Integrating Family Planning Services: Family Planning HIV Integration Among Entertainment Workers, Cambodia

Heang-Cambodia-FINAL.pdf

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Heang-Cambodia-FINAL1.pdf

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In Cambodia, the HIV prevalence among adult populations aged 15 to 49 gradually decreased from 2% in 1998 to a projected 0.7% in 2013. Despite this decline, high prevalence still exists among members of most-at-risk populations (MARPs): female entertainment workers (FEWs), men who have sex with men (MSM), transgender people (TG), and people who inject drugs (PWID). The majority of HIV transmission in Cambodia is primarily due to unsafe heterosexual sex. The 2010 HIV Sentinel Surveillance (HSS) study shows that HIV prevalence was estimated at 14% among FEWs who have more than 7 sexual clients per week and 4% among FEWs who have fewer than 7 sexual clients per week. The 2013 Behavioural Surveillance Survey showed that consistent condom use among FEWs with commercial partners is still limited at about 80%, and condom use with sweethearts in the past 3 months remains low and continues to decline from 39% (2010) to 36% (2013). Furthermore, 77% FEWs reported ever having an abortion, further evidence of inconsistent use of family planning (FP). In addition, some FEWs practice overlapping risk behaviours: 6% reported ever using drugs. In addition, anecdotal evidence suggests that some FEWs are threatened by clients to not use condoms and some FEWs choose to not use condom with clients in exchange for more money. FEWs in Cambodia at highest risk of acquiring HIV, experience disproportionately high rates of unintended pregnancy and abortion, low condom use particularly with regular partners, and rely on condoms as their sole contraceptive method.