Knowledge on Condoms among Female Sex Workers in Kitui Town

Authors

  • Nicholas Muthiani Ndone Mount Kenya University
  • Dr Violet Maritim Mount Kenya University
  • Dr George Njoroge Mount Kenya University

DOI:

https://doi.org/10.47941/ijhs.4063

Keywords:

Female sex workers, HIV prevention, Condom use, HIV knowledge

Abstract

Purpose: The study thus evaluates condom knowledge among the FSWs in Kitui Town with regards to their knowledge on condom effectiveness, use and HIV/STI prevention.

Methodology: This study was a descriptive cross-sectional study. Using simple random sampling from an estimated accessible population of about 400, a target sample of 196 was calculated via Fisher’s formula, with 187 participants included in the final analysis; data were collected via structured questionnaires and analysed in SPSS version 26 using descriptive statistics and chi-square tests.

Findings: The analysis of the knowledge data reveals a population with high awareness of the primary function of condoms but significant gaps in critical technical and practical knowledge necessary for their effective use. The highest mean score (Mean=4.28, SD=0.82) was for the statement that condoms prevent HIV transmission, with a overwhelming 90.4% of respondents either agreeing or strongly agreeing.

Unique contribution to theory, practice and policy: This indicates that the fundamental message of condoms as an HIV prevention tool has been successfully communicated to this population, which is a positive finding for public health campaigns. In conclusion, this study establishes that female sex workers in Kitui Town are not unaware of HIV risks nor are they unprepared; they possess high general knowledge and predominantly carry condoms. The central conclusion, however, is that there exists a profound and dangerous disconnect between this knowledge and their consistent protective behavior, a gap primarily driven by structural and interpersonal factors.

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Author Biographies

Nicholas Muthiani Ndone, Mount Kenya University

School of Public Health

Dr Violet Maritim, Mount Kenya University

School of Public Health

Dr George Njoroge, Mount Kenya University

School of Nursing

References

Abraham, C., & Sheeran, P. (2015). The health belief model. In Predicting and changing health behaviour: Research and practice with social cognition models (pp. 30–69). Open University Press.

Boileau, C., Zunzunegui, M. V., & Rashed, S. (2020). Gender differences in unsafe sexual behavior among young people in urban Burkina Faso. AIDS Care, 32(1), 118–125. https://doi.org/10.1080/09540121.2019.1622636

Champion, V. L., & Skinner, C. S. (2008). The health belief model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 45–65). Jossey-Bass.

Diouf, D., Gassama, O., & Ndour, C. T. (2020). Religious leaders’ involvement in HIV prevention and their impact on condom use among female sex workers in Senegal. Global Public Health, 15(8), 1203–1214. https://doi.org/10.1080/17441692.2020.1751234

Goldenberg, S. M., Brouwer, K. C., Jimenez, T. R., Miranda, S. M., & Mindt, M. R. (2020). Enhancing the ethical conduct of HIV research with migrant sex workers: Human rights, policy, and social contextual influences. PLOS ONE, 15(5), e0233434. https://doi.org/10.1371/journal.pone.0233434

Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J. (2015). The health belief model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation. Health Communication, 30(6), 566–576. https://doi.org/10.1080/10410236.2013.873363

Kloos, H., & Mariam, D. H. (2000). HIV/AIDS in Ethiopia: An overview. Northeast African Studies, 7(1), 13–40.

Lafort, Y., Geelhoed, D., Cumba, L., Lazaro, C. D., Delva, W., Luchters, S., & Temmerman, M. (2018). Reproductive health services for populations at high risk of HIV: Performance of a night clinic in Tete province, Mozambique. BMC Health Services Research, 18(1), 1–10. https://doi.org/10.1186/s12913-018-3023-z

Masese, L. N., Baeten, J. M., Richardson, B. A., Bukusi, E. A., John-Stewart, G. C., & McClelland, R. S. (2022). A risk factor-based approach to screening for genital tract HIV-1 RNA in women using hormonal contraception. Sexually Transmitted Infections, 98(1), 22-27.

Mayaud, P., Hawkes, S., & Mabey, D. (2004). Advances in control of sexually transmitted diseases in developing countries. The Lancet, 364(9438), 1141–1142. https://doi.org/10.1016/S0140-6736(04)17102-6

Mufune, P., Mavhandu-Mudzusi, A. H., & Sandy, P. T. (2022). Factors influencing condom use among female sex workers in Namibia: A qualitative study. African Journal of Reproductive Health, 26(1), 89–98.

Odhiambo, A. J., Mwangome, M., & Ngure, K. (2022). Preferences for condom attributes among female sex workers in Kenya: A discrete choice experiment. AIDS and Behavior, 26(4), 1232-1242.

Okal, J., Luchters, S., Geibel, S., Chersich, M. F., Lango, D., & Temmerman, M. (2020). Social context, sexual risk perceptions and stigma: HIV vulnerability among male sex workers in Mombasa, Kenya. Culture, Health & Sexuality, 22(1), 1-17.

Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328–335.

Sherman, S. G., Footer, K., Illangasekare, S., Clark, E., Pearson, E., & Decker, M. R. (2020). "What makes you think you have special privileges because you are a police officer?" A qualitative exploration of police's role in the risk environment of female sex workers. AIDS and Behavior, 24(6), 1741-1750.

Topp, S. M., Mwamba, C., Sharma, A., Mukamba, N., Beres, L. K., Geng, E., ... & Ehrenkranz, P. (2019). Rethinking retention: Mapping interactions between multiple factors that influence long-term engagement in HIV care. PLOS ONE, 14(3), e0213706.

UNAIDS. (2022). The path that ends AIDS: UNAIDS global AIDS update 2022. https://www.unaids.org

World Health Organization (WHO). (2021). Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations. https://www.who.int

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Published

2026-10-21

How to Cite

Ndone, N. M., Maritim, V., & Njoroge, G. (2026). Knowledge on Condoms among Female Sex Workers in Kitui Town. International Journal of Health Sciences, 9(6), 66–79. https://doi.org/10.47941/ijhs.4063

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