Abstract:
Background: HIV services of female sex workers (FSWs) are specialized healthcare and support programs designed to address the unique needs and challenges faced by FSW. These services typically include a combination of prevention, beheviral, biomedical and structural services.
Objective: This study aimed to assess Maginitude and factors influencing human immune deficiency virus service up take among female sex workers in Sheger city, Oromia, Ethiopia, 2024.
Methods: A community-based cross-sectional study were conducted from March12, 2024 to April 12, 2024, among female sex workers who residing in the Sheger City, Oromia Ethiopia. 396 participants were selected by a simple random sampling technique. Key informant interview data were collected from six drop in center workers. Data were collected using kobo collect version 2023.2.4 and analyzed using statistical package for social sciences version 26. Descriptive analyses such as percentages and frequency distributions were performed for categorical variables while. Binary logistic regression was done and variables with p-value <0.25 were made candidate for multivariable logistic regression model. Adjested odds retio with its 95% Confidence interval on multivariable logistic regression analysis was used to declare factors significantly associated with Human immunodeficiency virus service up take at p<0.05. Qualitative data were summarized in paragraphs and text.
Result: Prevalence of Human immune vairus servive up take among female sex worker were 85.4% (95%CI: 82%-89%) Factors significantly associated with HIV services at p<0.05 were physical abuse at work place ,( Adjested odds retio =9.63,95%CI:(1.22,75.76), perferble health facility to take HIV service (Private health facility, Adjested odds retio=0.24,95%CI(0.06,0.95),joining female sex work (to get more money, Adjested odds retio=4.81, 95%CI: (1.08, 21.45), Smoking shisha or cigarettes (Adjested odds retio=2.55, 95%CI:(1.08, 6.45) were significantly associated with Human immune vairus service up take among female sex workers at p-value <0.05 . The Qualitative data showed commercial sex work are economicaly desperesed, societaly stigmatized negelected group of population need over attention of community and government.
Conclusion and Recommendation: Prevalence of Human immune virus service uptake among female sex workers were found low in the study area. The study identified factors affecting Human immune vairus service uptakes among female sex workers. Physical abuse at their work place, getting HIV service at Private health facilities, stopping their previous job to get more money and smoking shisha or cigarettes were factors significantly associated with Human immune virus service up take among female sex workers. Interventions aimed at behavioral change communication is important to increase HIV service uptake among female sex workers.
