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American Journal of Public Health Research. 2019, 7(2), 81-86
DOI: 10.12691/ajphr-7-2-6
Open AccessArticle

An Investigation on Female Sexual Workers (FSWs) Knowledge, Attitude and Practice towards HIV/AIDS in Makassar, Indonesia

M.Akbar Alwi1, and Yusdalia2

1Department of Health, Patria Artha University, Makassar, Indonesia

2AIDS Eradication Commission, Makassar, Indonesia

Pub. Date: May 25, 2019

Cite this paper:
M.Akbar Alwi and Yusdalia. An Investigation on Female Sexual Workers (FSWs) Knowledge, Attitude and Practice towards HIV/AIDS in Makassar, Indonesia. American Journal of Public Health Research. 2019; 7(2):81-86. doi: 10.12691/ajphr-7-2-6


Background: In Indonesia, HIV/AIDS is still a public health problem and approximately 620.000 people living with HIV/AIDS in this country. Female sexual workers (FSWs) as one of the groups in HIV cases are more ten times more likely to acquire HIV than the general population. This study aimed to find out the description of the knowledge, attitudes and practice of FSWs in Makassar about HIV/AIDS. Methods: This was observational research by using a descriptive approach. There were 255 FSWs recruited as respondents chosen by stratified random sampling. An Interviewer-administered questionnaire was designed to collect data about knowledge, attitude and practice on HIV/AIDS. Results: Overall, more 50% of respondents could provide the correct answers about HIV/AIDS transmission and prevention. One of the preventions that have not been known by most of them was blade and shaver sharing. Concerning attitude, most respondents had a positive attitude towards HIV / AIDS, but there were still 38.0% who agreed not to make friends with HIV patients and 28.2% respondents agreed not to offer condoms to clients who seem healthy. The condom offer was higher than condom use for clients that is 60.0% and 54.1% respectively. Conclusion: more than 50% of respondents could provide correct answers about basic knowledge of HIV/AIDS and more than 50% FSWs had a positive attitude. AIDS eradication commission of Makassar needs to provide any information on HIV/AIDS not only for FSWs but also for clients.

