Reasons for non- use of condoms and self- efficacy among female sex workers: a qualitative study in Nepal

BMC Women's Health

Research Article

Rashmi Dahal¹  Edwin R van Teijlingen²  Laxmi Ghimire³  W Cairns S Smith³  Nagendra P Luitel⁴ 

[1] Institute of Medicine, Maharajgunj campus, Tribhuvan University, Kathmandu, Nepal;School of Health and Social Care, Bournemouth University, Royal London House, BH1 3LT, Bournemouth, UK;School of Medicine, Public Health Department, University of Aberdeen, Scotland, UK;Transcultural Psychosocial Organisation (TPO), Baluwatar Kathmandu, Nepal;

关键词: Human Immunodeficiency Virus;    Intimate Partner;    Sexually Transmitted Infection;    Regular Partner;    Regular Client;   

DOI  :  10.1186/1472-6874-11-42

 received in 2011-03-24, accepted in 2011-09-26,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundHeterosexual contact is the most common mode of transmission of sexually transmitted infections (STIs) including Human Immunodeficiency Virus (HIV) in Nepal and it is largely linked to sex work. We assessed the non-use of condoms in sex work with intimate sex partners by female sex workers (FSWs) and the associated self-efficacy to inform the planning of STI/HIV prevention programmes in the general population.MethodsThis paper is based on a qualitative study of Female Sex Workers (FSWs) in Nepal. In-depth interviews and extended field observation were conducted with 15 FSWs in order to explore issues of safe sex and risk management in relation to their work place, health and individual behaviours.ResultsThe main risk factor identified for the non-use of condoms with intimate partners and regular clients was low self efficacy. Non-use of condoms with husband and boyfriends placed them at risk of STIs including HIV. In addition to intimidation and violence from the police, clients and intimate partners, clients' resistance and lack of negotiation capacity were identified as barriers in using condoms by the FSWs.ConclusionThis study sheds light on the live and work of FSWs in Nepal. This information is relevant for both the Government of Nepal and Non Governmental Organisations (NGO) to help improve the position of FSWs in the community, their general well-being and to reduce their risks at work.

【 授权许可】

CC BY   
© Ghimire et al; licensee BioMed Central Ltd. 2011