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|Title: ||HIV epidemic in Far-Western Nepal: effect of seasonal labor migration to India|
|Authors: ||Vaidya, Naveen K|
|Issue Date: ||13-May-2011|
|Publisher: ||BioMed Central, United Kingdom|
|Citation: ||Vaidya, N. V., & Wu, J. (2011). HIV epidemic in Far-Western Nepal: effect of seasonal labor migration to India. BMC Public Health, 11 (310). doi:10.1186/1471-2458-11-310|
|Abstract: ||Background: Because of limited work opportunities in Nepal and the open-border provision between Nepal and India, a seasonal labor migration of males from Far-Western Nepal to India is common. Unsafe sexual activities of these migrants in India, such as frequent visits to brothels, lead to a high HIV prevalence among them and to a potential transmission upon their return home to Nepal. The present study aims to evaluate the role of such seasonal labor-migration to India on HIV transmission in Far-Western Nepal and to assess prevention programs.
Methods: An HIV epidemic model was developed for a population in Far-Western Nepal. The model was fitted to the data to estimate the back and forth mobility rates of labor-migrants to India, the HIV prevalence among
migrants and the HIV transmission rate in Far-Western Nepal. HIV prevalence, new infections, disease deaths and HIV infections recruited from India were calculated. Prevention programs targeting the general population and the migrants were evaluated.
Results: Without any intervention programs, Far-Western Nepal will have about 7,000 HIV infected individuals returning from India by 2015, and 12,000 labor-migrants living with HIV in India. An increase of condom use
among the general population from 39% to 80% will reduce new HIV infections due to sexual activity in Far-Western Nepal from 239 to 77. However, such a program loses its effectiveness due to the recruitment of HIV
infections via returning migrants from India. The reduction of prevalence among migrants from 2.2% to 1.1% can bring general prevalence down to 0.4% with only 3,500 recruitments of HIV infections from India.
Conclusion: Recruitment of HIV infections from India via seasonal labor-migrants is the key factor contributing to the HIV epidemic in Far-Western Nepal. Prevention programs focused on the general population are ineffective.Our finding highlights the urgency of developing prevention programs which reduce the prevalence of HIV among
migrants for a successful control of the HIV epidemic in Far-Western Nepal.|
|Project Number: ||104519|
|Project Title: ||International Research Chairs Initiative (IRCI)|
|Appears in Collections:||IDRC Research Results / Résultats de recherches du CRDI|
Modelling and controlling infectious diseases / Se servir de la modélisation pour lutter contre les maladies infectieuses
2010-2019 / Années 2010-2019
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