Vaginal Practices among Women at High Risk of HIV Infection in Uganda and Tanzania: Recorded Behaviour from a Daily Pictorial Diary

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dc.contributor.authorFrancis, Suzanna C.
dc.contributor.authorBaisley, Kathy
dc.contributor.authorLees, Shelley S.
dc.contributor.authorAndrew, Bahati
dc.contributor.authorZalwango, Flavia
dc.contributor.authorSeeley, Janet
dc.contributor.authorVandepitte, Judith.
dc.contributor.authorT. Ao, Trong
dc.contributor.authorvan de Wijgert, Janneke
dc.contributor.authorWatson-Jones, Deborah
dc.contributor.authorKapiga, Saidi
dc.contributor.authorGrosskurth, Heiner
dc.contributor.authorHayes, Richard J.
dc.date.accessioned2021-12-09T12:13:09Z
dc.date.available2021-12-09T12:13:09Z
dc.date.issued2013
dc.description.abstractBackground: Intravaginal practices (IVP) are highly prevalent in sub-Saharan African and have been implicated as risk factors for HIV acquisition. However, types of IVP vary between populations, and detailed information on IVP among women at risk for HIV in different populations is needed. We investigated IVP among women who practice transactional sex in two populations: semi-urban, facility workers in Tanzania who engage in opportunistic sex work; and urban, self-identified sex workers and bar workers in Uganda. The aim of the study was to describe and compare IVP using a daily pictorial diary. Methodology/Principal Findings: Two hundred women were recruited from a HIV prevention intervention feasibility study in Kampala, Uganda and in North-West Tanzania. Women were given diaries to record IVP daily for six weeks. Baseline data showed that Ugandan participants had more lifetime partners and transactional sex than Tanzanian participants. Results from the diary showed that 96% of Tanzanian participants and 100% of Ugandan participants reported intravaginal cleansing during the six week study period. The most common types of cleansing were with water only or water and soap. In both countries, intravaginal insertion (e.g. with herbs) was less common than cleansing, but insertion was practiced by more participants in Uganda (46%) than in Tanzania (10%). In Uganda, participants also reported more frequent sex, and more insertion related to sex. In both populations, cleansing was more often reported on days with reported sex and during menstruation, and in Uganda, when participants experienced vaginal discomfort. Participants were more likely to cleanse after sex if they reported no condom use. Conclusions: While intravaginal cleansing was commonly practiced in both cohorts, there was higher frequency of cleansing and insertion in Uganda. Differences in IVP were likely to reflect differences in sexual behaviour between populations, and may warrant different approaches to interventions targeting IVP. Vaginal practices among women at high risk in Uganda and Tanzania: recorded behaviour from a daily pictorial diaryen_US
dc.identifier.citationFrancis SC, Baisley K, Lees SS, Andrew B, Zalwango F, et al. (2013) Vaginal Practices among Women at High Risk of HIV Infection in Uganda and Tanzania: Recorded Behaviour from a Daily Pictorial Diary. PLoS ONE 8(3): e59085. doi:10.1371/journal.pone.0059085en_US
dc.identifier.other10.1371
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/223
dc.language.isoenen_US
dc.publisherClaire Thorneen_US
dc.subjectVaginal practicesen_US
dc.subjecttransactional sexen_US
dc.subjectwomenen_US
dc.titleVaginal Practices among Women at High Risk of HIV Infection in Uganda and Tanzania: Recorded Behaviour from a Daily Pictorial Diaryen_US
dc.typeArticleen_US
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