Abstract:
Condoms continue to be an essential and effective tool in the prevention 
packages for HIV, other STIs and unplanned pregnancy Sexually transmitted diseases are 
the most serious and widespread public health problem. The most vulnerable demographic 
groups, particularly female sex workers, engage in risky sexual activities, and have more 
HIV/AIDS than the general population as a result of having several partners and inconsistent 
condom use. Moreover, available data concerning consistent condom utilization and associated 
factors in Ethiopia including study area are limited.
Objective: - Consistent condom utilization and its associated factors among female sex 
workers attending Family Guidance Association confidential clinic, in Dire Dawa city, Eastern 
Ethiopia July 1to 30, 2022.
Methods: Quantitative facility based cross-sectional study design studies were used. Data were
collected from 389 study participants attending confidential clinic from July 1to 30, 2022. Data 
entered and cleaned using Epi Data version 3.1 and exported to STATA version 16 for analysis.
Binary logistic regression analysis was used to see the association between dependent and 
independent variables. Covariates that were significant at p-value < 0.25 in the bivariate 
analysis were entered in to multivariate analysis to control for all possible confounders. The 
level of statistical significance was declared at a p-value < 0.05.
Result: -The respondent rate is 100%. A total of 303 (77.9%) of the study respondents
encountered with condom with all type of client (non-regular, regular &a non–paying Client 
(boyfriend/husband) in the last one month. Females who became commercial sex workers 
because of parental crisis reasons practiced consistent Condom use were 58% less likely than 
those who became commercial sex workers for other reasons (AOR= 0.42, 95%CI; 0.18;0.97). 
Odds of condom consistent use increased by 4-fold by the increment of an overall self-efficacy 
score in one unit. 
Conclusion: Majority of females Sex workers not use condom consistently with all clients. 
Thus, avail Condom constantly and teaching importance of condom use is major activities to be 
done