Experiences of a 'screen and treat' cervical cancer prevention programme among brothel-based female sex workers in Bangladesh: A qualitative interview study
| Autor: | Tanzila Tabassum, Olivia Nuccio, Sujit D Rathod, Sabitri Sapkota, Raveena Chowdhury, Samiya Mahmood, Sharmani Barnard, Catherine Verde Hashim, Emma Wilson, Shah Halimur Rashid |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
cervical cancer medicine.medical_treatment Sexually Transmitted Diseases Sex workers Uterine Cervical Neoplasms Cryotherapy HIV Infections Cancer screening medicine Humans Original Research Article Qualitative Research Cervical cancer Bangladesh Sex Workers business.industry Qualitative interviews Female sex General Medicine Screen and treat medicine.disease Sex Work cancer screening Family medicine Cervical cancer prevention Medicine Female STI business cryotherapy Delivery of Health Care |
| Zdroj: | Women's Health, Vol 17 (2021) Women's Health |
| ISSN: | 1745-5057 |
| Popis: | Objectives: Little is known about sex workers’ experiences of cervical cryotherapy. We sought to understand sex workers’ perspectives of ‘screen and treat’ programmes and their management of the World Health Organization post-treatment guidance to abstain from sex or use condoms consistently for 4 weeks. We explored contraceptive preferences and use of menstrual regulation services. Methods: We conducted semi-structured interviews with 16 sex workers and six brothel leaders in an urban brothel complex in Bangladesh between October and November 2018. All had undergone cryotherapy. We conducted a thematic analysis using deductive coding, informed by a priori themes, and inductive data-driven coding. Results: Most sex workers could not abstain from sex during the healing period. Consistent condom use was challenging due to economic incentives attached to condomless sex and coercive behaviours of clients. The implications of non-adherence among high-risk groups such as sex workers are not known. Use of short-acting methods of contraception was common, and discontinuation was high due to side effects and other perceived health concerns. The majority of sex workers and brothel leaders had utilized menstrual regulation services. Barriers to accessing timely menstrual regulation and other sexual and reproductive health services included limited mobility, economic costs, and discriminatory attitudes of health care workers. Conclusion: Service innovations are required to enable sex workers to abstain or use condoms consistently in the post-cryotherapy healing phase and to address sex workers’ broader sexual and reproductive health needs. Further research is required to assess the risk of HIV and other sexually transmitted infection transmission following cryotherapy among high-risk groups. |
| Databáze: | OpenAIRE |
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