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

Abstract The 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 repr...

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Main Authors: Nika Elmi, Nuria Gallego Marquez, Katherine Rucinski, Carrie Lyons, Gnilane Turpin, Ibrahima Ba, Nguissali Turpin, Emile Gouane, Evelyne Obodou, Daouda Diouf, Stefan Baral
Format: Article
Language:English
Published: BMC 2023-09-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-023-01659-z
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author Nika Elmi
Nuria Gallego Marquez
Katherine Rucinski
Carrie Lyons
Gnilane Turpin
Ibrahima Ba
Nguissali Turpin
Emile Gouane
Evelyne Obodou
Daouda Diouf
Stefan Baral
author_facet Nika Elmi
Nuria Gallego Marquez
Katherine Rucinski
Carrie Lyons
Gnilane Turpin
Ibrahima Ba
Nguissali Turpin
Emile Gouane
Evelyne Obodou
Daouda Diouf
Stefan Baral
author_sort Nika Elmi
collection DOAJ
description Abstract The 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.
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spelling doaj.art-43bb4bafa40244babe72ae3dc697da242023-11-26T13:30:45ZengBMCReproductive Health1742-47552023-09-0120111010.1186/s12978-023-01659-zMeeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified healthNika Elmi0Nuria Gallego Marquez1Katherine Rucinski2Carrie Lyons3Gnilane Turpin4Ibrahima Ba5Nguissali Turpin6Emile Gouane7Evelyne Obodou8Daouda Diouf9Stefan Baral10Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public HealthCenter for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public HealthCenter for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public HealthCenter for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public HealthCenter for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public HealthENDA SantéENDA SantéENDA Santé Côte d’IvoireENDA Santé Côte d’IvoireENDA SantéCenter for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public HealthAbstract The 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.https://doi.org/10.1186/s12978-023-01659-zHIVReproductive healthUnintended pregnancySex workSTIContraception
spellingShingle Nika Elmi
Nuria Gallego Marquez
Katherine Rucinski
Carrie Lyons
Gnilane Turpin
Ibrahima Ba
Nguissali Turpin
Emile Gouane
Evelyne Obodou
Daouda Diouf
Stefan Baral
Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health
Reproductive Health
HIV
Reproductive health
Unintended pregnancy
Sex work
STI
Contraception
title Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health
title_full Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health
title_fullStr Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health
title_full_unstemmed Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health
title_short Meeting the reproductive health needs of female sex workers in Côte d’Ivoire: protecting the human right to dignified health
title_sort meeting the reproductive health needs of female sex workers in cote d ivoire protecting the human right to dignified health
topic HIV
Reproductive health
Unintended pregnancy
Sex work
STI
Contraception
url https://doi.org/10.1186/s12978-023-01659-z
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