246415 Increasing safe sex behavior among female sex workers (FSW) through promotion of female condoms (FC) in three states of India

Tuesday, November 1, 2011: 9:00 AM

Kali Prosad Roy , Research & Metrics Department, Population Services International, New Delhi, India
Amajit Mukharjee , Department Programs, Population Services International, Patna, India
Ravi Bhatnagar , Department Programs, Population Services International, New Delhi, India

PSI-India is implementing a FC promotion program in selected districts of Jharkhand, Orissa & Rajasthan states among FSWs, as a complementary method of protection against HIV/ AIDS, sexually transmitted infection (STI) and unwanted pregnancy. The intervention aims to enhance the number of protected sex acts by promoting FC where use of male condom is unlikely.


A cross-sectional baseline survey was conducted among FSWs to identify and prioritize determinants of current use of FC . Two-stage stratified cluster sampling was used, sample 640 FSWs in each state. Logistic regression examined relationships between the determinants and the promoted behaviour.


Self reported consistent condom use with non paying partners (17%) was much less than paying clients (71%), current use of FC was 2.5% and 12.1% respectively. Predictors of FC use with non paying partners were investigated. Perceived availability of FC (OR=1.72); attitudes towards FC use (OR=1.84) and ability to negotiate FC use (OR=1.88) were found to be significant determinants of FC use with non paying partners. The program developed a communication strategy with the goal of enhancing perceived availability and positive attitudes towards FC.


The critical gaps in condom use patterns among FSWs and determinants of FC use with non paying partners were identified. Communication activities like game shows highlighting the pleasure enhancing features of FC and steps for correct use of FC(demonstration) were developed.

Learning Areas:
Communication and informatics
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Identify determinants of use of Female condom among Female Sex Workers. 2. Describe the relationship between the predictors and use of Female Condom among Female Sex Workers with non-paying partners. 3. Demonstrate risk reduction strategies to enhance the number of protected sexual acts by promoting Female condom.

Keywords: Behavioral Research, Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator for the present research study ensuring that the study has been ethically approved and implemented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.