The relationship between health worker stigma and uptake of HIV counseling and testing and utilization of non-HIV health services: the experience of male and female sex workers in Kenya

The high prevalence of current HIV / AIDS problems is not only a health problem of infectious disease, but has become a very widespread public health problem, one of the high risk groups is Female Sex Workers (WPS). The number of female sex workers who counsel and test HIV in Rawasari Health Center is still low that is 27,67%. This research is quantitative research with cross sectional method, using Systematic Random Sampling technique with sample number 77 female sex worker. Instrument used questionnaire, analyzed by univariate analysis, bivariate and chi-square test. The result of the analysis of 77 respondents, 61% have bad behavior to do counseling of HIV test and 39% have good behavior do counseling of HIV test, 57,1% of respondents have low knowledge, 50,6% of respondents have unfavorable attitude and 50,6 respondents argue that the role of health workers is good for HIV counseling and testing. The result of bivariate analysis shows that there is significant correlation between knowledge (p-value = 0,000), attitude (p-value = 0,000) and the role of health officer (p-value = 0,013) with female sex worker conduct HIV counseling and testing at Payo Sigadung City of Jambi.It is hoped that health officers at Rawasari Puskesmas will improve direct and periodic counseling through information media, encourage and encourage female sex workers to conduct HIV counseling and testing.

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Knowledge, attitude, and utilization of HIV counseling and testing by female sex workers in Lagos State, Nigeria

Babcock University Medical Journal (BUMJ) ◽

10.38029/bumj.v3i2.45 ◽

2020 ◽

Vol 3 (2) ◽

pp. 1-9

Author(s):

Doyin Ogunyemi ◽

Oluwatoyin Theresa OGUNMEFUN ◽

Esther 3. OLUWOLE ◽

Adeola Ekundayo

Keyword(s):

Positive Result ◽

Sex Workers ◽

Female Sex Workers ◽

Positive Attitude ◽

Good Knowledge ◽

Hiv Counseling And Testing ◽

Hiv Counseling ◽

Counseling And Testing ◽

Hiv Test ◽

Lagos State

Objectives: The Human Immunodeficiency Virus (HIV) epidemic continues to expand among female sex workers (FSWs) who have limited access to and utilization of HIV counseling and testing services (HCT). HCT plays a pivotal role in increasing knowledge and awareness to prevent, treat, and control HIV/AIDS. The study objective was to determine the knowledge, attitude, utilization of HCT among brothel-based FSWs (BBFSWs). Method: This was a descriptive cross-sectional study among 300 BBFSWs in Lagos State. The respondents were recruited by snowballing after a multistage sampling method was used in the selection of the brothels. The data was collected using an adapted interviewer-administered questionnaire and analyzed using IBM SPSS Statistics version 23. The level of statistical significance was set at p<0.05. Results: Majority (63.0%) of the respondents were between the ages of 21-30 years and 67.4% had good knowledge of HIV and HCT. About 75.0% had a positive attitude towards HCT and 55.6% of FSWs in this study had utilized an HCT center in the past. The main reason for not taking HIV test was the fear of a positive result (90.6%) while the main reasons given for not visiting any HCT center were lack of confidentiality (13.3%), stigmatization (14.8%), and distance to the HCT center (67.2%). Conclusion: There was a good knowledge of HCT and a positive attitude towards HCT services by the respondents. The main reasons for not taking the HIV test as indicated by respondents were fear of a positive result. HIV-stigma related issues should be adequately addressed.

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