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Contraceptive needs of female sex workers in Kenya: a cross-sectional study

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Abstract
Background and objectives Female sex workers (FSWs) are thought to be at heightened risk for unintended pregnancy, although sexual and reproductive health interventions reaching these populations are typically focused on the increased risk of sexually transmitted infections. The objective of this study of FSWs in Kenya is to document patterns of contraceptive use and unmet need for contraception. Methods This research surveys a large sample of female sex workers (N = 597) and also uses qualitative data from focus group discussions. Results The reported level of modern contraceptives in our setting was very high. However, like in other studies, we found a great reliance on male condoms, coupled with inconsistent use at last sex, which resulted in a higher potential for unmet need for contraception than the elevated levels of modern contraceptives might suggest. Dual method use was also frequently encountered in this population and the benefits of this practice were clearly outlined by focus group participants. Conclusion These findings suggest that the promotion of dual methods among this population could help meet the broader reproductive health needs of FSWs. Furthermore, this research underscores the necessity of considering consistency of condom use when estimating the unmet or undermet contraceptive needs of this population.
Keywords
Kenya, Contraception, Reproductive history, Female, Prostitution, CONSISTENT CONDOM USE, BEHAVIOR, MOMBASA, TRIAL, INTERVENTIONS

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Please use this url to cite or link to this publication:

Chicago
Sutherland, Elizabeth G, Jane Alaii, Sharon Tsui, Stanley Lüchters, Jerry Okal, Nzioke King’ola, Marleen Temmerman, and Barbara Janowitz. 2011. “Contraceptive Needs of Female Sex Workers in Kenya: a Cross-sectional Study.” European Journal of Contraception and Reproductive Health Care 16 (3): 173–182.
APA
Sutherland, E. G., Alaii, J., Tsui, S., Lüchters, S., Okal, J., King’ola, N., Temmerman, M., et al. (2011). Contraceptive needs of female sex workers in Kenya: a cross-sectional study. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE, 16(3), 173–182.
Vancouver
1.
Sutherland EG, Alaii J, Tsui S, Lüchters S, Okal J, King’ola N, et al. Contraceptive needs of female sex workers in Kenya: a cross-sectional study. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE. 2011;16(3):173–82.
MLA
Sutherland, Elizabeth G, Jane Alaii, Sharon Tsui, et al. “Contraceptive Needs of Female Sex Workers in Kenya: a Cross-sectional Study.” EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE 16.3 (2011): 173–182. Print.
@article{1860395,
  abstract     = {Background and objectives Female sex workers (FSWs) are thought to be at heightened risk for unintended pregnancy, although sexual and reproductive health interventions reaching these populations are typically focused on the increased risk of sexually transmitted infections. The objective of this study of FSWs in Kenya is to document patterns of contraceptive use and unmet need for contraception. Methods This research surveys a large sample of female sex workers (N = 597) and also uses qualitative data from focus group discussions. Results The reported level of modern contraceptives in our setting was very high. However, like in other studies, we found a great reliance on male condoms, coupled with inconsistent use at last sex, which resulted in a higher potential for unmet need for contraception than the elevated levels of modern contraceptives might suggest. Dual method use was also frequently encountered in this population and the benefits of this practice were clearly outlined by focus group participants. Conclusion These findings suggest that the promotion of dual methods among this population could help meet the broader reproductive health needs of FSWs. Furthermore, this research underscores the necessity of considering consistency of condom use when estimating the unmet or undermet contraceptive needs of this population.},
  author       = {Sutherland, Elizabeth G and Alaii, Jane and Tsui, Sharon and L{\"u}chters, Stanley and Okal, Jerry and King'ola, Nzioke and Temmerman, Marleen and Janowitz, Barbara},
  issn         = {1362-5187},
  journal      = {EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE},
  keyword      = {Kenya,Contraception,Reproductive history,Female,Prostitution,CONSISTENT CONDOM USE,BEHAVIOR,MOMBASA,TRIAL,INTERVENTIONS},
  language     = {eng},
  number       = {3},
  pages        = {173--182},
  title        = {Contraceptive needs of female sex workers in Kenya: a cross-sectional study},
  url          = {http://dx.doi.org/10.3109/13625187.2011.564683},
  volume       = {16},
  year         = {2011},
}

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