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|Title: ||MAGNITUDE OF AND FACTORS ASSOCIATED WITH MALE CONDOM USE AND FAILURE RATE AMONG COMMERCIAL SEX WORKERS OF BAHIR DAR TOWN LICENSED NON–BROTHEL ESTABLISHMENTS, ETHIOPIA.|
|Authors: ||Alemayehu, Admassu (MD)|
|Advisors: ||Dr. Mesfin Addise|
Dr. Abera Kume
|Copyright: ||2004 |
|Date Added: ||22-Apr-2008 |
|Publisher: ||Addis Ababa University|
|Abstract: ||Introduction: The most predominantly practiced HIV prevention strategy in Ethiopia is the
“ABC” approach. However, only the ‘use condom’ approach can practically be applied to
sex workers. If condoms used consistently and properly, and don’t break or slip off during
sexual intercourse, they prevent the users from acquiring HIV infection and reduce its
transmission and slow the spread.
Objective: To asses the pattern of condom use and their effectiveness, and related factors.
Methodology: Study design was mainly a cross–sectional quantitative study,
complemented with a qualitative study, an in–depth interview.
Results: A total of 369 CSWs were interviewed. The proportion of CSWs who consistently
used condoms for three months and who put condoms onto their male clients’ penis at their
last sexual intercourse was found to be 85.6% and 35.8%, respectively. Using condoms for
contraception purpose had significant statistical association with consistent condom use
behavior of sex workers (OR=6.6, 95%CI, 2.3–18.9). The prevalence of condom breakage
and slippage at the last sexual intercourse were found to be 4.4%, and 1.5%, respectively.
Prolonged sexual intercourse was the only factor believed by almost all IDI participants to
cause condom breakage. Trying to continue sexual intercourse after ejaculation and starting
sex before a penis being erected properly were believed by IDI participants to cause
Discussion: Our consistent condom use finding was grossly similar with that of 2002/BSS
finding (85.6% vs. 90.2%). Higher proportion of consistent condom users was observed
among Bahir Dar sex workers compared to other study findings like that of Mathias et al
1998 (85.6% vs. 40%). The statistical association between consistent condom use and
condom use for contraception purpose was also observed in Mathias et al 1998 research
(65.3% among condom users vs. 24% among non-users, p<0.001)
Conclusion: This study has demonstrated both high proportion of consistent condom use
and an encouraging participation of CSWs in putting on condoms to their clients.
Keywords: Consistent condom use, Condom breakage, Condom slippage, Commercial sex
workers, licensed non-brothel establishments, Non-vaginal sex.|
|Description: ||THESIS SUBMITTED TO THE FACULTY OF MEDICINE ADDIS ABABA UNIVERSITY IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTERS OF PUBLIC HEALTH.|
|Appears in:||Thesis - Public Health|
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