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De-Identified WASH data. Final analytic dataset of 47 records. Supplemental table of WASH Checklist is the modified UN tool that was used and provides dictionary to dataset.

dataset
posted on 2023-10-02, 00:55 authored by Supriya MehtaSupriya Mehta

This de-identified dataset represents findings from an assessment of water, sanitation, and hygiene (WASH) facilities at sex work venues in Kenya. Methods: Stakeholders identified 77 sex work venues in Kisumu, of which 47 were randomly sampled and visited between April-May 2023. A standardized structured survey of WASH conditions was deployed by trained research staff using Android tablets after proprietor’s consent. WASH scores ranging 0 – 3 were computed based on observed data (1) of water available, soap available, and acceptable latrine. MHM scores ranging between 0-4 were computed based on one point each for: currently available soap and water, locking door on a usable latrine, functional lighting, and a private area for changing clothes or menstrual materials, separate from the latrine(s). WASH and MHM scores were computed and compared by venue type using non-parametric Kruskal-Wallis tests, and non-parametric Spearman rank tests. Results: Full WASH criteria was met by 29.8% of venues; 34.0% had no adequate WASH facilities; 46.8% had no female latrine, and 25.5% provided soap and water in private spaces for women. While 76.6% had menstrual waste disposal only 14 (29.8%) had covered bins. One in 10 venues provided adequate MHM facilities. Poorest WASH facilities were in brothels and in bars, and three-quarters of bars with accommodation had no MHM facilities. Discussion: WASH and MHM services were sub-optimal in the majority of FSW venues, preventing women from managing their menstruation safely, effectively, with dignity and privacy. Facilities were most inadequate in venues offering accommodation. This study highlights the unmet need for MHM support for this population. Poor MHM can deleteriously impact FSW health and wellbeing and compound the stigma and shame associated with their work and ability to stay clean. Acceptable and cost-effective solutions to sustainably improve WASH facilities for these populations are needed.

Funding

Single arm trial of menstrual cups among economically vulnerable women to reduce Bacterial vaginosis and STIs through reduced harmful sexual and menstrual practices

National Institute of Allergy and Infectious Diseases

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