Table 5.
Percent distribution of condom use among FSW in Ghana by region, 2020.
| Variables | Western | Central | Greater Accra | Volta | Eastern | Ashanti | Western North | Ahafo | Bono | Bono East | Oti | Northern | Savannah | North East | Upper East | Upper West | (n) | (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 750 | 630 | 1856 | 173 | 660 | 1,271 | 38 | 144 | 411 | 137 | 216 | 171 | 35 | 38 | 174 | 70 | 6,773 | ||
| A. Paying clients | ||||||||||||||||||
| Consistent condom use | 87.5 | 60.8 | 83.2 | 66.3 | 70.8 | 70.2 | 90.5 | 15.9 | 52.6 | 55.7 | 24.9 | 77.2 | 83.1 | 71.8 | 52 | 60.6 | 4,781 | 70.6 |
| Condom use with most recent sex with client | 96.8 | 89.4 | 94.2 | 84.3 | 76 | 92.1 | 97.1 | 86.6 | 87.2 | 88 | 46.1 | 94.9 | 94.3 | 95.1 | 84.2 | 80.3 | 6,029 | 89 |
| Condom use suggested by | ||||||||||||||||||
| Client | 1.0 | 3.2 | 1.4 | 7.5 | 4.8 | 3.2 | 0.0 | 4.6 | 5.6 | 2.4 | 20.3 | 5.1 | 1.3 | 1.3 | 8.7 | 0.6 | 196 | 3.2 |
| Self | 93.6 | 85.3 | 90.8 | 86 | 74.9 | 92.1 | 81.1 | 47.4 | 65.4 | 79 | 49.6 | 69.8 | 77.5 | 64.5 | 59.9 | 62.5 | 5,115 | 84.2 |
| Mutual Decision | 5.2 | 11.2 | 7.8 | 6.4 | 19.6 | 4.3 | 18.9 | 48 | 28.1 | 18.5 | 30.2 | 25.1 | 21.2 | 34.3 | 31.5 | 36.9 | 746 | 12.3 |
| The most important reason you use condoms with clients | ||||||||||||||||||
| STI/ HIV prevention | 70.5 | 65.2 | 75.9 | 85.7 | 60.2 | 76 | 58.9 | 34.1 | 72.5 | 44.8 | 35.6 | 58.6 | 70 | 49.8 | 65.8 | 56.4 | 4,664 | 68.9 |
| Pregnancy prevention | 0.6 | 2.7 | 3.6 | 5.3 | 13.6 | 3.4 | 4.5 | 6.5 | 7 | 3.9 | 15.8 | 9.2 | 5.4 | 1.1 | 4.8 | 1.5 | 336 | 5 |
| Both | 26.9 | 28.8 | 18.9 | 6 | 21.8 | 19 | 36.7 | 57.2 | 17.8 | 46.5 | 20.2 | 29.5 | 21.9 | 46.9 | 27.1 | 36.3 | 1,554 | 23 |
| Reason for not using condom | ||||||||||||||||||
| Client refused | 11.5 | 29.7 | 15.3 | 38.3 | 25.7 | 13.9 | 73.2 | 35 | 37 | 31.3 | 8.7 | 29.4 | 56.6 | 20.7 | 37.4 | 13.3 | 406 | 23.3 |
| Client is not HIV positive | 5.7 | 3.7 | 4.6 | 1.3 | 10.2 | 3.8 | 0 | 0.1 | 8.4 | 19.9 | 3.3 | 16.1 | 0 | 9.3 | 0 | 12.5 | 95 | 5.5 |
| Client is a regular client | 10.3 | 19.3 | 17.1 | 14.1 | 14.5 | 14.5 | 0 | 10.3 | 22.7 | 19.7 | 9.8 | 18.4 | 0 | 10.3 | 10 | 8.3 | 268 | 15.4 |
| I did not have condom | 1.7 | 7.7 | 4.8 | 10.5 | 4.1 | 8 | 0 | 12.7 | 9.4 | 2.6 | 10.2 | 5.7 | 11.8 | 0 | 18.6 | 6.1 | 132 | 7.6 |
| I want to get pregnant | 0 | 1.8 | 0 | 0 | 0 | 2 | 0 | 0 | 0.6 | 1.1 | 1.8 | 10.4 | 0 | 19.9 | 0 | 0 | 20 | 1.1 |
