Eat a little and save a little: A qualitative exploration of acceptability of a potential savings intervention to reduce HIV risk among female sex workers in Western Kenya
2024

Exploring Acceptability of a Savings Intervention to Reduce HIV Risk Among Female Sex Workers in Kenya

Sample size: 221 publication Evidence: moderate

Author Information

Author(s): Otticha Sophie, Moraa Jane, Onyango Jacob, Okumu Olivia, Ochillo Marylyn, Ayallo Judith, Owiti Phillip, Ouma Lillian, Ounda Nancy, Odwar Tobias, Ogot Shantana Carol, Agot Kawango, Katbi Moses

Primary Institution: Impact Research and Development Organization, Kisumu, Kenya

Hypothesis

Would the Jitegemee savings intervention be acceptable to female sex workers in Kisumu and Siaya counties, Kenya?

Conclusion

Female sex workers in western Kenya were receptive to the proposed savings intervention, believing it would enhance their financial stability and reduce risky sexual behaviors.

Supporting Evidence

  • FSWs expressed a strong desire for financial literacy training to help them save.
  • Participants indicated that financial insecurity leads to risky sexual behaviors.
  • The proposed intervention was seen as a way to gain financial independence.
  • Many FSWs reported living beyond their means, which exacerbates their financial challenges.
  • Participants suggested that community involvement would enhance the intervention's acceptability.
  • Confidentiality and a non-stigmatizing approach were emphasized as crucial for participation.
  • FSWs indicated that having savings could help them refuse unsafe sex.
  • Peer educators were seen as vital for disseminating information about the intervention.

Takeaway

The study found that female sex workers in Kenya think saving money could help them avoid risky sex for cash when they need money urgently.

Methodology

The study involved 24 focus group discussions with female sex workers to explore their financial behaviors and the acceptability of a savings intervention.

Potential Biases

Potential bias due to self-reporting and social desirability in responses.

Limitations

The sample may not represent younger female sex workers, and the qualitative nature limits generalizability.

Participant Demographics

19.9% were married, 85.4% reported being heads of households.

Digital Object Identifier (DOI)

10.1371/journal.pone.0310540

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication