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Reproductive Healthcare Needs of Sex Workers in Rural South Africa: A Community Assessment Cover

Reproductive Healthcare Needs of Sex Workers in Rural South Africa: A Community Assessment

Open Access
|Jun 2020

Figures & Tables

Table 1

Baseline characteristics of female sex workers in Limpopo Province, South Africa (N = 94).

N = 94
n (%)
Mean age in years +/– SD27.6 +/– 0.6
Mean age in years at first coitus +/– SD16.7 +/– 1.7
Education
No school6 (6.4)
Some primary school18 (19.1)
Some high school52 (55.3)
Completed high school18 (19.1)
College or more0 (0)
Status
HIV positive32 (34.0)
HIV status unknown/self-reported negative62 (66.0)
Sexual Partners
1–40 (0)
5–911 (11.7)
10–2010 (10.6)
>2046 (48.9)
Do not know24 (25.5)
No answer3 (3.2)
Contraception Use
None13 (13.8)
Condom use75 (79.8)
Other, no condom6 (6.4)

[i] SD – standard deviation.

Table 2

Awareness of specific Sexually Transmitted Infections among Female Sex Workers.

VariableHIV
(n = 94)
Chlamydia
(n = 94)
Gonorrhea
(n = 94)
Syphilis
(n = 94)
Hepatitis
(n = 94)
HPV
(n = 94)
CC risk*
(n = 94)
Knowledge, n (%)90 (95.7)4 (4.3)8 (8.5)4 (4.3)1 (1.1)3 (3.2)3 (3.2)
No Knowledge, n (%)4 (4.3)90 (95.7)86 (91.5)90 (95.7)93 (98.9)91 (96.8)91 (96.8)

[i] * CC – Cervical cancer risk from HPV.

Table 3

Focus Groups: Most Commonly Expressed Themes.

Biggest Concerns of FSWs“I am afraid of police, but not so much anymore because the police also buy us.”
“We worry we will not get the money that was agreed on before we start.”
“I am in a situation that forces me to do this…we need the money.”
“There are men who will hurt you…sometimes they will be drunk and abusive. [Many men] do not want to use condoms.”
Worried about her children being supported if she is hurt
Diseases through sex
Pressure of friends and housemates to do this job for money
How to Improve the FSW Community“We need jobs. I want a job so I can stop selling my body. [Some of us] don’t want to work as a sex worker anymore”
“There should be training for jobs. There are no jobs for someone like me here”
“I want to go back to school…maybe [then] I would not have to do this.”
“The government should protect sex workers…they can help us a specific place to stay and we can be safe with a salary each month.”
Safe and protected place to perform the job
Regular health care to check for diseases
Group meetings and working together for a support system
DOI: https://doi.org/10.5334/aogh.2706 | Journal eISSN: 2214-9996
Language: English
Published on: Jun 29, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Omara Afzal, Molly Lieber, Ann Marie Beddoe, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.