Barriers to Utilisation of Sexual Health Services by Female Sex Workers in Nepal

Sexual health services are relatively rare in Nepal. Female sex workers (FSWs) do not use health services as often as would be desirable. A study was conducted to identify the barriers of access to sexual health services by FSWs in Nepal. A mixed-method approach consisting of a 425 questionnaire-based survey and 15 in-depth interviews was conducted in 2007. One fifth of the FSWs had never visited health facilities. FSWs turned to private clinics, followed by clinics belonging to non-governmental organisations and pharmacies for treatment. A combination of personal and service-related factors acted as critical barriers in accessing health services. Lack of confidentiality, discrimination and negative attitudes held by health care providers, poor communication between service providers and fear of exposure to the public as a sex worker were the major barriers in seeking sexual health services. These barriers should be taken into account while planning for sexual health services.