Female sex work in Yangon, Myanmar

Sexual Health ◽  
2005 ◽  
Vol 2 (3) ◽  
pp. 193 ◽  
Author(s):  
Luke Talikowski ◽  
Sue Gillieatt
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sexual Exploitation ◽  
Political Support ◽  
People Living With Hiv ◽  
Sex Trade ◽  
Sexually Transmitted ◽  
Female Sex ◽  
The Government

Background: Myanmar (Burma), with an upper estimate of 400 000 people living with HIV/AIDS, faces a dangerous and potentially devastating epidemic. Female sex workers in the country are one of the most affected populations, with high prevalence rates of both HIV and sexually transmitted infections (STIs). Methods: A qualitative study was undertaken in Yangon at the end of 2002 to investigate the social and demographic features contributing to the transmission of HIV among female sex workers in urban Myanmar. Twenty-seven key informants from the government, non-government organisations (NGOs), international non-government organisations (INGOs), private sector and the United Nations system agencies and 25 women currently working in the sex trade were interviewed. Results: The sex trade in Yangon is rapidly growing and is characterised by a high degree of complexity. The number of female sex workers is estimated to be between 5000 and 10 000 and there are ~100 brothels operating in various townships around the city. Nearly one-third of the women in the study reported previous imprisonment for offences related to sex work as well as fear of harassment, sexual exploitation, violence and gang rape. Almost half reported using condoms with clients at all times. Contradicting views exist as to the level of awareness about STIs and HIV among Yangon sex workers, with the majority never having been tested for HIV. Only one-quarter of women were regular patients of the limited number of STI clinics operated by INGOs. Conclusions: Female sex workers in Myanmar remain a highly marginalised group almost inaccessible due to a variety of legal, political, cultural and social factors and are particularly vulnerable to HIV and STIs. It is important to encourage partnerships between INGOs by promoting service coordination and information sharing to increase the availability of services for sex workers and to build political support for an unpopular cause.

Recognising the Human Rights of Female Sex Workers in India: Moving from Prohibition to Decriminalisation and a Pro-work Model

2018 ◽  
Vol 25 (1) ◽  
pp. 26-46 ◽  
Author(s):  
Jaya Sagade ◽  
Christine Forster
Keyword(s):  
Human Rights ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Legal Regulation ◽  
Sex Trade ◽  
Female Sex ◽  
Women’S Human Rights ◽  
Work Model ◽  
Women's Human Rights

This article sets out a women’s human rights approach to the legal regulation of sex work developed through an analysis of feminist perspectives, international human rights standards—in particular, the approach of the Committee on the Convention on the Elimination of All Forms of Discrimination against Women 1979 (CEDAW)—and the voices of female sex workers within India. It categorises sex work into four legal models, namely, prohibition which criminalises all aspects of the sex trade, partial decriminalisation which criminalises only those who force women into sex work and those who trade in under-age sex workers, social control legalisation which decriminalises but regulates the sex trade with the aim of containing through (often punitive) restrictions, and finally pro-work which approaches sex work as valid employment by extending the legal and human rights of other workers to sex workers. The article places India’s current regulatory framework into the prohibition model and argues that the legal response to sex work that most closely accords with a women’s human rights approach is partial decriminalisation coupled with a pro-work model. Although the introduction of this model in India poses considerable challenges, it has the greatest capacity to first, reduce the crime and corruption that surrounds the sex trade; second, to enhance, promote and protect public health and third, provide appropriate legal and human rights protection to sex workers as international obligations require.

scholarly journals Factors Influencing Uptake of Sexually Transmitted Infections Screening Among Adolescent Female Sex Workers in Mukono District

2020 ◽  
Author(s):  
Joan Nakkazi ◽  
Miisa Nanyingi
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Vulnerable Groups ◽  
Adolescent Female ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Mukono District

