Female sex workers' Experiences with intended pregnancy and antenatal care services in Southern Tanzania

Sarah Beckham, Catherine R. Shembilu, Heena Brahmbhatt, Peter John Winch, Christopher Beyrer, Deanna Kerrigan

Research output: Contribution to journalArticle

Abstract

Understanding the pregnancy experiences of female sex workers (FSWs), especially in the context of high rates of HIV and sexually transmitted infections (STIs), is essential to tailoring services to meet their needs. This study explores FSWs' experiences with intended pregnancy and access to antenatal care and HIV testing in two regions of Tanzania. Thirty in-depth interviews and three focus group discussions were conducted. FSWs sought to become pregnant to gain respect as mothers, to avoid stigma, and/or to solidify relationships, sometimes posing risks to their own and their partners' health. Pregnant FSWs generally sought antenatal care (ANC) services but rarely disclosed their occupation, complicating provision of appropriate care. Accessing ANC services presented particular challenges, with health care workers sometimes denying all clinic services to women who were not accompanied by husbands. Several participants reported being denied care until delivery. The difficulties participants reported in accessing health care services as both sex workers and unmarried women have potential social and health consequences in light of the high levels of HIV and STIs among FSWs in sub-Saharan Africa.

Original languageEnglish (US)
Pages (from-to)55-71
Number of pages17
JournalStudies in Family Planning
Volume46
Issue number1
DOIs
StatePublished - Mar 1 2015

Fingerprint

Sex Workers
Prenatal Care
Tanzania
pregnancy
worker
Pregnancy
experience
HIV
Sexually Transmitted Diseases
Delivery of Health Care
Africa South of the Sahara
Health
Focus Groups
health consequences
Spouses
Occupations
Health Services
health care services
social effects
husband

ASJC Scopus subject areas

  • Demography
  • Social Sciences (miscellaneous)
  • Medicine(all)

Cite this

Female sex workers' Experiences with intended pregnancy and antenatal care services in Southern Tanzania. / Beckham, Sarah; Shembilu, Catherine R.; Brahmbhatt, Heena; Winch, Peter John; Beyrer, Christopher; Kerrigan, Deanna.

In: Studies in Family Planning, Vol. 46, No. 1, 01.03.2015, p. 55-71.

Research output: Contribution to journalArticle

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