Use of emergency contraceptive pills among female sex workers in Swaziland

Eileen A. Yam, Zandile Mnisi, Sibusiso Maziya, Caitlin Kennedy, Stefan Baral

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: Female sex workers (FSW) often have unprotected sex. Emergency contraceptive pills (ECP) are an important back-up method to prevent unwanted pregnancy among FSW. We examine ECP use among FSW in Swaziland. Methods: Using data from a 2011 respondent-driven sampling survey of 325 Swazi FSW, we explored the association between individual characteristics and ever having used ECP. Results: In weighted analyses, 27.5% of FSW had ever used ECP. Most (77.8%) had ever been pregnant, among whom 48.7% had had an unwanted pregnancy and 11.7% had had an abortion. Nearly half (47.5%) had experienced condom failure in the past month. Significant independent correlates of ECP use were younger age, higher education, higher income, having two or more children, and never having been married. Conclusions: FSW who are older or of lower socioeconomic status may not have adequate access to ECP. By better addressing these women's family planning needs, the dual goals of preventing unwanted pregnancy and preventing vertical transmission of HIV can be achieved.

Original languageEnglish (US)
Pages (from-to)102-107
Number of pages6
JournalJournal of Family Planning and Reproductive Health Care
Volume40
Issue number2
DOIs
StatePublished - Apr 2014

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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