Background Reducing the burden of sexual transmitting infections (STIs) among key population group has a considerable role in prevention of HIV to the general population. Ethiopia is one of the sub Saharan African countries with high burden of HIV epidemic. As a response, Mekelle University provided comprehensive health care to prevent STIs/HIV prevention through its confidential STI clinics among 6550 female sex workers on selected hot spot areas.

Methods This study highlighted the experience of MU STI clinics on provision of health care interventions to the key population. Data were obtained from a register of female sex workers recorded for purpose of service provision at confidential STI clinics in Mekelle, Adigrat and Mekoni Ethiopia from April 2015 to September 30, 2018. A descriptive analysis of the services delivered to patients was performed.

Results The prevalence of STIs among the female sex workers increased from 4.5% in 2015 to 6.8% in FY 2018. Of the clients counseled and tested for HIV at the three confidential STI clinics; 77/4826 (1.59%), 42/3843 (1.09%) and 48/2116 (2.27%) at Mekelle, Adigrat and Meknoi were found to be reactive for HIV respectively. The possible reasons for the increment of STIs prevalence could be explained: a) due to the rapid expansion of the hot spot areas, b) the increased migration of young women from rural to urban, c) engagement of many young girls in many bars and pubs for commercial sex work activity.

Conclusion The overall prevalence of STIs and HIV was reported 6.8% and 1.5% respectively. The prevalence of HIV increased from 0.9% in 2015 to 1.1 in mid-2018 and STIs from 4.5% to 6.8% within the same period. Government in collaboration with the higher institutions and other relevant stakeholders need to further consider strengthening the preventive strategies of STIs and HIV among the key population and other vulnerable groups.

Disclosure No significant relationships.