Introduction The incidence of reported sexually transmitted infections (STIs) in Morocco is over than 350.000 per year. The management of cases is based on syndromic approach especially in women. While female sex workers (FSWs) are assumed to be at increased risk of STIs, there are limited comparative data with other population groups available. Two studies have been conducted between 2013–2014 in different cities in Morocco in order, to explore the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhoeae (GC), and Trichomonas vaginalis (TV) among FSWs and to compare them with prevalences found in women consultant in family planning units (FPU).
Methods A simple of 519 FSWs and 537 asymptomatic women consultant in FPU was recruited in basic health services and NGOs. All consenting FSWs and women consultant in FPU underwent pretest counselling and provided socio demographic and behavioural data using a structured questionnaire. The women were also asked to provide vaginal and cervical specimens to detect the respective STIs. GC identification was performed by culture and PCR, CT was detected by PCR and TV was detected by culture.
Results The prevalence of CT, GC, and TV were 20,7%, 9,35%, and 13,3%, respectively, in the FSWs, compared with 3%, 0,4%, and 5,6% respectively in the women consultant in FPU. These results show a high prevalence of CT, GC and TV in Moroccan FSWs than women consultant in FPU.
Conclusion Most STIs prevalences are lower in comparison with prevalences found for FSWs in other countries. However, the National Aids Program conclude that continued close monitoring of the prevalence of CT, GC and TV infection in FSWs is important for preventing the dissemination of these microorganisms, and that further investigation of CT as a sexually transmitted pathogen in women is needed.