Theme | Categories | Sub-Categories |
---|---|---|
Struggling with the continuous risk of condom failure | Difficulties associated with clients’ behavior/demand | Deliberate condom breakage/ slippage and piercing |
Men’s focusing only on sexual satisfaction leading to struggle (rough sex) and taking a long time | ||
Drunk clients | ||
Poor quality of condom brought by clients | ||
Size of penis | ||
Dealing with their own inadequacies | FSWs getting drunk | |
Getting involved (FSWs) in the sex (level of absorption) | ||
Letting a client have sex in different positions/ allowing clients to take control over the position | ||
Not having proper condom use knowledge/skill | ||
Negligent FSWs face frequent breakage/slippage | ||
Minimizing harm due to condom failure | Changing condoms | |
Getting rid of harmful fluids | ||
Taking PrEP | ||
Doubting the feasibility of PrEP as a protection strategy | Misconceptions and barriers towards taking PrEP | Perceiving PrEP as an alternative, and not supplement, to condom use |
Perceiving no difference between taking PrEP daily and taking ART after being positive | ||
Not liking to take PrEP everyday | ||
Doubting effectiveness of PrEP for HIV protection | ||
Lacking confidence in self-efficacy | Fear of being negligent regarding condom use with client | |
Fear of forgetting to take the pill while drunk as a reason not to start taking PrEP | ||
Fear of not being able to manage the side effects | ||
Being challenged by the negative aspects associated with PrEP use | Having to deal with adverse side effects | Having nausea and nightmares; gastritis and back pain; bloating, and sometime diarrhea |
Facing risk of stigma | Being seen as HIV positive when taking PrEP | |
The PrEP container is similar to ART | ||
Feeling challenged by adherence needs | Worrying that drinking and using khat might interfere with PrEP adherence | |
Forget to take PrEP in the morning due to sleeping |