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OBJECTIVES: To determine the effect of counselling on condom use by prostitutes. DESIGN: Cohort study. SETTING: Field-based study in The Gambia. PARTICIPANTS: Thirty-one (12 HIV-positive and 19 HIV-negative) prostitutes. INTERVENTIONS: Post-test HIV counselling. MAIN OUTCOME MEASURES: Levels of condom use. RESULTS: Overall, counselling had no effect on condom use. CONCLUSIONS: Scarce resources should be directed towards providing condoms in bars rather than counselling.

Original publication




Journal article



Publication Date





271 - 273


Africa, Africa South Of The Sahara, Barrier Methods, Behavior, Clinic Activities, Comparative Studies, Condom, Contraception, Contraceptive Methods, Contraceptive Usage, Counseling, Developing Countries, English Speaking Africa, Family Planning, Gambia, Organization And Administration, Pre-post Tests, Program Activities, Program Evaluation, Programs, Prostitutes--women, Research Methodology, Sex Behavior, Studies, Western Africa, Cohort Studies, Condoms, Counseling, Female, Gambia, HIV Infections, HIV Seropositivity, Humans, Male, Sex Work, Time Factors