Family planning and safer conception among female sex workers living with HIV in Dar es Salaam

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Family planning (FP) services tend to focus solely on addressing contraceptive need, but women living with HIV—including female sex workers—often plan to have children someday. Various “safer conception” strategies are now available to support women living with HIV achieve fertility intentions. At integrated community-based HIV/family planning service delivery sites in Dar es Salaam, we conducted exit interviews with 339 female sex workers living with HIV. Study sites were existing Jhpiego/Sauti community-based service delivery points in Dar es Salaam. Eligible participants (N = 300) had received Sauti HIV testing services in Dar es Salaam in the past year; were between the ages of 18 and 49; were women who reported that they receive money, goods, or favors in exchange for sexual services as a primary source of income (i.e., more than half their monthly income); and living with HIV, with a date of HIV diagnosis that took place more than one month ago. In addition, researchers conducted structured observations of a subset of 25 of these women’s client-provider interactions, recording on a checklist the FP and safer conception content covered during the consultation.


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Supporting Operational AIDS Research (Project SOAR)