scholarly journals Sexual and Reproductive Health and Rights Inequities Among Sex Workers Across the Life Course

Author(s):  
Ania Shapiro ◽  
Putu Duff

AbstractAll individuals, including sex workers, are entitled to the full spectrum of sexual and reproductive health (SRH) and rights. Yet sex workers continue to bear significant SRH inequities and unmet needs for appropriate SRH services at every step along their sexual and reproductive lives. To illustrate the complex and nuanced barriers that currently impede sex workers’ access to SRH services, this chapter describes the current gaps in access to SRH services experienced by sex workers globally, drawing on in-depth interviews and focus group discussions with 171 sex workers and sex worker organisations from across ten countries. Interviews highlight the lack of tailored, comprehensive, and integrated SRH services. These gaps are driven by intersecting structural forces such as: the criminalisation of sex work, same-sex relationships, and gender non-conformance; harmful and coercive SRH policies; sex work and gender-based stigma; and logistical and practical barriers. To support the SRH needs and rights of sex workers, participants recommended improved access to comprehensive, integrated services addressing sex workers’ broader SRH needs, including family planning, abortion and pregnancy needs, SRH screening, hormone therapy, and other gender-affirming services. Crucial steps towards ensuring equitable SRH access for sex workers include addressing stigma and discrimination within healthcare settings, removal of coercive SRH policies and practices, and dedicating appropriate resources towards sex worker-led SRH models within the context of decriminalisation of sex work.

2018 ◽  
Vol 22 (3) ◽  
pp. 321-338 ◽  
Author(s):  
Stewart Cunningham ◽  
Teela Sanders ◽  
Lucy Platt ◽  
Pippa Grenfell ◽  
P.G. Macioti

This article presents an analysis of occupational homicides of sex workers in the United Kingdom, 1990-2016. Characteristics of 110 people murdered between 1990 and 2016 are explored including the location of their murder, ethnicity, migration status, and gender. Key changes over time are noted including an increase in the number of sex workers murdered indoors as well as an increase in murdered migrant sex workers. By developing the concept of “occupational homicide,” we argue that sex worker homicide should be viewed as an occupational issue and that the distinction between work-related homicide and nonwork-related homicide should be accounted for in future studies and is essential to inform prostitution policy.


2021 ◽  
Author(s):  
◽  
Kate Florence Burry

<p>This thesis is a foundational piece of research into ni-Vanuatu sex workers’ experiences within the sex industry of Luganville, on the northern island of Espiritu Santo in Vanuatu. This research identifies and unpacks ni-Vanuatu sex workers’ limits to claiming their sexual and reproductive health rights (SRHR), limits which are intricately associated with gender paradigms and hierarchies in Vanuatu.  Those interviewed were male and female sex workers, an ex-sex worker, ‘middle men,’ who manage sexual transactions, a client and an ex-boyfriend of a local sex worker. Discussions focused on the technicalities of Luganville’s sex industry, as well as sexual and reproductive health and rights, and the extent to which sex workers are able to exercise agency during interactions with clients. Thus, this thesis reveals both the intricate workings of the sex industry in Luganville, and the considerable extent to which sex workers are limited in making decisions about their wellbeing, leading to significant accounts of abuse.  The theory of ‘body work’ informs this thesis’ analysis of how ni-Vanuatu sex workers’ bodies are understood as a constitution of their self. This analysis reveals the extent to which sex workers are divested of personhood, thereby limiting their ability to have their rights as persons realised. This thesis also draws on the complex process of, as the author conceptualises, gender and developman in Vanuatu; that is, the ways in which Vanuatu has mingled with, co-opted, and rejected introduced commodities, ways, and beliefs in particularly gendered ways. In this way, this thesis is not only unique in investigating the sex industry in Luganville. This thesis also provides a deep analysis of sex work as a part of gender and developman in Vanuatu, and what that process reveals about sex workers’ agency in particular, and modern configurations of gender in Vanuatu in general.</p>


2014 ◽  
Vol 128 (3) ◽  
pp. 201-205 ◽  
Author(s):  
Soyoun Rachel Kim ◽  
Shira M. Goldenberg ◽  
Putu Duff ◽  
Paul Nguyen ◽  
Kate Gibson ◽  
...  

2021 ◽  
pp. 101053952199885
Author(s):  
Angela Dawson ◽  
Alec Ekeroma ◽  
Avelina Rokoduru ◽  
Donald Wilson ◽  
Nguyen Toan Tran ◽  
...  

