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Behavioral and Biologic Surveillance Survey Zambia: Female Sex Workers

Results C

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Results, Behavioural Data and Tables (continued)

STD Behaviour
About one-third of the women (35.7%) reported having either a genital discharge (24.4%) or genital ulcers or sores (27.8%) in the past 12 months. Three-quarters (76.1%) of these sought advice at a health facility, be it a government (68.2%), private (27.3%), workplace (14.6%) or church-run (11.4%) health facility. Almost half (46.5%) sought advice from a traditional healer, 25.8% from a pharmacist, 23.5% bought capsules on the street and 27.3% took medicines at home. Less than half (43.1%) said that they told their partner, 32.9% stopped having sex and 23.1% used condoms while symptomatic. The women interviewed in Chipata reported fewer symptoms than in the other sites (26.9% vs. 39.2% and 41.3% in Chirundu and Livingstone respectively). Those women who had symptoms more often reported seeking care at health facilities, pharmacies and drug vendors. They also reported more frequently that they informed their partner, stopped having sex and/or always used condoms while symptomatic.

Table 5.2: Behaviour related to STD

Characteristic

Livingstone

Chirundu

Chipata

Total

History of STD symptoms in the past 12 months

n

%

n

%

n

%

n

%

Genital discharge

70

27.0

37

26.1

44

20.1

151

24.4

Genital ulcer sores

87

33.7

41

29.1

44

20.1

172

27.8

Genital discharge or ulcers/sores

107

41.3

56

39.2

59

26.9

222

35.7

Total

259

 

143

 

219

 

621

 

Behaviour the last time had STD symptoms1

n

%

n

%

n

%

n

%

Seek advice from a government health facility

67

63.2

41

74.5

38

71.7

146

68.2

Seek advice from a workplace health facility

11

10.5

6

10.9

14

26.4

31

14.6

Seek advice from a church or charity run health facility

9

8.7

4

7.3

11

21.6

24

11.4

Seek advice from a private health facility

22

21.4

13

24.1

22

42.3

57

27.3

Seek advice at any of the 4 above

77

72.6

43

78.2

42

80.8

162

76.1

Seek advice from a pharmacist

23

21.9

8

14.5

24

45.3

55

25.8

Seek advice from a traditional healer

54

51.4

22

40.0

23

43.4

99

46.5

Bought capsules on the street

24

22.9

9

16.4

17

32.1

50

23.5

Took medicine at home

32

30.8

9

17.0

16

30.8

57

27.3

Tell partner about the symptoms

42

40.0

17

32.1

32

60.4

91

43.1

Stop having sex while symptomatic

31

29.5

14

25.5

25

47.2

70

32.9

Always use condom while symptomatic

25

24.0

8

14.5

16

30.2

49

23.1

Total

104

 

55

 

53

 

212

 

1 Only those who reported STD symptoms are included

6. Family planning practices

Table 6 presents family planning practices by study population.

Less than half (45.2%) of the women reported using any family planning method. Of those who reported using a family planning method, only 58.5% used a method considered effective for family planning. The most common methods were oral contraception (47.5%) and injectable contraception (13.7%). None of the women had an intrauterine device (IUD) inserted. About half of the women who were using a method (49.5) said they used condoms for family planning. Other methods were rare. About one-third of the women (31.7%) reported losing a pregnancy. The reported use of family planning was significantly higher in Chipata (55.3%), followed by Livingstone (43.2%) and Chirundu (33.6%). When limited to effective methods however, the use of family planning was similar in Chipata and Livingstone (both 29.2% of the total), but lower in Chirundu (16.1%).

 

Table 6: Family planning practices

Characteristic

Livingstone

Chirundu

Chipata

Total

Currently using a family planning method

n

%

n

%

n

%

n

%

Yes

111

43.2

48

33.6

121

55.3

280

45.2

Total

257

 

143

 

219

 

619

 

Method using1

n

%

n

%

n

%

n

%

Oral contraception

53

49.1

19

39.6

59

49.2

131

47.5

Injection

24

22.2

4

8.3

10

8.3

38

13.7