Part time female sex workers in a suburban community in Kenya: a vulnerable hidden population

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In sub-Saharan Africa, female sex workers (FSWs) are a vulnerable high risk group for the acquisition and transmission of sexually transmitted infections (STI) and HIV. Objectives: To study parameters of sexual behaviour and knowledge of STI and HIV, to describe health seeking behaviour related to STI, and to measure the prevalence of gonorrhoea, Chlamydia, syphilis, and HIV-1, to provide baseline data for targeted STI and HIV prevention interventions. Methods: In a cross sectional survey with snowballing recruitment, between February and March 2000, 503 self identified FSWs in a suburb in Mombasa, Kenya, were interviewed with a structured questionnaire and screened for gonorrhoea, Chlamydia, syphilis, and HIV-1. Results: The mean number of sexual partners in the previous week was 2.8 (SD 1.6). The mean number of non-regular clients and regular clients in the previous week was 1.5 (1.0) and 1.0 (0.9) respectively. The median weekly income from sex work was $US15. A total of 337 (67%) women had an alternative income in the informal sector. 146 (29%) and 145 (45%) never used a condom with a client and non paying partner respectively. The prevalence of gonorrhoea, chlamydia, and syphilis was 1.8%, 4.2%, and 2.0% respectively. The overall HIV-1 sero prevalence was 30.6%. Conclusions: There is a large need for intensive STI and HIV prevention interventions in part time FSW. 

Authors & affiliation: 
M P Hawken (ICRH-Kenya), R D J Melis (ICRH-Kenya) and D T Ngombo (ICRH-Kenya)K Mandaliya (CPGH)M Temmerman (ICRH-Ghent)J Price (FHI USA) and G Dallabetta (FHI USA)L W Ng’ang’a (KEMRI
Ranking: 
PubMedID: 
12181465
Published In: 
Sex Transm Infect 2002; 78:271–273
Publication date: 
Thursday, August 8, 2002