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National Interim Summary Report. The integrated behavioral and biological assessments IBBAs are periodic cross-sectional surveys to measure the outcome and impact of Avahan interventions on district-wise community-based samples. Several STI prevalence studies using multiple diagnostic methods in community and clinic-based settings among FSWs in India from to have shown widely varying rates across different parts of the country. Globally, sexually transmitted infection STI rates are the highest among population subgroups such as sex workers with high rates of partner change and unprotected sex [ 1 — 4 ]. Several studies [ 30 — 33 ] have been conducted among sex workers to generate and test algorithms for diagnosing cervical infections through associations with sociodemographic, behavioral, clinical, and biological factors. However, only 12 participants were clinically diagnosed with genital ulcer disease GUD. The questionnaire and clinical data of participants were entered into CSPro 3. The physicians were trained to elicit signs of cervical infection cervical discharge, friability, or ectopy and pelvic inflammatory disease cervical motion or adnexal tenderness.

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