Intentional and unintentional condom breakage and slippage in the sexual interactions of female and male sex workers and clients in Mombasa, Kenya

Tsitsi B. Masvawure,1 Joanne E. Mantell,2 Jack Ume Tocco,2 Peter Gichangi,3,5,6 Arjee Restar,4 Sophie Vusha Chabeda,3 Yves Lafort,5 and Theo G. M. Sandfort2 Affiliations 1Department of Sociology and Anthropology, College of the Holy Cross, Worcester, MA, USA 2HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA 3International Centre for Reproductive Health-Kenya 4Brown School […]

Intentional and Unintentional Condom Breakage and Slippage in the Sexual Interactions of Female and Male Sex Workers and Clients in Mombasa, Kenya

We examined why male condoms broke or slipped off during commercial sex and the actions taken in response among 75 female and male sex workers and male clients recruited from 18 bars/nightclubs in Mombasa, Kenya. Most participants (61/75, 81%) had experienced at least one breakage or slippage during commercial sex. Many breakages were attributed to […]

Effect of a ‘diagonal’ intervention on uptake of HIV and reproductive health services by female sex workers in three sub-Saharan African cities

Objectives: To enhance uptake of sexual and reproductive health (SRH) services by female sex workers (FSWs), we conducted an implementation study in which we piloted and tested context-specific ‘diagonal’ interventions, combining vertical, targeted interventions with horizontally improved access to the general health services, in three cities in sub-Saharan Africa. Methods: We collected indicators of SRH […]