Following two successful rounds of integrated biological and behavioural surveillance (IBBS) surveys in 2008 and 2014, the International Organization for Migration (IOM) undertook a third IBBS survey in 2017. In collaboration with the Somaliland National AIDS Commission, Ministry of Health and UNICEF, IOM undertook the survey with vulnerable women and clients, including uniformed personnel and truckers.  This study provides trend data for vulnerable women in Hargeisa, by establishing a third data point for HIV surveillance with the same population, over nine years.


Executive summary

  • Background
  • Methodology
  • Findings
  • Conclusion and recommendations

1. Introduction

1.1. Background
1.2. Previous IBBS studies in Somaliland
1.3. IBBS justification
1.4. Study objectives
2. Methodology
2.1. Formative research stage
2.2. Study sites and target population
2.3. Study design and sampling techniques
2.4. Sample size
2.5. Operational definition of key terms and target populations
2.6. Eligibility
2.7. Screening for eligibility
2.8. Study variables
2.9. Population size estimation
2.10. Data collection
2.11. Compensation for respondent’s travel and time
2.12. HIV and syphilis testing
2.13. Testing quality assurance
2.14. Training of research field team
2.15. Data analysis
2.16. Ethical considerations
3. Findings
3.1. Vulnerable women
3.2. Uniformed personnel
3.3. Truckers
4. Discussion
4.1. Sociodemographic characteristics and HIV/syphilis prevalence
4.2. Somaliland IBBS key indicator trends
4.3. Comparison of key indicators across Hargeisa uniformed personnel and truckers surveys

5. Conclusion

6. Limitations of the study

7. Recommendations

Region/Country (by coverage)