Influence Of Socio Demographic Factors of Female Sex Workers on Utilizations of Sexual Reproductive Health Services
Loading...
Date
2021
Authors
Bwabi, Beatrice Nangekhe
Kieru, Jane
Kodhiambo, Maurice
Journal Title
Journal ISSN
Volume Title
Publisher
ijsrp
Abstract
Female Sex Workers (FSWs) are key population due to their vulnerability arising from their behavior, society stigma, and discriminative laws that hinder them from acquiring preventive and curative health services. Prostitution is a big industry with 40 to 42 million persons globally 75% aged 13-25years and 80% of them being female sex workers. According to Odek, Githuka and Avery mapping in 2014, Kenya hosts 10670 hot spots of about 138420 female sex workers despite the government ban on sex work in 2017 under section 153 and 154 of the penal code. Nairobi City County accounts to 25% of the female sex workers in Kenya. Kenya falls in Sub Saharan country where highest risks of deaths result from HIV, unsafe abortions and unskilled deliveries. Female sex workers who form 5% of the women of reproductive age are at risk to sexual reproductive health complications since they are unable to negotiate for safe sex and seek prompt health services or legal interventions. 31% of maternal deaths in Nairobi are attributed to unsafe abortions while HIV prevalence among FSWs is 29.3% more than 4 times the prevalence in the general population in Nairobi. The study specific objectives included: to determine the influence of socio demographic characteristics on SRHs utilization among FSWs, to assess the association of knowledge on SRHs and utilization among FSWs, to establish the perception of FSWs on SRHs utilization and to determine barriers faced by FSWs while accessing SRHs in Nairobi County. Critical Medical Anthropology Theory that explains ways in which health services are differentially allocated based on social factors and perceptions was used to conceptualize the frame work for association of variables. The determination of sample size was conducted through Fisher et al formulae and attrition rate of 10%, which added to 421 respondents. Data collection was done both qualitatively and quantitative through structured questionnaires, focused group discussion and key informants. The data was cleaned, coded, entered into the SPSS software version 22. The study found out that social demographic characteristics have a relationship with utilization of sexual and reproductive health services through the Chi-Square test of independence (P=0.01<0.05). The study established that knowledge had a significant relationship with utilization of sexual and reproductive health services as shown by the Chi-Square test of independence (P=0.01<0.05).
Description
article
Keywords
Female sex workers, sexual reproductive health services, socio demographic factors, Key population, Nairobi City County