Increases in self-reported consistent condom use among male clients of female sex workers following exposure to an integrated behaviour change programme in four regions of Cameroon.

As part of HVP-Cameroon AIDS Initiative, a behaviour change communication programme sought to increase consistent condom use (CCU) among male clients of female sex workers (FSWs) in four Cameroonian regions through the use of outdoor static promotional materials, interpersonal communication and mid-media activities. This paper presents key findings related to programme coverage levels, trends over time in self reported condom use, and correlations between levels of exposure to programme activities and self-reported condom use.
Methods
Five stratified two-stage cluster sample surveys were conducted between April 2008 and November 2010 (sample sizes ranged from 1741 to 2041). The independent samples were composed of clients of FSWs in selected clusters. Multivariate logistic regression was used to model whether behavioural outcomes varied between baseline and endline, and whether they varied with levels of exposure to the intervention.
Results
Over two-thirds of men in each survey round recalled one or two of the main intervention channels. An increase in CCU with FSWs was found between baseline and endline (63.6% vs 86.5; p<0.01). Men exposed to two intervention channels reported higher CCU than men exposed to none or only static outdoor media (89.4% vs 82.0%, p<0.05).