Improving the quality of sexual and reproductive health and rights (SRHR) through pre-service training, research, and evidence-based clinical care delivery in Sub-Saharan Africa

Context: With a view to reducing inequalities and ensuring the well-being of all sections of the population, the international community introduced the female condom throughout the world. In Chad, it was introduced in 2008 by the Social Marketing Association (AMASOT), with the aim of reducing the prevalence of STIs/AIDS and combating unwanted pregnancies. Although its effectiveness and reliability have been demonstrated, it is not widely used in our communities, particularly by sex workers. Our objective was to investigate the determinants of low condom use among female sex workers in the Kabalaye district.
Methods: We conducted a qualitative descriptive study from 01 April 2018 to 13 May 2018. An interview guide was administered to 09 female informants in the Kabalaye district of Chad.
Results: The analysis showed that there was insufficient information about the female condom. Neglect, ignorance, the cost of condoms and perceptions were the main determinants of low female condom use among female sex workers in the Kabalaye district.
Conclusion: In the light of these results, we suggest stepping up behaviour-change communication campaigns targeting the population in general, and female sex workers in particular, in the health district covering the Kabalaye neighbourhood.
Conclusion and recommendations: In the light of these results, we suggest stepping up behaviour-change communication campaigns targeting the population in general, and female sex workers in particular, in the health district covering the Kabalaye neighbourhood.
Key words: Determinants, low use, female condom, sex worker