Final report : `can family planning programs serve the reproductive health needs of special groups of high risk women?"

protect registered prostitutes from HIV infection; (2) reduce the prevalence of infection from sexually transmitted diseases in the target population; (3) increase condom use; (4) increase knowledge about AIDS; (5) improve the quality of contraceptives; and (6) provide gynecological services, including prompt treatment of genital ulcers and cancer testing. The project included educational activities, a reproductive health service, and free condom distribution. According to this final project report, over 96% of the more than 630 registered prostitutes in Callao attended at least one educational session. Over 1.1 million condoms were distributed in slightly over one year, and condom use increased greatly among the women. Four HIV positive women were detected, two at the baseline prevalence survey, and two more during the period of the intervention. A major remaining barrier to condom use is that many clients refuse to use them. The project has been continued with funding from the centrally-funded AIDSTECH project, and the San Marcos University Institute of Tropical Medicine has become a national AIDS testing center.