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These policies have succeeded because stakeholders government, managers, commercial sex workers CSWs , clinics, and other interested groups have been willing to put aside their individual goals and focus on the greater good for all. The situational and cultural barriers that these strategies address have moved the science of HIV intervention forward. The STI prevalence measure displayed in Table 1 was coded by the research assistant: 1, infection present during 8 months of data collection; 0, no infection present; and 8, infection status unknown. Table 5 Multinomial logistic regression model predicting alcohol use in risk situation 1. An ecological perspective on health promotion programs. Our analyses reinforce accumulating evidence in the field that sexual risk reduction interventions need to go beyond the behaviors of individual FCSWs to meet the layering of risks such as observed in this study. Religion plays an important role in the lives of FCSWs, and most claimed to have a strong belief in God.

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