Ambatovy eBooks - page 15

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them. But generally, these employees’ sensitization activities and related reports were not a
priority compared to their main missions. This is why we cropped, during the presentation of the
results to these companies, the fact that their displaced employees are among the high risk groups in
terms of STD/HIV spreading. This is also why we put the emphasis on the recommendations.
In fact, the results of the audit and our analysis lead us to the following observations:
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Our targeted group was made of a big number of mobile men or men working far from their
home.
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Their HIV knowledge, especially sexual transmission and prevention by use of condoms, was
high.
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We have the evidence that among this targeted group, promiscuous people do not always
use condoms.
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Besides, these employees did not have full access to condoms
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And the HIV testing coverage was not absolute
The bias to be considered in the results of each company can go back to the fact that the random list
of 19 employees that we suggested was not always respected. Some companies respected it to their
best (KNE ARP, CAMC, SCHNEIDER, ANJARA, ASSIST, SARENS), but other companies had to fill in with
employees that they had available (COLAS, G4S, CIS, HFF); some companies made their own lists
(SCC, KNE APP, CIMELTA) after we explained that the study requires a random list.
We were pleasantly surprised that the employees’ knowledge level was remarkably high in terms of
HIV action on the human body, sexual transmission and prevention by use of condom. This
knowledge is effectively essential for our targeted group to be able to go to the next step of
preventive behavior adoption. These high levels can be explained by the fact that this information
are practically the key messages of the Toolbox and are practically in the employees’ environment
outside the sites.
We were not especially surprised that the knowledge level would be lower in other prevention
methods of sexual transmission such as Abstinence, Faithfulness or decrease the number of partners;
it is possible that the employees were not sufficiently educated on these topics or are not convinced
of them. Also, we recommended the inclusion of decrease of number of partners to the educational
topics of these employees. Indeed, from these employees/workers’ way of living, we learned about
their often tendency to change partners, which can even lead to perverse incentives in the
community.
We shared that the main HIV AIDS prevention’s targeted group of the Project is many mobile men or
men working far from their home, therefore, the wished behavior for this group is proper and
systematic use of condoms (). In order to maintain the knowledge scores at these high levels and to
improve other scores, here are a few recommendations.
Subcontractor Companies:
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Continue HIV Toolbox, integrate decreasing the number of partners
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Report these activities every month
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Ensure employees’ access to condoms
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Facilitate access to screening
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