sex workers in Karnatka, India. BMC Public Health. 2011, 11 (Suppl 6): S14-10.1186/1471-2458-11-S6-S14.PubMedPubMedCentralCrossRef

11.

Pandey A, Mishra RM, Sahu D, Benara K, Sengupta U, Paranjape RS, Gautam A, Lenka SR, Adhikary R: Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011, 11 (Suppl 6): S15-10.1186/1471-2458-11-S6-S15.PubMedPubMedCentralCrossRef

12.

Shaw SY, Deering KN, Reza-Paul S, Benara K, Isac S, Ramesh BM, Washington R, Moses S, Blanchard JF: Prevalence of HIV and sexually transmitted infections among clients of female sex workers in Karnataka, India: a cross-sectional study. BMC Public Health. 2011, 11 (Suppl 6): S4-10.1186/1471-2458-11-S6-S4.PubMedPubMedCentralCrossRef

13.

Saggurti N, Mahapatra B, Swain SN, Jain AK: Male migration and risky sexual behavior in rural India: is the place of origin critical for HIV prevention programs?. BMC Public Health. 2011, 11 (Suppl 6): S6-10.1186/1471-2458-11-S6-S6.PubMedPubMedCentralCrossRef

14.

Armstrong G, Humtsoe C, Kermode M: HIV risk behavious among injecting drug users in Northeast India following scale-up of a targeted HIV prevention programme. BMC Public Health. 2011, 11 (Suppl 6): S9-10.1186/1471-2458-11-S6-S9.PubMedPubMedCentralCrossRef

15.

Garung A, Narayanan P, Prabhakar P, Das A, Virupax R, Tucker S, Narayana L, Radha R, Prakash K, Touthang J, Sono CZ, Wi T, Morineau G, Neilsen G: Large-scale STI services in Avahan improve utilization and treatment seeking behaviour among high-risk groups in Indie: an analysis of clinical records from six states. BMC Public Health. 2011, 11 (Suppl 6): S10-10.1186/1471-2458-11-S6-S10.CrossRef

16.

Chandrashekar S, Vassall A, Reddy B, Shetty G, Vickerman P, Alary M: The costs of HIV prevention for different target populations in Mumbai, Thane and Banglalore. BMC Public Health. 2011, 11 (Suppl 6): S7-10.1186/1471-2458-11-S6-S7.PubMedPubMedCentralCrossRef

17.

Banandur P, Rajaram SP, Mahagaonkar SB, Bradley J, Ramesh BM, Washington RG, Blanchard JF, Moses S, Lowndes CM, Alary M: Heterogeneity of the HIV epidemic in the general population of Karnataka state, south India. BMC Public Health. 2011, 11 (Suppl 6): S13-10.1186/1471-2458-11-S6-S13.PubMedPubMedCentralCrossRef

18.

Bradley J, Rajaram S, Moses S, Bhattacharjee P, Lobo AM, Ramesh BM, Washington R, Alary M: Changes in HIV knowledge, and socio-cultural and sexual attitudes in South Indie from 2003-2009. BMC Public Health. 2011, 11 (Suppl 6): S12-10.1186/1471-2458-11-S6-S12.PubMedPubMedCentralCrossRef

19.

Ng M, Gakidou E, Levin-Rector A, Khera A, Murray CJL, Dandona L: Assessment of population-level impact of Avahan, an HIV-prevention initiative in India. Lancet. 2011, Epub 11 Oct

20.

Dandona L, Raban MZ, Dandona R: Analysis of evaluations of health system/policy interventions in India. National Medical Journal of India. 2011, 24: 263-268.PubMed

Title: Evaluation of the Avahan HIV prevention initiative in India
Authors: Lalit Dandona
Eric G Benotsch
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: BMC Public Health / Issue Special Issue 6/2011
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-11-S6-I1

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Evaluation of the Avahan HIV prevention initiative in India

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Other articles of this Special Issue 6/2011

Changes in HIV knowledge, and socio-cultural and sexual attitudes in South India from 2003-2009

Condom use and prevalence of syphilis and HIV among female sex workers in Andhra Pradesh, India – following a large-scale HIV prevention intervention

Male migration and risky sexual behavior in rural India: is the place of origin critical for HIV prevention programs?

Determinants of condom breakage among female sex workers in Karnataka, India

HIV risk behaviours among injecting drug users in Northeast India following scale-up of a targeted HIV prevention programme

The costs of HIV prevention for different target populations in Mumbai, Thane and Bangalore