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Assessment of utilization of the HIV interventions by sex workers in selected brothels in Bangladesh

The study found that almost all peer educators were accepted and valued by the FSWs; the reason, as the managers mentioned, was that peer educators have physical and socio-cultural access to the FSWs in their natural environments without being conspicuous. Most of the FSWs were attracted to the condom demonstration session for peer education and, when asked about HIV prevention message, the condom-related message was mentioned first and spontaneously by almost all FSWs. Turnover in brothels is a common problem; therefore, researchers recommended continued training of both graduated peer educators and supervisory staff, as well as provision of new and attractive BCC materials to peer educators.

Lack of sexual pleasure of clients was cited as one of the major causes for unprotected sex. In many instances of unprotected sex, FSWs took no further action to persuade clients in case of refusal after the first offer. The main reason was fear of losing clients; this is especially true for the elderly FSWs.

Notes

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