This short communication explores the challenges and ways forward for the delivery of sexual and reproductive health care in Pacific Island countries during the pandemic and the responses in relation to contraception, the management of unintended pregnancies, and gender-based violence.


Author(s):  
Prabha Kumari Hamal

Using data from five districts of Mid-Western and Far-Western Development Region, this paper reaches to conclusion that education has significant and influential roles in determining the sexual and reproductive health of adolescence girls, particularly of those who are from low income families. A rough ‘U’ shaped relationship between education and reporting of health problems and gender-based violence was observed.Key words: Sexual and reproductive health; Low income adolescence; Girls; Nepal; Education; CatalystEconomic Journal of Development IssuesVol. 11 & 12 No. 1-2 (2010) Combined IssuePage: 92-98Uploaded date: 10 April, 2012


2021 ◽  
Author(s):  
◽  
Kate Florence Burry

<p>This thesis is a foundational piece of research into ni-Vanuatu sex workers’ experiences within the sex industry of Luganville, on the northern island of Espiritu Santo in Vanuatu. This research identifies and unpacks ni-Vanuatu sex workers’ limits to claiming their sexual and reproductive health rights (SRHR), limits which are intricately associated with gender paradigms and hierarchies in Vanuatu.  Those interviewed were male and female sex workers, an ex-sex worker, ‘middle men,’ who manage sexual transactions, a client and an ex-boyfriend of a local sex worker. Discussions focused on the technicalities of Luganville’s sex industry, as well as sexual and reproductive health and rights, and the extent to which sex workers are able to exercise agency during interactions with clients. Thus, this thesis reveals both the intricate workings of the sex industry in Luganville, and the considerable extent to which sex workers are limited in making decisions about their wellbeing, leading to significant accounts of abuse.  The theory of ‘body work’ informs this thesis’ analysis of how ni-Vanuatu sex workers’ bodies are understood as a constitution of their self. This analysis reveals the extent to which sex workers are divested of personhood, thereby limiting their ability to have their rights as persons realised. This thesis also draws on the complex process of, as the author conceptualises, gender and developman in Vanuatu; that is, the ways in which Vanuatu has mingled with, co-opted, and rejected introduced commodities, ways, and beliefs in particularly gendered ways. In this way, this thesis is not only unique in investigating the sex industry in Luganville. This thesis also provides a deep analysis of sex work as a part of gender and developman in Vanuatu, and what that process reveals about sex workers’ agency in particular, and modern configurations of gender in Vanuatu in general.</p>


2021 ◽  
pp. sextrans-2020-054896
Author(s):  
Navin Kumar ◽  
Kamila Janmohamed ◽  
Kate Nyhan ◽  
Laura Forastiere ◽  
Wei-Hong Zhang ◽  
...  

ObjectivesThe COVID-19 pandemic has exposed and exacerbated existing socioeconomic and health disparities, including disparities in sexual health and well-being. While there have been several reviews published on COVID-19 and population health disparities generally—including some with attention to HIV—none has focused on sexual health (ie, STI care, female sexual health, sexual behaviour). We have conducted a scoping review focused on sexual health (excluding reproductive health (RH), intimate partner violence (IPV) and gender-based violence (GBV)) in the COVID-19 era, examining sexual behaviours and sexual health outcomes.MethodsA scoping review, compiling both peer-reviewed and grey literature, focused on sexual health (excluding RH, IPV and GBV) and COVID-19 was conducted on 15 September 2020. Multiple bibliographical databases were searched. Study selection conformed to Joanna Briggs Institute (JBI) Reviewers’ Manual 2015 Methodology for JBI Scoping Reviews. We only included English-language original studies.ResultsWe found that men who have sex with men may be moving back toward pre-pandemic levels of sexual activity, and that STI and HIV testing rates seem to have decreased. There was minimal focus on outcomes such as the economic impact on sexual health (excluding RH, IPV and GBV) and STI care, especially STI care of marginalised populations. In terms of population groups, there was limited focus on sex workers or on women, especially women’s sexual behaviour and mental health. We noticed limited use of qualitative techniques. Very few studies were in low/middle-income countries (LMICs).ConclusionsSexual health research is critical during a global infectious disease pandemic and our review of studies suggested notable research gaps. Researchers can focus efforts on LMICs and under-researched topics within sexual health and explore the use of qualitative techniques and interventions where appropriate.


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