In the last decades, commercial sex workers have been recognised to have an increased prevalence of cervical lesions due to their high risk behaviour. Studies have indicated that having multiple sexual partners may lead to high transmission of Human papilloma virus. Approximately, 291million women worldwide are HPV DNA carriers. It has also been recognised that knowledge of the prevalence of cervical lesions in commercial sex workers may lead to improved prevention. The world health organization has been involved in the distribution of materials, sensitization and organization of meaningful programmes in the developing world for the care and wellbeing of the commercial sex workers in African. However, gaps in knowledge regarding the exact nature of commercial sex, stigmatization of sex workers and failure to identify and work closely with clients have prevented many communities from developing effective prevention campaigns for sex workers and their cliens. Therefore, the SHCCSW was conceptualized for the following reasons:
-Vast opportunity for transmissible infections amongst the CSWs is eminent
-Lack of awareness of the etiology of abnormal cervical lesions
-Professional ties with cervical cancer
-CSWs serve as reservoir/ host for the spread of sexually transmitted infections
-Negative influences of the CSWs on the immediate environment
-Lack of respect for dignity
-Violent abuse of the female sexual gates
-Loss of moral values according to our norms and tradition in Nigeria