The Kawempe Community Health Development Project (KCHDP) located in a poor informal urban setting of Kampala aimed to improve sexual and reproductive health (SRH) services available to female commercial sex workers (CSWs) and equip them with employable skills for behavioural change.
Project strategies included provision of user-friendly services at a community health facility, building critical community capacity for promotion of service utilisation and safe sex behaviour change, and providing vocational skills training to CSWs. The review was conducted to assess project impact on increasing SRH services uptake among the CSWs and document changes in their demand for adopting safe sex behavioural change.
This retrospective and cross-sectional study was conducted in July 2009 and reviewed project information from 2001 to 2008. The combined study design was intended to facilitate a more in-depth analysis of issues, taking into consideration the perspective of project key stakeholders. Both quantitative and qualitative data was generated with descriptive analysis methods and thematic analysis being used, respectively.
Findings: The project contributed to increased service uptake for SRH services and demand for safe sex behaviour change among CSWs in an urban poor community. There is need for the programme to strengthen its institutional and financial sustainability to match the increasing demand for SRH services and vocational skills training for CSWs. This may be through formation of partnerships and mainstreaming project activities into ongoing health and development programmes.