Sexual and Reproductive Health Services Utilization by Female Sex Workers is Context-Specific: Results From a Cross-Sectional Survey in India, Kenya, Mozambique and South Africa

March 2017 - Structural Prevention

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Lafort, Y., Greener, R., Roy, A., et al. Reproductive Health (January 2017), 14(1):13, doi:10.1186/s12978-017-0277-6.

This paper shared results from the cross-sectional baseline survey of the Diagonal Interventions to Fast-Forward Enhanced Reproductive Health implementation research project on female sex workers' (FSWs) use of sexual and reproductive health (SRH) services (looking specifically at use of contraceptive methods [hormonal, intrauterine device, or sterilization] and services for cervical cancer screening, unwanted pregnancies, and sexual violence). The FSWs were recruited from Durban, South Africa (n=400), Mombasa, Kenya (n=400), Mysore, India (n=458) and Tete, Mozambique (n=308). Findings varied considerably across cities, after controlling for socioeconomic characteristics. Current use of any modern contraception ranged from 86.2 percent in Tete to 98.4 percent in Mombasa. Non-barrier contraception use varied from 33.4 percent in Durban to 85.1 percent in Mysore. The proportion ever screened for cervical cancer ranged from 0.0 percent in Tete to 29.0 percent in Durban; the proportion that had ever gone to a facility to terminate an unwanted pregnancy ranged from 15.0 percent in Durban to 93.7 percent in Mysore. Between 34.4 percent (Mombasa) and 51.9 percent (Mysore) had sought medical care after forced sex. The authors concluded that differences in results may reflect variations in the availability and accessibility of SRH services. They concluded that intervention packages to improve use of contraceptives and SRH services should be tailored to local gaps.

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