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Abstract
Female Sex Workers (FSWs) are a group vulnerable to HIV, violence, unwanted pregnancies, and sexually transmitted infections (STIs) due to limited access to information and reproductive health services. This community service aims to improve the knowledge and attitudes of FSWs and shelter managers regarding reproductive health. The activity was conducted using counseling methods, including material presentations, discussions, and experience sharing. The results of the activity showed an increase in the average knowledge score (from 55.7 to 65.7) and attitude score (from 27.9 to 29.6) after the counseling. Although this program successfully improved reproductive health knowledge and attitudes, cross-sectoral collaboration between the Health Office, Community Health Centers (Puskesmas), NGOs, and academics is still needed to optimize programs and reproductive health services for FSWs.
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References
- Afzal, O., Lieber, M., & Beddoe, A. M. (2020). Reproductive Healthcare Needs of Sex Workers in Rural South Africa: A Community Assessment. Annals of Global Health, 86(1), 68. https://doi.org/10.5334/aogh.2706
- Akande, O. W., Muzigaba, M., Igumbor, E. U., Elimian, K., Bolarinwa, O. A., Musa, O. I., & Akande, T. M. (2024). The effectiveness of an m-Health intervention on the sexual and reproductive health of in-school adolescents: a cluster randomized controlled trial in Nigeria. Reproductive Health, 21(1), 6. https://doi.org/10.1186/s12978-023-01735-4
- Balai Pusat Statistik. (2023). Kecamatan Bandungan dalam Angka 2023. In Madah: Jurnal Bahasa dan Sastra (Vol. 13, Issue 2). https://doi.org/10.31503/madah.v13i2.534
- Brody, C., Chhoun, P., Tuot, S., Fehrenbacher, A. E., Moran, A., Swendeman, D., & Yi, S. (2022). A Mobile Intervention to Link Young Female Entertainment Workers in Cambodia to Health and Gender-Based Violence Services: Randomized Controlled Trial. Journal of Medical Internet Research, 24(1), e27696. https://doi.org/10.2196/27696
- Dhana, A., Luchters, S., Moore, L., Lafort, Y., Roy, A., Scorgie, F., & Chersich, M. (2014). Systematic review of facility-based sexual and reproductive health services for female sex workers in Africa. Globalization and Health, 10(1), 1–13. https://doi.org/10.1186/1744-8603-10-46
- Dong, X., Sun, M., Wang, J., Yang, Z., & Hu, B. (2019). Understanding the Hierarchical Relationships in Female Sex Workers’ Social Networks Based on Knowledge, Attitude, and Practice. International Journal of Environmental Research and Public Health, 16(20). https://doi.org/10.3390/ijerph16203841
- Ikuteyijo, O. O., Akinyemi, A. I., & Merten, S. (2022). Exposure to job-related violence among young female sex workers in urban slums of Southwest Nigeria. BMC Public Health, 22(1), 1–11. https://doi.org/10.1186/s12889-022-13440-1
- Johnson, L., Potter, L. C., Beeching, H., Bradbury, M., Matos, B., Sumner, G., Wills, L., Worthing, K., Aldridge, R. W., Feder, G., Hayward, A. C., Pathak, N., Platt, L., Story, A., Sultan, B., & Luchenski, S. A. (2023). Interventions to improve health and the determinants of health among sex workers in high-income countries: a systematic review. The Lancet. Public Health, 8(2), e141–e154. https://doi.org/10.1016/S2468-2667(22)00252-3
- Kamsatun, K., Karjatin, A., & Mulyo, G. P. E. (2022). Integrative Counseling could Enhance Knowledge and Attitudes of Women Sex Workers about Sexually Transmitted Infections. Open Access Macedonian Journal of Medical Sciences, 10(G), 76–79. https://doi.org/10.3889/oamjms.2022.7813
- Ma, X., Yang, Y., Chow, K. M., & Zang, Y. (2022). Chinese adolescents’ sexual and reproductive health education: A quasi-experimental study. Public Health Nursing (Boston, Mass.), 39(1), 116–125. https://doi.org/10.1111/phn.12914
- Macleod, C. I., Reynolds, J. H., & Delate, R. (2022). Women Who Sell Sex in Eastern and Southern Africa: A Scoping Review of Non-Barrier Contraception, Pregnancy and Abortion. Public Health Reviews, 43(May). https://doi.org/10.3389/phrs.2022.1604376
- Macleod, C. I., Reynolds, J. H., & Delate, R. (2024). Violence Against Women Who Sell Sex in Eastern and Southern Africa: A Scoping Review. Trauma, Violence, and Abuse, 25(1), 691–703. https://doi.org/10.1177/15248380231160847
- Mbotwa, C. H., Kazaura, M. R., Moen, K., Leshabari, M. T., Metta, E., & Mmbaga, E. J. (2023). Retention in an mHealth App Aiming to Promote the Use of HIV Pre-Exposure Prophylaxis Among Female Sex Workers in Dar es Salaam, Tanzania: Prospective Cohort Study. JMIR MHealth and UHealth, 11, e46853. https://doi.org/10.2196/46853
- Nasution, S. S., Erniyati, E., & Hariati, H. (2019). Effectiveness of Health Education in Increasing Knowledge and Attitude Towards Free Sex in Medan. Jurnal Keperawatan Soedirman, 14(2). https://doi.org/10.20884/1.jks.2019.14.2.881
- Ngo, A., Nguyen, V. T., Phan, H., Pham, V., Ngo, C., Nguyen, L., & Ha, T. (2023). Effectiveness of mHealth intervention on safe abortion knowledge and perceived barriers to safe abortion services among female sex workers in Vietnam. MHealth, 9, 3. https://doi.org/10.21037/mhealth-22-41
- Potter, L. C., Horwood, J., & Feder, G. (2022). Access to healthcare for street sex workers in the UK: perspectives and best practice guidance from a national cross-sectional survey of frontline workers. BMC Health Services Research, 22(1), 178. https://doi.org/10.1186/s12913-022-07581-7
- Qayum, M. O., Hassan, M. R., Henderson, A., Billah, M. M., Nurunnahar, M., Afser, S., & Shirin, T. (2022). Knowledge, Attitude and Practice of Commercial Sex Workers Regarding Cervical Cancer and Its Screening, Daulatdia Brothel, Rajbari District, Bangladesh, 2020-2021. Asian Pacific Journal of Cancer Prevention : APJCP, 23(12), 4085–4092. https://doi.org/10.31557/APJCP.2022.23.12.4085
- Shewale, S., & Sahay, S. (2022). Barriers and facilitators for access and utilization of reproductive and sexual health services among Female Sex Workers in urban and rural Maharashtra, India. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.1030914
- Sianipar, S. (2017). Pengaruh Pendidikan Kesehatan Terhadap Tingkat Pengetahuan Pasien Tentang Pencegahan Infeksi Menular Seksual di Wilayah Kerja UPTD Puskesmas Jekan Raya Palangka Raya. Jurnal An-Nadaa, 4(1), 31–34.
- Sitonga, N., Nomatshila, S. C., Phalane, M., Chitha, W. W., & Mabunda, S. A. (2023). Knowledge, Attitudes, and Practices of Sex Workers of Three South African Towns towards Female Condom Use and Contraceptives. Healthcare (Basel, Switzerland), 11(9). https://doi.org/10.3390/healthcare11091271
- Slabbert, M., Venter, F., Gay, C., Roelofsen, C., Lalla-Edward, S., & Rees, H. (2017). Sexual and reproductive health outcomes among female sex workers in Johannesburg and Pretoria, South Africa: Recommendations for public health programmes. BMC Public Health, 17(Suppl 3), 17–27. https://doi.org/10.1186/s12889-017-4346-0
- Suryagustina, S., Priskila, E., & Christin, C. (2019). Penyuluhan tentang Infeksi Menular Seksual pada Wanita Pekerja Seks di Lokalisasi Km. 12 Palangka Raya. PengabdianMu: Jurnal Ilmiah Pengabdian Kepada Masyarakat, 4(2), 80–86. https://doi.org/10.33084/pengabdianmu.v4i2.848
- Wahed, T., Zaman, S., Huda, F. A., Jiayu, L., Sultana, S., Alam, A., Panza, A., & Somrongthong, R. (2020). A narrative review of the literature on the reproductive health of female sex workers having age below twenty years. Bangladesh Journal of Medical Science, 19(1), 17–31. https://doi.org/10.3329/bjms.v19i1.43870
- Widatiningsih, S., & Dewi, C. H. T. (2017). Praktik Terbaik Asuhan Kehamilan (1st ed.). Transmedika.
- Willis, B., Church, K., Perttu, E., Thompson, H., Weerasinghe, S., & Macias-Konstantopoulos, W. (2023). The preventable burden of mortality from unsafe abortion among female sex workers: a Community Knowledge Approach survey among peer networks in eight countries. Sexual and Reproductive Health Matters, 31(1), 2250618. https://doi.org/10.1080/26410397.2023.2250618