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Understanding the Broader Sexual and Reproductive Health Needs of Female Sex Workers in Dhaka, Bangladesh

2015; Guttmacher Institute; Volume: 41; Issue: 04 Linguagem: Inglês

10.1363/4118215

1944-0405

Karen Katz, Misti McDowell, Mackenzie Green, Shamim Ara Jahan, Laura Johnson, Mario Chen,

HIV/AIDS Research and Interventions

Little is known about the sexual and reproductive health care needs of female sex workers in Dhaka, Bangladesh.Survey data were collected from 354 hotel-based and 323 street-based female sex workers using a venue-based stratified cluster sampling approach. In addition, in-depth interviews were conducted with 20 female sex workers recruited from drop-in centers. We calculated unmet need for family planning and examined fertility desires, use of condoms and other contraceptive methods, experiences with gender-based violence, sexual and reproductive health service needs, and preferences on where to receive services.The prevalence of unmet need was 25% among hotel-based female sex workers and 36% among street-based female sex workers. Almost all participants reported having used condoms in the past 30 days, and 44% of hotel-based sex workers and 30% of street-based sex workers reported dual method use during that period. Condom use was inconsistent, however, and condom breakage and nonuse for extra money were common. Many women reported experiencing gender-based violence. Sexual and reproductive health services had been obtained by 64% of hotel-based and 89% of street-based sex workers in the past six months; drop-in centers were their preferred site for receiving health services.Female sex workers in Dhaka need family planning and other sexual and reproductive health services and prefer receiving them from drop-in centers.