Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health

Author:

Elmi Nika,Marquez Nuria Gallego,Rucinski Katherine,Lyons Carrie,Turpin Gnilane,Ba Ibrahima,Turpin Nguissali,Gouane Emile,Obodou Evelyne,Diouf Daouda,Baral Stefan

Abstract

AbstractThe sexual and reproductive health needs of female sex workers (FSW) are often understudied and underserved in the context of HIV-related research in countries across Sub-Saharan Africa and West Africa. We assessed the lived experiences of FSW across Côte d’Ivoire to characterize unmet reproductive health needs and opportunities to address them. From February-August, 2020, ENDA Santé, Côte d’Ivoire conducted 75 in-depth interviews and 15 focus group discussions with FSW and community informants in five cities in Côte d'Ivoire. Themes that emerged included the inconsistent use of contraception services, a history of unintended pregnancies, and experiences of stigma at public healthcare facilities. Opportunities to increase the impact of both SRH and HIV services included strengthening existing HIV and family planning service integration for FSW. Taken together, the results highlight the importance of addressing the unmet reproductive health needs of FSW to both optimize the HIV response and increase the delivery of human-rights affirming sexual and reproductive health services for sex workers.

Funder

National Institute of Mental Health

National Institute of Allergy and Infectious Diseases

Publisher

Springer Science and Business Media LLC

Subject

Obstetrics and Gynecology,Reproductive Medicine

Reference57 articles.

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2. Sully EA et al. Adding It Up: Investing in Sexual and Reproductive Health 2019, New York: Guttmacher Institute. 2020. https://www.guttmacher.org/report/adding-it-up-investing-in-sexual-reproductive-health-2019. Accessed 27 Dec 2022.

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