Following two successful rounds of integrated biological and behavioural surveillance (IBBS) surveys in 2008 and 2014 in Somaliland, the International Organization for Migration (IOM) undertook a third survey in 2017. In collaboration with the AIDS Commission, Ministries of Health and UNICEF, IOM undertook the survey with sex workers and clients, including uniformed personnel, port workers and truckers across three cities in Somalia – Hargeisa, Bossaso and Mogadishu. 


Executive summary

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. Eligibility2.7. Screening for eligibility
2.8. Study variables
2.9. Population size estimation
2.10. Data collection
2.11. Compensation for respondents’ 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. Mogadishu female sex workers
3.2. Mogadishu uniformed personnel
3.3. Mogadishu port workers
3.4. Mogadishu truckers
3.5. Bossaso female sex workers
3.6. Bossaso uniformed personnel
3.7. Bossaso port workers
3.8. Bossaso truckers
4. Discussion
4.1. Sociodemographic characteristics and HIV/syphilis prevalence
4.2. Comparison of key indicators across Mogadishu and Bossaso study groups

5. Conclusion

6. Limitations of the study

7. Recommendations

Region/Country (by coverage)