Integrated bio-behavioral surveillance survey on street involved children and youth in Kathmandu valley: Round I.

Integrated bio-behavioral surveillance survey on street involved children and youth in Kathmandu valley: Round I. - c2016. - x,78p.

Research Report.

SUMMARY: Introduction Intrepid Nepal (INPL) carried out this Integrated Biological and Behavioral Surveillance (IBBS) survey under the leadership of the National Center for AIDS and STD Control (NCASC) with financial support from Save the Children International, Nepal. This is the first round of the IBBS Survey conducted among street involved children and youths in three districts in the Kathmandu Valley of Nepal. This survey is a part of the National HIV Surveillance Plan (2012) and National HIV and AIDS Strategy (2011-2016). The first round of the survey was undertaken to determine the prevalence of HIV infections and to assess the sexual and/or injecting behaviors related to HIV among street involved children and youths in the Kathmandu Valley. Methodology The present survey was conducted using serial cross-sectional method. For the purpose of this survey, the definition of street involved children and youth was "Street involved children and youths aged 10 to 24 years. The survey included both "children and youths of the street" and "children and youths on the street". Children and youths of the street are homeless children who live and sleep on the streets in urban areas. Children on the street earn their living or beg for money on the street and return home at night." A two-stage cluster sampling method was used to recruit 350 street involved children and youths from Kathmandu Valley. Two sampling techniques viz. facility based and cluster sampling were used for this. Mapping of the possible participants was done to estimate the size. Based on the estimated size, enrollment of representative sample from facilities and streets was decided. A site or hotspot with at least 40 street involved children and youths was defined as a cluster for the street based. To make sure of proper representation of the survey population, 10 out of 18 clusters were selected from street based. Similarly, for the facility based, six facilities out of 10 were selected. In the second stage, at least 10 participants were selected from each street based cluster and at least 30 from facility based cluster. The research was conducted in compliance with both ethical and human rights standards. Ethical approval for this survey was received from Nepal Health Research Council. Informed consent was obtained in the presence of a witness, who signed on behalf of the street involved children and youths prior to the interview and collection of blood samples. Survey centers with laboratories/clinics were set up at easily accessible locations in each survey district for street based. Regarding facility based, laboratories/clinics were set up at surveyed facility sites. Individual interviews, clinical examinations, and blood collection were carried out in separate rooms at each of the survey centers. Laboratory Methods For HIV test, Determine HIV 1/2 was used as the primary method for detecting HIV antibodies. If the first test presented a negative result, no further tests were conducted. Introduction Intrepid Nepal (INPL) carried out this Integrated Biological and Behavioral Surveillance (IBBS) survey under the leadership of the National Center for AIDS and STD Control (NCASC) with financial support from Save the Children International, Nepal. This is the first round of the IBBS Survey conducted among street involved children and youths in three districts in the Kathmandu Valley of Nepal. This survey is a part of the National HIV Surveillance Plan (2012) and National HIV and AIDS Strategy (2011-2016). The first round of the survey was undertaken to determine the prevalence of HIV infections and to assess the sexual and/or injecting behaviors related to HIV among street involved children and youths in the Kathmandu Valley. Methodology The present survey was conducted using serial cross-sectional method. For the purpose of this survey, the definition of street involved children and youth was "Street involved children and youths aged 10 to 24 years. The survey included both "children and youths of the street" and "children and youths on the street". Children and youths of the street are homeless children who live and sleep on the streets in urban areas. Children on the street earn their living or beg for money on the street and return home at night." A two-stage cluster sampling method was used to recruit 350 street involved children and youths from Kathmandu Valley. Two sampling techniques viz. facility based and cluster sampling were used for this. Mapping of the possible participants was done to estimate the size. Based on the estimated size, enrollment of representative sample from facilities and streets was decided. A site or hotspot with at least 40 street involved children and youths was defined as a cluster for the street based. To make sure of proper representation of the survey population, 10 out of 18 clusters were selected from street based. Similarly, for the facility based, six facilities out of 10 were selected. In the second stage, at least 10 participants were selected from each street based cluster and at least 30 from facility based cluster. The research was conducted in compliance with both ethical and human rights standards. Ethical approval for this survey was received from Nepal Health Research Council. Informed consent was obtained in the presence of a witness, who signed on behalf of the street involved children and youths prior to the interview and collection of blood samples. Survey centers with laboratories/clinics were set up at easily accessible locations in each survey district for street based. Regarding facility based, laboratories/clinics were set up at surveyed facility sites. Individual interviews, clinical examinations, and blood collection were carried out in separate rooms at each of the survey centers. Laboratory Methods For HIV test, Determine HIV 1/2 was used as the primary method for detecting HIV antibodies. If the first test presented a negative result, no further tests were conducted.


Integrated bio-behavioral surveillance.
Street involved children.
Kathmandu valley.

RES00785

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