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Few studies have investigated health services delivery and occupational and sexual exposures to HIV/AIDS and other sexually transmitted diseases (STDs) among healthcare workers. This study was designed to examine whether services and exposures were different among healthcare workers in Zambia, Nepal, and Thailand. A self-administered questionnaire was completed in medical offices, hospitals, clinics, field settings, and airports by 671 healthcare workers in Zambia, Nepal, and Thailand. Chi-square analysis of differences and t-tests of means were used to assess differences among occupations. Three-quarters of healthcare workers were female and an average of 25 years of age. There were also great differences in occupations among healthcare workers in the countries with similar cultures. Further analyses showed that 10.3% of healthcare workers in the three countries had had an STD or tuberculosis (TB). Health inspection agencies' records revealed that the percentage of healthcare workers with a positive HIV test was almost 100% in Zambia and Nepal but only 26.2% in Thailand. Occupational and sexual exposures were different among healthcare workers, and indicated that the health services delivery model and working environment were different. These results highlight the need for training and education of healthcare workers and also the need for research to prevent occupational and sexual exposures to HIV/AIDS and other STDs.Q:
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