【摘 要】
：
Heterosexual contact is most common mode of transmission of sexually transmitted infections (STIs) including HIV in Nepal and it is largely linked to sex work.We assessed the non-use of condoms with i
【机 构】
：
Nobel Medical College Nepal
【出 处】
：
BIT`s 1st International Congress of Gynaecology and Obstetri
论文部分内容阅读
Heterosexual contact is most common mode of transmission of sexually transmitted infections (STIs) including HIV in Nepal and it is largely linked to sex work.We assessed the non-use of condoms with intimate sex partners by female sex workers (FSWs) and the associated self-efficacy to inform the planning STI/HIV prevention programme in the general population.This paper is based on a qualitative study of FSWs in Nepal.In-depth interviews and extended field observation were conducted 15 FSWs in order to explore issues of safe sex and risk management in relation to their work place, health and individual behaviours.The main risk factors identified for the related to non-use of condoms with husband, boyfriends and regular clients was low self-efficacy.It undermines prevention efforts on HIV/STIs and increases FSWs vulnerability to HIV transmission in several ways.Moreover, FSWs run the health risk of non-use of condoms and sexual health services.Non-use of condoms with husband and boyfriends place them at risk of STIs including HIV.In addition to intimidation and violence from the police, clients and intimate partners, clients resistance and lack of negotiation capacity were identified as barriers in using condoms by the FSWs.This study sheds light on the live and work of FSWs in Nepal.This information can be used by both the Government of Nepal and Non Governmental organisation (INGO) to help improve the position of FSWs in the community, their general well-being and to reduce their risk at work.
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