DOI: 10.36347/sasjs.2021.v07i04.011

Pages: 201-206

Background: Female sex workers (FSW) in India represents a vulnerable population with limited access to health care services. This study aims to determine the point prevalence of communicable and non-communicable diseases along with incidence of cervical precancers. Methodology: After house-to-house sensitization drive, FSW between the age 25-65 years attended a health-camp in a high-risk area. After informed consent, the women underwent general examination including blood pressure, cervical pap smear and routine blood investigations. Women with abnormal smears were recalled for Human papilloma Virus (HPV) screening and colposcopy. Counselling and follow-up check-ups were arranged for these women. Treatment was provided for the Sexually transmitted Infections (STI), hypertension, diabetes and anaemia. Results: Out of 66 women, 55% women were obese while 8% were underweight. Hypertension was seen in 31%, diabetes in 3% and anaemia in 84% women. 26 % women tested positive for syphilis and 3 % tested positive for HIV and Hepatitis B each. Treatment was given for trichomoniasis which was detected in 7 women (13%). Low-grade Squamous Intraepithelial Lesion (LSIL) was detected in 11(21%), High-grade Squamous Intraepithelial Lesion (HSIL) in 2(4%), 39(74%) were negative for intraepithelial malignancy and 1(1%) had inconclusive smear. Out of the 13 HSIL and LSIL, 7(54%) returned for HPV screening and colposcopy. Colposcopy was satisfactory and normal for all. All women were asked to return to the Institute for follow-up as per routine screening guidelines. Conclusion: The incidence of cervical precancer (LSIL and HSIL) was 24.5% (13/53). FSW need better access to health care including STI screening and cervical cancer screening.