Abstract BackgroundWorldwide, more than 1 million Sexually Transmitted Infections (STIs) are acquired every day and female adolescents aged 10 to 19 years are almost twice more susceptible to STIs than boys of the same age. The highest STI prevalence has been reported among key populations such as Female Sex Workers (FSWs) and fisher folk. This study investigated the factors influencing uptake of sexually transmitted infections screening among Adolescent Female sex Workers (AFSWs) in Mukono district, Uganda.MethodsIn this cross-sectional descriptive and analytical study, a total of 355 AFSWs based on the streets, bars, lodges, hotels, brothels, landing sites and other entertainment places in Mukono district were recruited using snowball sampling. Data was collected using pre-tested semi-structured questionnaires through face to face interviews with the help of trained research assistants. Data collected was entered into Epi-Data and then exported to SPSS for analysis. Analysis was done at three levels; Univariate for descriptive summary, Bivariate to test for possible association between each independent variable and the outcome variable, and Multivariate logistic regression to control for possible confounding effects of the independent variables. Chi square (χ2) test was done and p value 0.05 used to determine the association.ResultsThis study found that uptake of STIs screening among AFSWs was 32.1%. AFSWs who reported that STI screening wasn’t embarrassing were 3 times more likely to take-up STI screening than those who said uptake of STI screening was embarrassing (PR = 3.45, 95%CI = 1.96–6.09, P = < 0.001). AFSWs who reported that STI screening wasn’t painful were 5 times more likely to take-up STI screening than those who said uptake of STI screening was painful (PR = 5.45, 95%CI = 2.78–10.66, P = < 0.001).ConclusionSTIs screening rate among AFSWs in Mukono district was at 32.1%. Individual factors (attitude) and health facility factors were found to be the real influencers of uptake of STI screening among AFSWs in Mukono district. We, therefore, recommend that government scales up provision of sexually transmitted infection screening to even cater for high risk and vulnerable groups to facilitate and increase access to STI screening.Plain English summarySexually Transmitted Infections (STIs) refer to conditions caused by pathogens that can be acquired and transmitted through unprotected sexual intercourse such as cervical cancer, candida, HIV. Because majority of STIs are asymptomatic, screening uptake is of paramount importance for early detection followed by prompt treatment among high risk vulnerable groups such as Adolescent Female Sex Workers (AFSWs).Adolescence is a transitional phase of growth and development between childhood and adulthood and an adolescent is any person between ages 10 and 19. Sex work is the exchange of money, goods or services for sex and he who practices sex work is a sex worker. Quite a number of reasons such as age, peer pressure and others may explain why adolescents engage in immoral behaviors including sex work. In this STI screening uptake study, pre-tested semi-structured questionnaires were used to collect data from respondents on what was influencing their uptake of STI screening. Of the 355 respondents, majority 241 had never screened for STIs and 114 had screened. The research priorities identified were individual factors (attitude) and health facility factors as real influencers of uptake of STI screening among AFSWs in Mukono district.In conclusion, AFSWs require information related to STIs and its screening. Information dissemination can be intensified at clinical and non-clinical sites to increase awareness and improve accessibility to STI screening experience among high risk vulnerable groups in Mukono district, hence reduce the prevalence among AFSWs, avert the risk of complications and eliminate sustained transmission in the community.

Early sex work initiation and its association with condomless sex and sexually transmitted infections among female sex workers in Iran

2020 ◽  
Vol 31 (7) ◽  
pp. 671-679
Author(s):  
Mehrdad Khezri ◽  
Mostafa Shokoohi ◽  
Ali Mirzazadeh ◽  
Mohammad Karamouzian ◽  
Hamid Sharifi ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sexual Debut ◽  
Inconsistent Condom ◽  
Sexually Transmitted ◽  
Condomless Sex ◽  
Female Sex

Early sex work initiation among female sex workers (FSWs) increases their vulnerabilities to high-risk sexual practices and sexually transmitted infections (STIs). We examined the association of early sex work with condomless sex indicators, HIV, and other STIs, including human papillomavirus, chlamydia, trichomoniasis, syphilis, and gonorrhea, among FSWs in Iran. We recruited 1347 FSWs from 13 cities in 2015, with 1296 participants (94.2%) reporting information about their age of sex work initiation. Early sex work was defined as the initiation of selling sex before 18 years of age. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were reported using multivariable logistic regression. Overall, 10.1% of FSWs reported early sex work initiation. FSWs who initiated sex work earlier were more likely to report last-month inconsistent condom use (aOR = 3.31, 95% CI: 1.82, 6.02) and condomless sex with last client (aOR = 1.72, 95% CI: 1.15, 2.56). There was no statistically significant association between early sex work and HIV (aOR = 1.40, 95% CI: 0.43, 4.53) and any other STIs (aOR = 1.01, 95% CI: 0.69, 1.48), except for chlamydia (aOR = 2.09, 95% CI: 1.08, 4.04). These findings suggest that FSWs with early sexual debut would benefit from differentiated interventions including screening for STIs and enhanced counseling for condom use.

