Integrated Biological and Behavioural Surveillance Among Vulnerable Women in Hargeisa, Somaliland

Author/s: IOM, Somaliland National AIDS Commission (SOLNAC)
Language: English
Publication Type: Technical Report(External)

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HIV prevalence in Hargeisa, Somaliland is approximately 1 per cent according to recent antenatal care surveillance published by the World Health Organization. However, data among key populations at higher risk of HIV is minimal, with only one serosurvey ever undertaken in Hargeisa, with vulnerable women in 2008. In collaboration with the Somaliland National AIDS Commission and the Join UN Team on AIDS, the International Organization for Migration undertook an integrated biological and behavioural surveillance (IBBS) survey among vulnerable women in Hargeisa. The study showed that HIV prevalence among vulnerable women has remained five times higher compared with pregnant women in the general population, indicating they are an important population in the epidemiology of HIV in Somaliland, as well as a priority population for prevention, care and treatment services.


Executive summary

  • Background
  • Methods
  • Results
  • Conclusion and recommendations
1. Introduction
1.1. Somaliland context
1.2. Overview of the HIV epidemic in Somaliland
1.3. Formative assessment
1.4. Rationale

2. Research objectives

3. Methodology
3.1. Overview of RDS
3.2. Eligibility criteria for participant selection
3.3. Sample size
3.4. Behavioural questionnaire
3.5. HIV and STI testing

4. Data management and analysis

5. Survey disruption

6. Study diagnostics
6.1. Network properties
6.2. Convergence
6.3. Coupon rejection, recruiter information and reason for participation
7. Results
7.1. Interpreting the results
7.2. Sociodemographics
7.3. HIV and STI prevalence
7.4. Sexual history
7.5. Male condoms
7.6. Female condoms
7.7. STI symptoms and STI treatment seeking behaviour
7.8. Knowledge, opinions and attitudes
7.9. HIV testing
Region/Country (by coverage)