title: Street children's vulnerability to HIV and sexually transmitted infections in Malawian cities.
abstract: BACKGROUND
  Street children have largely been ignored in the fight against HIV and AIDS. While some initiatives exist, the nature of street life, probably has not allowed viable interventions to be implemented. However, this is a group of people that could qualify as a "most at risk" group. This study set out to explore street children's vulnerability to sexual exploitation in the cities of Blantyre and Lilongwe in Malawi.
  
  
  OBJECTIVE
  The objective for this study was to explore street children's vulnerability to HIV and STIs infection.
  
  
  METHODS
  This qualitative study employed In-depth interviews with street children in the two main cities of Malawi. A total of 23 street children were interviewed.
  
  
  RESULTS
  The study strongly suggests that street children could be vulnerable to HIV and other sexually transmitted infections. This is due to various factors which include low knowledge levels of STI and HIV, high risk sexual practices, lack of safer place to spend their nights for both boys and girls rendering them vulnerable to sexual abuses and the use of sex as a tool to secure protection and to be accepted especially for the newcomers on the street.
  
  
  CONCLUSIONS
  This study highlights street children's vulnerability to sexual exploitation which predisposes them to risk of HIV and AIDS as well as Sexually Transmitted infections. Furthermore, the street environment offers no protection against such vulnerability. There is need to explore potential and context sensitive strategies that could be used to protect street children from sexual exploitation and HIV and AIDS infection.
authors.affiliation: Kamuzu College of Nursing, University of Malawi.
authors.forename: P
authors.initials: P
authors.lastname: Mandalazi
authors.forename: C
authors.initials: C
authors.lastname: Banda
authors.forename: E
authors.initials: E
authors.lastname: Umar
mesh_terms: D000293:Adolescent; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D002947:Cities; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D018453:Homeless Youth; D006801:Humans; D007407:Interviews as Topic; D008295:Malawi; D008297:Male; D036301:Qualitative Research; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D014505:Urban Population; D035862:Vulnerable Populations