The 100% Condom Use Program: A demonstration in Wuhan, China

• Published in: Evaluation and program planning Vol. 31; no. 1; pp. 10 - 21
• Main Authors: Zhongdan, Chen, Schilling, Robert F., Shanbo, Wei, Caiyan, Cai, Wang, Zhou, Jianguo, Shan
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.02.2008; Elsevier
• Series: Evaluation and Program Planning
• Subjects: Acquired Immunodeficiency Syndrome - epidemiology; Acquired Immunodeficiency Syndrome - prevention & control; Adolescent; Adult; Age Distribution; AIDS; China; China - epidemiology; Chlamydia Infections - epidemiology; Chlamydia Infections - prevention & control; Communicable Disease Control - organization & administration; Condoms; Condoms - utilization; Confidence Intervals; Evaluation; Female; HIV Infections - epidemiology; HIV Infections - prevention & control; Humans; Incidence; Male; Odds Ratio; Prevention; Program Evaluation; Prostitutes; Risk Assessment; Safe Sex; Safe sexual practices; Sex Distribution; Sex education; Sex work; Sex Work - statistics & numerical data; Sexually transmitted diseases; Sexually Transmitted Diseases - epidemiology; Sexually Transmitted Diseases - prevention & control; STI; Syphilis - epidemiology; Syphilis - prevention & control; Prevention; AIDS; STI; Program evaluation; Sex work; China
• ISSN: 0149-7189; 1873-7870
• DOI: 10.1016/j.evalprogplan.2007.09.001

The 100% Condom Use Program (100% CUP) was evaluated in Wuhan, China. The program sought to increase knowledge of STI/HIV transmission, increase condom use rates, and reduce the prevalence of sexually transmitted infections (STIs) among sex workers (commercial sex workers (CSWs)), via condom availability and use policies in entertainment establishments and STI services including education and counseling. Entertainment establishment owners and CSWs participated in educational sessions and multiple community sectors were involved in the program. At baseline, 170 female CSWs were assessed, and 102 CSWs were assessed at the final 21-month follow-up. At 6-month follow-up, 95% of entertainment establishments were in compliance with 100% CUP policies. At 15 months, condoms were readily available in retail outlets, and condom use rates rose by 94.5%. Refractive rates of chlamydia and methodological limitations of the evaluation leave unanswered questions about the effectiveness of the program. Nonetheless, outcomes suggest that the 100% CUP may be a promising approach to HIV prevention in China.