Ingsih-Mamahit ES; International Conference on AIDS.
Int Conf AIDS. 1998; 12: 900 (abstract no. 43268).
ISSUES: The female commercial sex workers (FCSWs) and their clients in Indonesia constitute communities at high risk to get and to spread the HIV infection. Since a public safe-sex campaign is still difficult to do, considerable efforts have been targeted at brothel communities. The 100% condom policy for the FCSWs' clients is one strategy recently launched by the Indonesia Ministry of Health. Its implementation is, however, still a big challenge for public health practitioners in this country. PROJECT: Interweaving qualitative methods with behavioral survey, this cross-sectional study in Kramat Tunggak brothels investigates the determinants of the FCSW's sexually transmitted diseases (STD)- and AIDS-related risk behaviors. RESULTS: The women's continuous condom use was significantly predicted by their previous experiences in using and negotiating condoms; ORs (odd ratios) = 9 (p = 0.007), and 5 (for the highest experience) (p = 0.0001), respectively. Experience in negotiating condoms was, in turn, significantly predicted by knowledge on STD/AIDS, positive beliefs about condoms, and self-efficacy in using condoms. Continuous condom use was negatively associated with clients' and brothel managers' rejection on condoms; OR = 0.12 (for the highest rejection) with p = 0.0001. Qualitative approaches revealed the characteristics of the FCSWs and brothel management style which influenced the condom-use practice in this brothel complex. LESSONS LEARNED: To be successful, 100% condom policy in brothel complexes should not stand alone, but should be implemented together with other strategies, such as appropriate and friendly health services and well-tailored STD/AIDS training programs.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Administrative Personnel
- Condoms
- Cross-Sectional Studies
- Female
- HIV Infections
- Humans
- Indonesia
- Negotiating
- Sexually Transmitted Diseases
Other ID:
UI: 102231434
From Meeting Abstracts