Transcript Perception of Sexual Risk Behavior and Client Condom Use Among Female Commercial Sex Workers in Jakarta, Indonesia Rita Ismail 1, Sri.

Perception of Sexual Risk Behavior and Client Condom Use Among Female Commercial Sex Workers in Jakarta, Indonesia
Rita Ismail 1, Sri Yona 2, Widyastuti 3, Endang Nurrochmi 4, Farida Ekasari 5, Tjutju Tjuraeni 4
1 University
of Washington, 2 University of Illinois at Chicago, 3 East Jakarta Health District Office, 4 Ministry of Health Indonesia, 5 Indonesia National Family Planning Coordinating Board.
Background
• An estimated 333,200 people are living with HIV in Indonesia
• 25% of them are women and between 6% to 10% are female commercial
sex workers (FCSWs)
• Sexual transmission remains one of the main modes of HIV transmission
• Few studies have examined Indonesian FCSWs’ perceptions of sexual
risk behavior and client condom use
• Understanding the factors that place FCSWs at risk is essential to
maximize the effectiveness of HIV prevention in Indonesia
Sample and Setting
Results
• Data were collected from nine FCSWs
• Interviews were conducted at one of the Rehabilitation Houses in
Jakarta, Indonesia
• Rehabilitation Houses are the national centers for rehabilitation of
FCSWs who have been arrested and are required to stay in the
center for 1 – 3 months
• The center provides social services, including health care and
education for physical, mental, social, and behavioral changes.
The Context of FCSWs in Jakarta, Indonesia
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Half of the participants worked in a commercial sex establishment
Years of commercial sex work: 1 month – 4 years
Age : 22 to 33 years
Duration of being FCSW: 1 month – 4 years
Half are currently married and have 1-2 children
Education level:
- 6 had elementary school or less
- 3 had completed junior high school
Lack of Self-Efficacy or Skill in Negotiating Condom Use
• FCSWs attempt to persuade clients to use condom
“Usually I offered my customer for using condom, if he does not want
you use it, it is ok”
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However, if the client refuse, they give up
“If he does not want to, it is ok…we are only small people who need
money”
Lack of Knowledge about STI and HIV/AIDS Prevention
Map of HIV Epidemic in Indonesia (2009)
)
• FCSWs lacked of knowledge about sign and symptoms of STI and HIV/AIDS
“My friend used to have syphilis ….she said that it was painful when she had to
pee, but I am not sure about it”
Methods
Jakarta
The Rehabilitation House
Data Collection
• Semi-structured in-depth face to face interviews were conducted to explore
the perception of client condom use and sexual risk behavior among FCSWs
• Each interviews were conducted over 30 to 45 minutes, audio recorder, and
transcribed by the researchers
To explore the perceptions of sexual risk behaviors and client condom use
among FCSWs in Jakarta, Indonesia
“His genital will be very sore and itching”
Design
• Qualitative description design
Purpose
“I do not know about AIDS, I do not know about “Raja Singa” (syphilis)….”
• FCSWs lack of knowledge about STI and HIV/AIDS prevention
“ To prevent STI, we have to be clean, everytime after ”doing that”we should
wash our genital immediately using water and drink herbal medicine”
Conclusion
• These finding provide guidance for developing future HIV
prevention with focus on negotiation skill and increase STI and
HIV/AIDS knowledge
Lack of Knowledge about STI and HIV/AIDS Treatment
• Interventions must be targeted not only to FCSWs, but also to their
clients
• Believe that traditional herbal medicine is good
• Training regarding negotiation of condom use is needed to improve safe
sex practices
• Interviews were conducted in the Indonesian language
“I believe that traditional herbal from my village is good”
Data Analysis
“I usually take “jamu gendong” (traditional herbal), supertetra (antibiotic) and
ask the customer using condom”
• Thematic analysis was completed by hand to identify recurring themes.
• Data were translated in to English for this poster
Educating FCSWs at the referral center
• Believe that antibiotics can protect FCSWs from disease
“It is important…that every time after serving the customer, I always take
antibiotic, but just once”
• Sexual establishment in Indonesia should consider political adopt from
other countries including FCSWs to all insist on condom use or
establishing condom policy
Acknowledgements
• John Fogarty International Centre AIDS AITRP at UIC
(D43TW001419) provided support to Sri Yona during preparation
of this poster
Background
Understanding the factors that put sex
workers at risk is essential to maximize the
effectiveness of HIV prevention in Indonesia.
Purpose
To iexplore the perception of sexual risk
behaviors and condom use among female
commercial sex workers (CSWs) in Jakarta,
Indonesia.
Aim .
Results:
Method
Three predominant themes emerged : 1)Lack of
Data were collected from nine CSWs and three
knowledge about HIV/STD prevention (2) Lack of
key informants at the Ciracas and Panti
Self-Efficacy or Skills in Negotiating Condom (3)
Rehabilitation, Jakarta, using in-depth interview.
Misperception in using antibiotic and herbal as
Thematic analysis was used to assess perception
prophylactic for HIV and STD transmission.
of risk behavior and condom use.
Conclusion: Improve negotiation a skill of sex
workers to increase consistent of condom use is
needed by providing regular training about
negotiation skill. This finding also provide guidance
for developing future HIV prevention with focud on
negotiation skill and incease HIV /STD
knowledge.Such interventions must be targeted not
only to CSWs, but also to their clients.
Perception of Risk Behavior and Condom Use among Female Sex Workers in Jakarta, Indonesia
sss
Rita Ismail 1, Sri Yona2, Widyastuti Widyastuti 3, Farida Ekasari 4, Endang Nurrochmi 5, Tjutju Turaeni
Title
Background
There were an estimated 333,200 people living with HIV in
Indonesia of which 25% were women (National AIDS
Commission Republic of Indonesia, 2009).
•Sexual transmission are one of the main modes of HIV
transmission (National AIDS Commision , 2009)
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•Understanding the factors that put sex workers at risk is
essential to maximize the effectiveness of HIV prevention in
Indonesia
•Little data available on Perception of risk behavior and
condom use among female sex workers in Jakarta,
Indonesia
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