Factors Influencing Womens Perceived Sexual Self-Efficacy in Botswana: An Implication for HIV Intervention Programs

Ofile Lesotlho, University of Botswana

Background: There is a need to empower women to have a higher sexual self-efficacy to handle various sexual contexts to correct the skew in HIV infection towards women. This is crucial for their sexual and reproductive health and achieving goal 3 of the Sustainable Development Goals. Methods: Data from the most recent 2013 Botswana Aids Impact Survey was used. Descriptive, bi-variate and binary logistic analysis was used in the study. Results: The proportion of women with low sexual efficacy was 56.5%. Odds of low sexual self-efficacy were higher for older women aged 20-24 (OR, 3.733), 25-29 (OR, 1.027) and 30-35 (OR, 1.173). They were also higher for women with secondary (OR, 2.038) and higher education (OR, 1.641) Conclusion and Policy Implications: There is an association of women’s perceived sexual self-efficacy with all our independent variables. Alternative methods must be considered and intervention strategies should be hinged on targeting vulnerable individuals.