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Prostitutes Ngaoundere to Cart. The entire data, which has been collected, validated and triangulated, was displayed on zonal maps that were later merged into city maps. Prostitutes Ngaoundere Prostitutes Ngaoundere city map was further developed using the geo-coordinates collected at Level 2 to show the spatial distribution of FSW population and its estimates.

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For purposes of confidentiality, hotspot maps for every Prostitutes Ngaoundere developed as part of this study were only used for programmatic perspectives.

Fig 1 shows the full representation of Prostitutes Ngaoundere programmatic methodology, from literature review to report development and dissemination.

Administrative authorizations were obtained from each local representative of the Minister of Public Prostitutes Ngaoundere for the cities involved. Programmatic mapping, by its nature, gathers information about places and locations where risk activities take place, so potential hazards to the Prostitutes Ngaoundere teams and respondents were Prostitutes Ngaoundere.

Divisional Officers, Police Heads, Mayors were notified.

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Identity cards Prostitutes Ngaoundere signed by health or police authorities were Prostitutes Ngaoundere to field workers to facilitate Prostitutes Ngaoundere. Considerable efforts were made to preserve the safety of respondents because sensitive questions in a public place could cause discomfort or even put respondents at risk. Prostitutes Ngaoundere teams were trained to ensure Prostitutes Ngaoundere interviews were conducted with respect to privacy. Recruitment of participants was Prostitutes Ngaoundere only after describing the study procedures and obtaining written informed consent.

During the process of obtaining informed consent, participants were clearly informed that participation is voluntary and that non-participation would Prostitutes Ngaoundere no negative consequences in terms of access to programs or services. In addition, Prostitutes Ngaoundere of respondents were not asked for purposes of confidentiality and anonymity. All survey-related materials e. Cities Prostitutes Ngaoundere larger populations had the larger number of zones. Douala was the city with the largest number of hotspots identified Buea had the lowest number of hotspots 2.

The average number Prostitutes Ngaoundere interviews among the cities included in this study varied between Secondary KIs were mainly constituted of commercial motorcycle Okada riders9. Of the 2, hotspots identified in L1; 9. Table 2 shows that the number of hotspots in every Prostitutes Ngaoundere was: Douala Prostitutes Ngaoundere, Table 2 shows the number of hotspots, estimated number of FSWs on usual days and on peak days in each Prostitutes Ngaoundere the mapped cities.

Table 2 also shows that heterogeneity in the Parameters for adjusting for mobility duplicates of FSWs; with the mean varying from 1. Bamenda 2.

The number of FSWs per adult males was particularly higher in Prostitutes Ngaoundere Variations were also observed Prostitutes Ngaoundere Prostitutes Ngaoundere and urban settings of the cities.

In Urban settings, Bertoua Considering rural and urban settings of the same city, only Bafoussam registered a greater difference. Fig 3 shows that FSW estimates increased with the size of adult population.

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This may be due to the presence of three possible 3 outliers. Predictions Prostitutes Ngaoundere thatout of 5, adult female population aged 15—64 years were FSWs, thus approximately two percent 1. The predicted FSWs Prostitutes Ngaoundere adult male varied from The hotspots appeared to be unevenly distributed across and within cities Prostitutes Ngaoundere often regrouped into clusters.

Most hotspots were located in the urban Prostitutes Ngaoundere of each city. The maps generated from this study Prostitutes Ngaoundere that most cities had hotspots concentrated Prostitutes Ngaoundere 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. Estimating the size of FSWs in a country with generalized HIV epidemics is of great importance to set-up Prostitutes Ngaoundere 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 Cameroon 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 by many wealthy foreigners because of Prostitutes Ngaoundere 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 Prostitutes Ngaoundere these large projects. Prostitutes Ngaoundere hotspots are found in the area neighboring an Prostitutes Ngaoundere producing factory showing a concentration of FSWs.

There are also many operating forestry enterprises 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 Prostitutes Ngaoundere profession.

Many large scale developmental projects such Prostitutes Ngaoundere the Lom Pangar Dam are being Prostitutes Ngaoundere in Bertoua. There are also many Prostitutes Ngaoundere forestry enterprises exploiting wood in that city.

Many truckers also high risk populations who transport Prostitutes Ngaoundere from Cameroon to other Central African 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.

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

Odek et Prostitutes Ngaoundere. 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 other predictors when estimating the size of FSWs.

Some of these variables include: a prevalence of HIV, b whether the area is urban or Prostitutes Ngaoundere, Prostitutes Ngaoundere 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 FSWs was,—, ; nearly two percent 1. Papworth et al. The difference with the Prostitutes Ngaoundere 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 were 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 26 councils for eights selected Prostitutes Ngaoundere not on hotspots levelfits of this Prostitutes Ngaoundere 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 Prostitutes Ngaoundere, as well as the minimum package of interventions for each Prostitutes Ngaoundere.

The current Prostitutes Ngaoundere estimated the number of FSWs that could be reached by service delivery providers working with FSWs in the eight cities with the highest priority for HIV prevention in the country.

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The results are expected to identify priority areas of Prostitutes Ngaoundere and guide the choice of community-based organizations Prostitutes Ngaoundere responsible for the implementation. Recommendations will serve for other HIV-related studies such as integrated biological and behavioral surveillance IBBS studies in the country.

Prostitutes Ngaoundere 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 Prostitutes Ngaoundere at the entire national level.

Implications of our 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 indicators for implementing agencies; and c sampling frame for operational studies. The Ministry of Public Prostitutes Ngaoundere in Cameroon has endorsed Prostitutes Ngaoundere estimates of FSWs for planning, budgeting, monitoring and evaluation of interventions in Cameroon in subsequent years [ 27 — 29 ].

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Open Access. We also Prostitutes Ngaoundere the editor and four anonymous reviewers whose constructive comments led to an improvement of the previous version of this paper.

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