Magnitude Of And Factors Associated With Male Condom Use And Failure Rate Among Commercial Sex Workers Of Bahir Dar Town Licensed Nonbrothel Establishments Ethiopia.

Introduction: The most predominantly practiced HIV prevention strategy in Ethiopia is thern“ABC” approach. However, only the ‘use condom’ approach can practically be applied tornsex workers. If condoms used consistently and properly, and don’t break or slip off duringrnsexual intercourse, they prevent the users from acquiring HIV infection and reduce itsrntransmission and slow the spread.rnObjective: To asses the pattern of condom use and their effectiveness, and related factors.rnMethodology: Study design was mainly a cross–sectional quantitative study,rncomplemented with a qualitative study, an in–depth interview.rnResults: A total of 369 CSWs were interviewed. The proportion of CSWs who consistentlyrnused condoms for three months and who put condoms onto their male clients’ penis at theirrnlast sexual intercourse was found to be 85.6% and 35.8%, respectively. Using condoms forrncontraception purpose had significant statistical association with consistent condom usernbehavior of sex workers (OR=6.6, 95%CI, 2.3–18.9). The prevalence of condom breakagernand slippage at the last sexual intercourse were found to be 4.4%, and 1.5%, respectively.rnProlonged sexual intercourse was the only factor believed by almost all IDI participants torncause condom breakage. Trying to continue sexual intercourse after ejaculation and startingrnsex before a penis being erected properly were believed by IDI participants to causerncondom slippage.rnDiscussion: Our consistent condom use finding was grossly similar with that of 2002/BSSrnfinding (85.6% vs. 90.2%). Higher proportion of consistent condom users was observedrnamong Bahir Dar sex workers compared to other study findings like that of Mathias et alrnviiirn1998 (85.6% vs. 40%). The statistical association between consistent condom use andrncondom use for contraception purpose was also observed in Mathias et al 1998 researchrn(65.3% among condom users vs. 24% among non-users, p

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