Unmet contraceptive needs among female sex workers (FSWs) in semi urban Blantyre, Malawi

Abstract Background Research has paid limited attention to understanding factors that are associated with unmet contraceptive needs among female sex workers. In order fill this knowledge gap, we estimated the prevalence of and examined FSWs in semi urban Blantyre, Malawi. Methods We used systematic sampling recruit 290 workers Blantyre between February March 2019. cross sectional study, questionnaire interviews collect quantitative data. calculated mean standard deviation for continuous variables proportions categorical describe Logistic regression analysis was investigate association (the outcome variable) explanatory such as: having a steady partner, fear contraceptives’ side effects history sexually transmitted infections. Results Out study participants 102 (35.2%) reported needs. The following were significantly multivariate analysis: workers’ physical sexual violence by clients [OR 3.38, 95% CI (1.10, 10.43)], p < 0.03, partner 3.28, (1.89, 5.68)], 0.001, who feared contraceptives 2.99, (1.73, 5.20)], 0.001. Conclusion Reproductive Health services should address barriers use instance: clients, misinformation on contraceptives. There is need improve awareness Specific health promotion interventions engaged partnership recommended. It important enhance knowledge, attitudes, counseling skills care providers semi-urban Blantyre. Plain English summary Unmet defined as lack heterosexually active women childbearing age do not wish become pregnant. main cause short inter-pregnancy intervals, early childbearing, abuse, unintended pregnancy, poor maternal child outcomes. Several studies have documented low (FSWs), but research population recruited collected These data analyzed obtain descriptive statistics. FSWs, 35% FSWs’ effects. Sexual use, exposure violence, partners concerns about also FSWs.