Sex Workers: Condom Use

Percentage of female and male sex workers reporting the use of a condom with their most recent client.

ID: 
663
Alias: 
UNAIDS (2000): Condom use at last commerical sex, sex worker report
What it measures: 

It measures progress in preventing exposure to HIV among sex workers through unprotected sex with clients.

Various factors increase the risk of exposure to HIV among sex workers, including multiple, non-regular
partners and more frequent sexual intercourse. However, sex workers can substantially reduce the risk of HIV transmission, both from clients and to clients, through consistent and correct condom use.

Note: Countries with generalized epidemics may also have a concentrated subepidemic among sex workers. If so, it would be valuable for them to calculate and report on this indicator for this population.
 

Numerator: 

Number of respondents who reported that a condom was used with their last client

Denominator: 

Number of respondents who reported having commercial sex in the last 12 months

Data Type: 
Percent
Calculation: 
Numerator / Denominator
Method of measurement: 
Respondents are asked the following question: Did you use a condom with your most recent client? Whenever possible, data for sex workers should be collected through civil society organizations that have worked closely with this population in the field. Access to survey respondents as well as the data collected from them must remain confidential. For further information, please consult the following references: o UNAIDS (2007). A Framework for Monitoring and Evaluating HIV Prevention Programmes for Most-At-Risk Populations. Geneva: UNAIDS. o UNAIDS (2007). Practical Guidelines for Intensifying HIV Prevention: Towards Universal Access. Geneva:UNAIDS.
Data Collection
Data Collection Method: 
Survey: most-at-risk population
Data Collection Tools: 
Behavioural Surveillance Survey (BSS)
Measurement Frequency: 
Biennial
Epidemic Type: 
Concentrated/low level
Generalized
Indicator Type: 
Behavioral Outcome
Indicator Level: 
National
Disaggregations
Age-group: 
< (less than) 25 years
> (greater than) 25 years
Gender: 
Female
Male
Strengths and weaknesses: 

Condoms are most effective when their use is consistent, rather than occasional. The current indicator
will provide an overestimate of the level of consistent condom use. However, the alternative method of
asking whether condoms are always/sometimes/never used in sexual encounters with clients in a specified period is subject to recall bias. Furthermore, the trend in condom use in the most recent sexual act will generally reflect the trend in consistent condom use.

This indicator asks about commercial sex in the past twelve months. If you have data available on another time period, such as the last 3 or 6 months, please include this additional data in the comments section of the reporting tool.
 Surveying sex workers can be challenging. Consequently, data obtained may not be based on a representative sample of the national, most-at-risk population being surveyed. If there are concerns that the data are not based on a representative sample, these concerns should be refl ected in the interpretation of the survey data. Where different sources of data exist, the best available estimate should be used. Information on the sample size, the quality and reliability of the data, and any related issues should be included in the report submitted with this indicator.

To maximize the utility of these data, it is recommended that the same sample used for the calculation of
this indicator be used for the calculation of the other indicators related to these populations.

Preferred Indicator: 
Core National Indicator - UNGASS
Global AIDS Progress Reporting 2012
Agency: 
European Centre for Disease Prevention and Control (ECDC)
Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM)
Joint United Nations Programme on HIV/AIDS (UNAIDS)
The President's Emergency Plan for AIDS Relief (PEPFAR)
United Nations Children's Fund (UNICEF)
Relevance: 
2009 UN General Assembly Special Session on HIV/AIDS (UNGASS)
Dublin Declaration Monitoring
Global AIDS Progress Reporting 2012
Global AIDS Response Progress Reporting (GARPR) 2013
Universal Access (UA)
US President's Emergency Plan for AIDS Relief (PEPFAR)
Status: 
Active
Keywords
Programme Focus General: 
Prevention
Programme Focus Specific: 
Behaviour Change
Sexual Behaviour
Condoms
Target Population: 
Most-at-Risk: Sex Workers
Sex: All
Age: Not Specified
Goal - Initiative or Country: 
Initiative