ArticleBMC women's health2018
Female sex workers experiences of using contraceptive methods: a qualitative study in Kenya.
Article in BMC women's health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 34 citations in OpenAlex.
- Assessment of risk compensation following use of the dapivirine vaginal ring in southwestern Uganda.Sexually transmitted infections · 2022Trial
- Difficulty accessing contraceptives in a 2010-2022 prospective cohort of sex workers in Vancouver, Canada: intersectional influence of im/migration status and racialization.Reproductive health · 2025Article
- Emergency Contraceptives Use Among Female Commercial Sex Workers in Tanzania: A Cross Sectional Study.The East African health research journal · 2025Article
- Dual contraceptive use and associated factors among female sex workers in Gulu City, Uganda in 2023.Tropical medicine and health · 2023Article
- Knowledge, Attitudes, and Practices of Sex Workers of Three South African Towns towards Female Condom Use and Contraceptives.Healthcare (Basel, Switzerland) · 2023Article
- Frequency and impact of long wait times for family planning in public-sector healthcare facilities in Western Kenya.Global health action · 2022Article
- Diagnosis and case finding according to key partner risk populations of people living with HIV in Nigeria: A retrospective analysis of community-led index partner testing services.EClinicalMedicine · 2022Article
- Barriers and facilitators for access and utilization of reproductive and sexual health services among Female Sex Workers in urban and rural Maharashtra, India.Frontiers in public health · 2022Article
- Women Who Sell Sex in Eastern and Southern Africa: A Scoping Review of Non-Barrier Contraception, Pregnancy and Abortion.Public health reviews · 2022Article
- Values and preferences of contraceptive methods: a mixed-methods study among sex workers from diverse settings.Sexual and reproductive health matters · 2021Article
- Future directions for HIV service delivery research: Research gaps identified through WHO guideline development.PLoS medicine · 2021Article
- Integrating Sexual and Reproductive Health Services Within HIV Services: WHO Guidance.Frontiers in global women's health · 2021Article
- Sexual and reproductive health among adolescent girls and young women in Mombasa, Kenya.Sexual and reproductive health matters · 2020Article
- "I did not plan to have a baby. This is the outcome of our work": a qualitative study exploring unintended pregnancy among female sex workers.BMC women's health · 2020Article
- Comparison of HIV Risk Behaviors Between Clinical Trials and Observational Cohorts in Uganda.AIDS and behavior · 2020Observational
- Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya.BMC public health · 2020Article
- Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study.Global health, science and practice · 2020Article
- HIV pre-exposure prophylaxis for female sex workers: ensuring women's family planning needs are not left behind.Journal of the International AIDS Society · 2020Article
- Article
- Lived experience of unsafe abortion among commercial sex workers in Gedeo Zone, Southern Ethiopia: A phenomenological qualitative study.Women's health (London, England)Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundFemale Sex Workers (FSWs) are predisposed to a broad range of social, sexual and reproductive health problems such as sexually transmitted infections (STIs)/HIV, unintended pregnancy, violence, sexual exploitation, stigma and discrimination. Female sex workers have unmet need for contraceptives and require comprehensive Sexual and Reproductive Health (SRH) prevention interventions. Existing programs pay little attention to the broad sexual and reproductive health and rights of these women and often focus on HIV and other STIs prevention, care and treatment while neglecting their reproductive health needs, including access to family planning methods. The aim of this study is, therefore, to explore the experiences of female sex workers with using existing contraceptive methods, assess individual and health facility-level barriers and document inter-partner relationship in the use of contraceptives.
methodsWe focus on women aged 15-49, who reported current sex work, defined as 'providing sexual services in exchange for money or other material compensation as part of an individual's livelihood.'
resultsFindings reveal that while some FSWs know about modern contraceptives, others have limited knowledge or out rightly refuse to use contraceptives for fear of losing clients. The interaction with different client types act as a barrier but also provide an opportunity for contraceptive use among FSWs. Most FSWs recognize the importance of dual protection for HIV/STI and pregnancy prevention. However, myths and misconceptions, fear of being tested for HIV at the family planning clinic, wait time, and long queues at the clinics all act in combination to hinder uptake of contraceptives.
conclusionsWe recommend a targeted approach to address the contraceptive needs of FSWs to help remove barriers to contraceptive uptake. We also support the introduction of counseling services to provide information on the benefits of non-barrier contraceptive methods and thereby enhance dual use for both pregnancy and STI/HIV prevention.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.