Socio-Demographic Characteristic And Association Of Utilization Of Long Acting Reversible Contraceptive Among Commercial Sex Workers In Nairobi County Slum

Purpose: The purpose of this study was to determine the Socio-Demographic characteristic and association of utilization of long -acting reversible contraceptives among commercial sex workers. in Nairobi County Kibra slums. Methods: A descriptive cross-sectional study design was adopted where both quantitative and qualitative data collection methods were used. Simple random sampling technique was used to select the study area, while Purposive sampling was used to select the hotspot areas. A total of 384 commercial sex workers aged 15 to 49 years were recruited through snowballing. Data was collected using structured questionnaires, guided focus group discussions and scheduled interviews for key informants. Quantitative data was analysed by computerized methods with the aid of scientific calculations, Statistical Package for Social Sciences version 21. Statistical data was presented using tables, pie charts, and graphs. Bivariate analysis was used to check for the association between the dependent and independent variables where, the significant at (p < 0.05) were then entered into a multivariable logistic regression model. Those with p < 0.05 indicated that they were statistically significant. Results: The findings revealed that there was strong statistical significant association between the age χ2 = 188.230a, df =15, p = <0.001 , level of education, χ2 = 211.058a, df = 15, P = <0.001 and marital status, χ2 = 240.747a, df = 15, P = <0.001 in the utilization of long- acting reversible contraceptives. The religion and utilization of long- acting reversible contraceptive the study showed there was no statistically significant association. χ2 = 5.102a, df = 3, p = < 0.164 Unique contribution to Theory, Practice and Policy: Commercial sex workers to adopt a benefit-behavior that reduces the possibility of having negative outcomes following unintended pregnancy. The Community Health Assistants and Peer Educators need to create awareness on utilization of long- acting reversible contraceptives in the community and outreach services enhanced .The Policy makers to develop relevant policies and guidelines to support utilization of long -acting reversible contraceptives among the women of reproductive age. Similar studies to be carried out in other socio-economical settings and geographical locations.