| Client paid more | 26 | 8.3 | 18.2 | 23 | 8.3 | 25 | 23.7 | 23.4 | 12.7 | 9.8 | 10.6 | 6.9 | 0 | 0 | 24.1 | 6.9 | 283 | 16.3 |
| I am afraid of violence from clients | 4.3 | 2.2 | 0.6 | 0 | 0 | 0 | 0 | 8.8 | 0.5 | 0 | 4.5 | 5.7 | 0 | 0 | 0 | 1.9 | 28 | 1.6 |
| Drunk/ high | 3.2 | 2.1 | 0.1 | 0 | 0 | 0 | 0 | 1.3 | 0.9 | 0 | 2.6 | 0 | 0 | 0 | 0 | 0 | 14 | 0.8 |
| I do not like condom | 11.9 | 7.1 | 6.9 | 10.8 | 34.4 | 7.2 | 0 | 8.5 | 2.3 | 8.1 | 40.4 | 0 | 0 | 10.3 | 6.5 | 31 | 217 | 12.5 |
| Had anal sex with client | 9.3 | 11.7 | 6.5 | 14.6 | 5.4 | 7.5 | 9.7 | 44.3 | 18.7 | 8.7 | 17.9 | 20 | 0.7 | 8.9 | 14 | 7.9 | 682 | 10.1 |
| Condom use with most recent anal sex | 63.5 | 59.6 | 61.8 | 62.4 | 56.5 | 61.7 | 76.6 | 16.3 | 77.9 | 93.2 | 27.2 | 95.1 | 100 | 59.9 | 56.6 | 51.8 | 396 | 58.4 |
| B. Intimate partner (IP) | ||||||||||||||||||
| Consistent condom use | 22.6 | 26.6 | 17.9 | 24.6 | 19.4 | 28.1 | 68.6 | 8.8 | 28.7 | 24.7 | 8.3 | 34.5 | 35.5 | 48 | 38.7 | 44.4 | 1,592 | 23.5 |
| Condom use with most recent IP | 35.9 | 39.2 | 27.2 | 29.5 | 52.6 | 49 | 52 | 83.8 | 43.2 | 57.8 | 28.3 | 54 | 28.1 | 71.6 | 58 | 61.3 | 2,772 | 40.9 |
| Reason for not using condom with IP | ||||||||||||||||||
| I trusted him | 55.9 | 57.4 | 62.8 | 50.5 | 65.4 | 80.4 | 25.2 | 31.5 | 72.1 | 71.1 | 24.7 | 35.3 | 63.9 | 69 | 38.1 | 58.5 | 2,315 | 61.8 |
| He refused | 16.4 | 9.1 | 13.8 | 32.4 | 4.9 | 6.1 | 16.9 | 27.1 | 15.4 | 9.8 | 6 | 12.7 | 32 | 5.5 | 19.6 | 5.6 | 431 | 11.5 |
| He is not HIV positive | 10.3 | 9.9 | 6.2 | 0.9 | 2.5 | 2.5 | 2.7 | 5.8 | 2.6 | 6.5 | 1.4 | 5.1 | 0 | 2.2 | 1.9 | 4.2 | 192 | 5.1 |
| Did not have condoms | 0.3 | 3.2 | 0.7 | 1.7 | 3.2 | 0.3 | 0 | 9.8 | 2.2 | 0.2 | 1.3 | 0.8 | 0 | 0 | 18.3 | 2.4 | 73 | 2 |
| I want to get pregnant | 0.2 | 0.9 | 0.4 | 0.6 | 0.2 | 1.4 | 0 | 0 | 1.8 | 3.2 | 0.7 | 5.7 | 0 | 2.7 | 1.1 | 0.5 | 33 | 0.9 |
| I am afraid he will be violent | 3.2 | 2.3 | 1.6 | 0.2 | 0.3 | 0.6 | 1.6 | 10 | 0.4 | 1.2 | 6.9 | 0.6 | 0 | 0 | 0 | 0 | 65 | 1.8 |
| I am embarrassed | 0.1 | 0.7 | 0.3 | 0 | 0.3 | 0 | 0 | 0 | 0 | 1 | 1.3 | 1.4 | 0 | 0 | 0 | 0 | 11 | 0.3 |
| Too drunk/high to use | 0.2 | 0.3 | 0.6 | 0.2 | 0.4 | 0.2 | 0 | 0 | 0.8 | 0 | 0 | 0 | 0 | 0 | 0.9 | 0 | 14 | 0.4 |
| I do not like it | 4.6 | 4.7 | 6.5 | 6.4 | 6.2 | 1.7 | 8.5 | 11.6 | 1.2 | 3.5 | 45 | 6.5 | 0 | 9.9 | 8.8 | 8.6 | 247 | 6.6 |