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Health Care for Women International Volume 41, 2020 - Issue 5
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Articles

Improving knowledge, acceptance, and utilization of female condoms among sex workers through a peer education: a mixed methods study in Surakarta Municipality, Central Java Province, Indonesia

Ari ProbandariResearch Group of Disease Control, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; ;Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; Correspondence[email protected]
ORCID Iconhttp://orcid.org/0000-0003-3171-5271View further author information
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Rizka Ayu SetyaniSchool of Midwifery, Respati University, Yogyakarta, Indonesia; ;Master of Public Health Program, Graduate School, Universitas Sebelas Maret, Surakarta, Indonesia; ORCID Iconhttps://orcid.org/0000-0001-5233-8706View further author information
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Eti Poncorini PamungkasariResearch Group of Disease Control, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; ;Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; ORCID Iconhttps://orcid.org/0000-0002-4197-3226View further author information
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Vitri WidyaningsihResearch Group of Disease Control, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; ;Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; ORCID Iconhttp://orcid.org/0000-0003-0116-7120View further author information
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Argyo DemartotoDepartment of Sociology, Faculty of Politics and Social Science, Universitas Sebelas Maret, Surakarta, IndonesiaORCID Iconhttps://orcid.org/0000-0002-8245-0720View further author information
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Pages 600-618 | Received 22 Dec 2018, Accepted 01 Jul 2019, Published online: 06 Aug 2019
 
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Abstract

Female sex workers (FSW) are high-risk for HIV infection. The authors conducted a quasi-experimental study by providing peer education on 110 FSWs, and routine HIV education on 120 controls, in Surakarta Indonesia. An additional qualitative study was performed to explain the contextual factors contributing to the effectiveness of peer education. The difference in difference approach showed that peer education improved knowledge, acceptance, and utilization of female condom. The improvements were related to the clients’ perceptions, access, and available interactive communication with the peer educator. The peer education program should be enhanced to support the prevention of HIV/AIDS.

Additional information

Funding

Financial support was provided by Universitas Sebelas Maret, Maintenance Research Group Grant 2017.

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