Emerging trends in contraceptive use, transitions and preferences among female sex workers screened for an HIV prevention clinical trial in Kisumu, Kenya: a cross-sectional study

Gates Open Research

article

Dismas Oketch¹  Eunice C. Kaguiri²  Joseph O. Orinda¹  Grace Mboya¹  Phoebe Ogutu¹  Richard Lando¹  Carolyne Juma¹  Richard Ndivo¹  Daniel O. Ontieri¹  Philister A. Madiega¹  Fredrick Oloo¹  Jecinter Oruko¹  Rosemary Akello¹  Kelvin Wandera¹  Evans Odipo¹  Elizabeth Greene³  Philip Andrew³  Victor Mudhune¹  Victor Akelo¹ 

[1] Center for Global Health Research, Kenya Medical Research Institute;School of Medicine, Moi University;Science Facilitation, Family Health International

关键词: Contraceptive use;    long-acting reversible contraception;    female sex workers;    preferences;    trends;    sexual and reproductive health;    Kenya;   

DOI  :  10.12688/gatesopenres.13000.1

学科分类：电子与电气工程

来源: American Journal Of Pharmtech Research

【 摘 要 】

Background: Globally about 210 million women conceive annually and 38% of these pregnancies are unintended. Female sex workers (FSWs) are at increased risk of both unintended pregnancy and acquiring HIV, which could lead to adverse sexual and reproductive health (SRH) outcomes. We sought to assess contraceptive use or non-use, preferences and determinants among a cohort of FSWs screened for an HIV prevention clinical trial in Kisumu, Kenya. Methods: A cross sectional study of healthy FSWs referred for possible recruitment into the Antibody Mediated HIV Prevention (AMP) Study was conducted between December 2016 and September 2018. Potentially eligible participants were screened for HIV and data on social-demographic, contraceptive use and other SRH characteristics were collected. Those not on a method recorded their contraceptive preferences.   Results: Data on 210 FSWs with a median age of 24.5 years (interquartile range, IQR 22-26) are presented. Of these, 187 (89.1%) had two children or fewer; only 56 (26.7%) had completed secondary or higher education. At the time of the interview, 18 (8.6%) were HIV-infected and 181 (86.2%) were using a modern contraceptive. Implants (48.6%) and depot injections (37.6%) were the most commonly used methods. Most (41.4%) of those not on family planning preferred oral pills. Respondents who had two or more children were three times more likely than their primiparous and nulliparous counterparts to report use of a contraceptive. Use of modern contraception methods did not differ by respondent’s ownership of a medical insurance cover or other occupation. Conclusion: There is high use of modern contraception among FSWs in Kisumu with the majority using subdermal implants. Reproductive health programs should implement targeted SRH interventions for specific populations and risk groups. Effective contraceptive counselling and interventions among FSWs should consider the client’s parity and level of education.

【 授权许可】

CC BY