Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health

Reproductive Health

Research

Carrie Lyons¹  Nuria Gallego Marquez¹  Nika Elmi¹  Gnilane Turpin¹  Stefan Baral¹  Katherine Rucinski²  Emile Gouane³  Evelyne Obodou³  Daouda Diouf⁴  Ibrahima Ba⁴  Nguissali Turpin⁴ 

[1] Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA;Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA;Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA;ENDA Santé Côte d’Ivoire, Abidjan, Côte d’Ivoire;ENDA Santé, Dakar, Senegal;

关键词: HIV;    Reproductive health;    Unintended pregnancy;    Sex work;    STI;    Contraception;   

DOI  :  10.1186/s12978-023-01659-z

 received in 2023-06-12, accepted in 2023-07-30,  发布年份 2023

来源: Springer

【 摘 要 】

The sexual and reproductive health needs of female sex workers (FSW) are often understudied and underserved in the context of HIV-related research in countries across Sub-Saharan Africa and West Africa. We assessed the lived experiences of FSW across Côte d’Ivoire to characterize unmet reproductive health needs and opportunities to address them. From February-August, 2020, ENDA Santé, Côte d’Ivoire conducted 75 in-depth interviews and 15 focus group discussions with FSW and community informants in five cities in Côte d'Ivoire. Themes that emerged included the inconsistent use of contraception services, a history of unintended pregnancies, and experiences of stigma at public healthcare facilities. Opportunities to increase the impact of both SRH and HIV services included strengthening existing HIV and family planning service integration for FSW. Taken together, the results highlight the importance of addressing the unmet reproductive health needs of FSW to both optimize the HIV response and increase the delivery of human-rights affirming sexual and reproductive health services for sex workers.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023