title: Understanding the Broader Sexual and Reproductive Health Needs of Female Sex Workers in Dhaka, Bangladesh.
abstract: BACKGROUND
  Little is known about the sexual and reproductive health care needs of female sex workers in Dhaka, Bangladesh.
  
  
  METHODS
  Survey data were collected from 354 hotel-based and 323 street-based female sex workers using a venue-based stratified cluster sampling approach. In addition, in-depth interviews were conducted with 20 female sex workers recruited from drop-in centers. We calculated unmet need for family planning and examined fertility desires, use of condoms and other contraceptive methods, experiences with gender-based violence, sexual and reproductive health service needs, and preferences on where to receive services.
  
  
  RESULTS
  The prevalence of unmet need was 25% among hotel-based female sex workers and 36% among street-based female sex workers. Almost all participants reported having used condoms in the past 30 days, and 44% of hotel-based sex workers and 30% of street-based sex workers reported dual method use during that period. Condom use was inconsistent, however, and condom breakage and nonuse for extra money were common. Many women reported experiencing gender-based violence. Sexual and reproductive health services had been obtained by 64% of hotel-based and 89% of street-based sex workers in the past six months; drop-in centers were their preferred site for receiving health services.
  
  
  CONCLUSIONS
  Female sex workers in Dhaka need family planning and other sexual and reproductive health services and prefer receiving them from drop-in centers.
authors.affiliation: Deputy Director of Health Services Research FHI 360, Durham, NC, USA, kkatz@fhi360.org.
authors.forename: Karen R
authors.initials: KR
authors.lastname: Katz
authors.forename: Misti
authors.initials: M
authors.lastname: McDowell
authors.forename: Mackenzie
authors.initials: M
authors.lastname: Green
authors.forename: Shamim
authors.initials: S
authors.lastname: Jahan
authors.forename: Laura
authors.initials: L
authors.lastname: Johnson
authors.forename: Mario
authors.initials: M
authors.lastname: Chen
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data; D003267:Contraception / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D011247:Pregnancy; D060728:Reproductive Health; D034121:Reproductive Health Services; D012742:Sex Offenses / Q000706:statistics & numerical data; D060386:Sex Workers / Q000523:psychology* / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000628:therapy; D047568:Unsafe Sex; D055815:Young Adult