Factors Causing the Low Compliance of Condom Use in Prostitutional Customers in Embong Miring, Probolinggo, Indonesia

Abstract

Until now, the problem of covert prostitution is difficult to solve because it cannot be controlled by the nearest

health service. This is likely because it is difficult to detect the presence of female sex workers who do not

claim their profession when the data collection is done by the Social Service. This causes the incidence of

STIs (sexually transmitted infections) continues to increase and it is difficult to prevent transmission of the

STI disease. The highest STI cases, based on data from the Ministry of Health of the Republic of Indonesia

with a syndrome diagnosis approach and laboratory examinations according to risk groups for 2016-2018,

suffered by female sex workers as many as 93,798 cases. An increase in STI cases among female sex

workers shows that condom use among customers is still low. This is likely related to less negotiations with

customers during sexual transactions. Prevention of STI transmission can be done by adhering to customers

to always use condoms during sexual intercourse. This research was conducted to find out how the ability

of female sex workers to negotiate with customers about the use of condoms in every sexual transaction

they do. This research uses descriptive research with a qualitative approach. The research design was in the

form of case studies and sampling in this study by purposive sampling. The informants in this research are

female sex workers, the research instrument uses a list of interviews and in-depth interviews. The results

showed that the ability of female sex workers to negotiate with customers about the use of condoms is still

a lot of bargaining because female sex workers are tempted to pay more if customers’ requests not to use

condoms are fulfilled. This study concludes that the role of the economic needs of female sex workers is very

important and also influences the ability to negotiate with customers about the use of condoms.