HIV/AIDS knowledge female sexual worker

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[1]  UNAIDS, “Ending the AIDS Epidemic by 2030,” 2017. [Online]. Available: [Accessed: 16-Oct-2017].
[2]  UNAIDS, “Global HIV/AIDS Response: Epidemic Update and Health Sector Progress towards Universal Access,” Geneva, 2011.
[3]  K. Shannon et al., “Global epidemiology of HIV among female sex workers: influence of structural determinants,” Lancet, vol. 385, no. 9962, pp. 55-71, 2015.
[4]  UNAIDS, “Prevention Gap Report,” Geneva, 2016.
[5]  CDC, “HIV Risk Among Persons Who Exchange Sex for Money or Nonmonetary Items,” 2018.
[6]  S. Baral et al., “Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis,” Lancet Infect. Dis., vol. 12, no. 7, pp. 538-549, 2012.
[7]  C. Overs, “Sex of Workers: Part of The Solution,” 2002.
[8]  Y. Cai et al., “A study of HIV/AIDS related knowledge, attitude and behaviors among female sex workers in Shanghai China,” BMC Public Health, vol. 10, no. 1, p. 377, 2010.
[9]  UNAIDS, “Sex Work and HIV,” 2002.
[10]  Y. L. Permata, “HIV Prevention in Female Sexual Workers in Indonesia: A Literature Review,” Vrije Universiteit Amsterdam, Netherlands, 2012.
[11]  I. Safika, T. P. Johnson, and J. A. Levy, “A venue analysis of predictors of alcohol use prior to sexual intercourse among female sex workers in Senggigi, Indonesia,” Int. J. Drug Policy, vol. 22, no. 1, pp. 49-55, 2011.
[12]  J. H. Grayman, P. T. Huong, R. A. Jenkins, J. W. Carey, G. R. West, and T. T. Minh, “Factors associated with HIV testing, condom use, and sexually transmitted infections among female sex workers in Nha Trang, Vietnam,” AIDS Behav., vol. 9, no. 1, pp. 41-51, 2005.
[14]  E. Bruce, L. Bauai, M. Sapuri, J. M. Kaldor, C. K. Fairley, and L. A. Keogh, “HIV knowledge, risk perception, and safer sex practices among female sex workers in Port Moresby, Papua New Guinea,” Int. J. Womens. Health, vol. 3, p. 53, 2011.
[15]  J. T. F. Lau, H. Y. Tsui, P. C. Siah, and K. L. Zhang, “A study on female sex workers in southern China (Shenzhen): HIV-related knowledge, condom use and STD history,” AIDS Care, vol. 14, no. 2, pp. 219-233, 2002.
[16]  D. Prybylski and W. A. Alto, “Knowledge, attitudes and practices concerning HIV/AIDS among sex workers in Phnom Penh, Cambodia,” AIDS Care, vol. 11, no. 4, pp. 459-472, 1999.
[17]  S. Kakchapati, N. Gautam, K. C. Khagendra Prakash, and B. B. Rawal, “HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of nepal,” HIV/AIDS (Auckland, NZ), vol. 10, p. 157, 2018.
[18]  K. Kriitmaa et al., “HIV prevalence and characteristics of sex work among female sex workers in Hargeisa, Somaliland, Somalia,” Aids, vol. 24, pp. S61-S67, 2010.
[19]  T. H. Hull, E. Sulistyaningsih, and G. W. Jones, Prostitution in Indonesia: It’s History and Evolution. Pustaka Sinar Harapan, 1995.
[20]  I. Safika, J. A. Levy, and T. P. Johnson, “Sex work venue and condom use among female sex workers in Senggigi, Indonesia,” Cult. Health Sex., vol. 15, no. 5, pp. 598-613, 2013.
[21]  T. H. Hull, “From Concubines to Prostitutes. A Partial History of Trade in Sexual Services in Indonesia,” Moussons. Rech. en Sci. Hum. sur l’Asie du Sud-Est, no. 29, pp. 65-93, 2017.
[22]  UNAIDS, “Indonesia,” 2018. [Online]. Available: [Accessed: 02-Oct-2018].
[23]  E. Basuki et al., “Reasons for not using condoms among female sex workers in Indonesia,” AIDS Educ. Prev., vol. 14, no. 2, pp. 102-116, 2002.
[25]  Ministry of Health Republic of Indonesia, “Integrated Biological and Behavioral Survey,” Indonesia, 2011.
[26]  BPS, “Makassar Municipality in Figures 2018,” 2018.
[27]  Dinas Kesehatan, “Profil Kesehatan Kota Makassar 2015,” Makassar, 2015.
[28]  A. Woday, Y. Menber, F. Yimam, N. Melese, and S. Dagne, “The Preventive Practice of and Associated Factors of HIV/AIDS among Female Sex Workers in Dessie Town, Northeast Ethiopia, 2017,” J Women’s Heal. Care, vol. 7, no. 425, pp. 420-2167, 2018.
[29]  P. A. Kazerooni, M. Sayadi, N. Motazedian, and M. Sabet, “Sexual Behaviors, Knowledge and Attitudes of Female Sex Workers’ towards HIV/AIDS in Shiraz,” J. Heal. Sci. Surveill. Syst., vol. 2, no. 3, pp. 99-106, 2014.
[30]  Q. Sholihah and R. Fauzia, “Correlation of razor hygiene with HIV disease transmission risk in barber shop,” Int J Biosci [Internet], vol. 9, no. 6, pp. 383-392, 2016.
[31]  N. H. Eltayeb and H. M. Y. Mudawi, “Knowledge and practice of barbers regarding transmission of blood-borne viruses in Khartoum state,” Ann. Trop. Med. Public Heal., vol. 6, no. 1, p. 80, 2013.
[32]  T. Millon, M. J. Lerner, and I. B. Weiner, Handbook of Psychology: Volume 5, Personality and Social Psychology. New Jersey: John Wiley & Sons, Inc, 2003.
[33]  WHO, “HIV/AIDS,” 2018. [Online]. Available: [Accessed: 10-May-2019].
[34]  CDC, “Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention,” Centers for Disease Control and Prevention, 2018. [Online]. Available: [Accessed: 08-Oct-2018].
[35]  K. Ford, D. N. Wirawan, P. Fajans, P. Meliawan, K. MacDonald, and L. Thorpe, “Behavioral interventions for reduction of sexually transmitted disease/HIV transmission among female commercial sex workers and clients in Bali, Indonesia.,” Aids, 1996.
[36]  M. R. Joesoef, M. Linnan, Y. Barakbah, A. Idajadi, A. Kambodji, and K. Schulz, “Patterns of sexually transmitted diseases in female sex workers in Surabaya, Indonesia,” Int. J. STD AIDS, vol. 8, no. 9, pp. 576-580, 1997.
[37]  N. Silitonga, S. C. Davies, J. Kaldor, S. Wignall, and M. Okoseray, “Prevalence over time and risk factors for sexually transmissible infections among newly-arrived female sex workers in Timika, Indonesia,” Sex. Health, vol. 8, no. 1, pp. 61-64, 2011.