Contraception uptake among Female Sex Workers (FSWs) in Sex Workers Outreach Program (SWOP) in Nairobi, Kenya

Inyama S.P, Kimani J, Ng’ang’a Z,Mbakaya C.FL, Gakii G.


Inyama S.P [1,2], Kimani J[2], Ng’ang’a Z[3],Mbakaya C.FL[4], Gakii G[5].

  1. Jomo Kenyatta University of Agriculture and Technology
  2. Kenya AIDS Control Project,
  3. Kenya Medical Research Institute (KEMRI)
  4. Prevention Manager, Sex Workers Outreach Programme
  5. Jomo Kenyatta University of Agriculture and Technology, College of Health Sciences

Corresponding Author: Sore Paul Inyama,Jomo Kenyatta University of Agriculture and Technology.Email; sorep2006@gmail.com


  Summary

Introduction: Female sex workers (FSWs) are often targeted by public health interventions designed to prevent sexually transmitted infections (STIs), including HIV. However, such targeted programs sometimes overlook the broader reproductive health needs of these women. As a result, inadequate attention has been paid to the issue of unintended pregnancy, another heightened reproductive health risk among sex workers because of their trade. This study was conducted to determine contraception prevalence and sex worker attitude towards contraception among female sex workers enrolled in sex workers outreach programme, Nairobi.

Methods: This was a descriptive cross-sectional study which utilized both quantitative and qualitative data collection methods. Systematic random sampling was used to select 385 female sex workers to whom a structured questionnaire was administered. Three Focus Group Discussions (FGDs) were then conducted among the female sex workers. Quantitative data was analyzed using SPSS IBM version 20 on descriptive and binary logistic regression. The level of significance was set at <0.05.Qualitative data was analyzed manually according to the thematic areas of study and later used in the discussion.

Results: Results indicated that 73.8% of the female sex workers were currently using contraception. Attitude statements towards contraception having associated with use of post exposure prophylaxis at p<0.05 during bivariate analysis were considered together in a multivariate analysis. Appropriate attitude on the statement that contraceptives are suitable for FSWs was significantly associated with current use of contraception method (AOR=145.33; 95% CI: 13.38–1578.57; p<0.001). Appropriate attitude on the statement that would use/recommend contraceptives for FSWs was significantly associated with current use of contraception method (AOR=66.93; 95% CI: 7.24 – 618.66; p<0.001). Appropriate attitude on the statement that wouldn’t mind contraception if client doesn’t want was significantly associated with current use of contraception method (AOR=27.31; 95% CI: 8.44 – 88.40; p<0.001). Appropriate attitude on the statement that importance of contraception overrides side effects was significantly associated with current use of contraception method (AOR=622.38; 95% CI: 2.82 – 137209.42; p=0.019).

Conclusion: The level of contraception use was generally high. However, condom was the most known and utilized contraceptive method. There is need for more awareness creation on the need for dual protection.

Key words: Contraception, dual protection.

Afr J Health Sci. 2015; 28(1):213-215

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