Penile implantation and risky sexual behaviour among male clients of female sex workers, Myanmar

2017 ◽  
Vol 3 (1) ◽  
pp. 7-12
Author(s):  
Sun Tun ◽  
Tin Aung ◽  
May Sudhinaraset ◽  
Zaw Win ◽  
Willi McFarland
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Unprotected Sex ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Male Clients ◽  
Increased Risk ◽  
Condom Breakage

Introduction: Male clients of female sex workers are at risk for sexually transmitted infections worldwide, yet their behaviours are seldom described in community-based samples. In addition, physical modifications to the penis, such as injections and implantations of objects to enhance sensation, have been noted in diverse cultures. The objective of the present study was to examine risk behaviours of male clients of female sex workers in Myanmar and assess associations between penile modifications and risk for sexually transmitted infections. Methods: A cross-sectional survey was conducted in 2010 in seven cities of Myanmar. The design used probability proportionate to size sampling of male clients at sex work venues (e.g., brothels, entertainment centres, streets) to approximate a representative sample. Results: Of 2,945 male clients at sex work venues, 2,740 (93.0%) enrolled. Overall, 9.9% reported penile injections and 10.7% reported implantations. Compared to male clients without penile modifications, those with penile injection or implantation had higher numbers of partners and more episodes of unprotected sex with casual and commercialpartners. Condom breakage and history of sexually transmitted disease symptoms were also higher among male clients with penile modifications. Conclusions: Modifications of the penis mark a constellation of risky behaviours among male clients of female sex workers in Myanmar and may also be causally related to sexually transmitted infections through condom breakage or physical effects on the penis. Health education and counselling on the potential increased risk should be considered for men with penile modifications.

scholarly journals Crimes Against Morality: Unintended Consequences of Criminalizing Sex Work*

2020 ◽  
Vol 136 (1) ◽  
pp. 427-469
Author(s):  
Lisa Cameron ◽  
Jennifer Seager ◽  
Manisha Shah
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Unintended Consequences ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Before And After ◽  
Biological Tests ◽  
Local Officials ◽  
The Impact

Abstract We examine the impact of criminalizing sex work, exploiting an event in which local officials unexpectedly criminalized sex work in one district in East Java, Indonesia, but not in neighboring districts. We collect data from female sex workers and their clients before and after the change. We find that criminalization increases sexually transmitted infections among female sex workers by 58 percent, measured by biological tests. This is driven by decreased condom access and use. We also find evidence that criminalization decreases earnings among women who left sex work due to criminalization and decreases their ability to meet their children’s school expenses while increasing the likelihood that children begin working to supplement household income. Although criminalization has the potential to improve population STI outcomes if the market shrinks permanently, we show that five years postcriminalization the market has rebounded and the probability of STI transmission in the general population is likely to have increased.

scholarly journals HIV testing and its associated factors among street-based female sex workers in Iran: results of a national rapid assessment and response survey

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sina Ahmadi ◽  
Mehrdad Khezri ◽  
Payam Roshanfekr ◽  
Salah Eddin Karimi ◽  
Meroe Vameghi ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Rapid Assessment ◽  
Evidence Based ◽  
Multivariable Model ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Self Testing

Abstract Background Female sex workers (FSWs) are at a disproportionate risk of sexually transmitted infections and they may face significant barriers to HIV testing. This study aimed to examine HIV testing prevalence and its associated factors among street-based FSWs in Iran. Method A total of 898 FSWs were recruited from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Eligible FSWs were women aged 18 years of age who had at least one commercial sexual intercourse in the previous year. HIV testing was defined as having tested for HIV in the lifetime. Bivariable and multivariable logistic regression were used to examine the correlates of HIV testing. We report adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Result Overall, 57.8% (95%CI: 20.0, 88.0) of participants reported having tested for HIV, and HIV prevalence among FSWs who tested for HIV was 10.3% (95%CI: 7.5, 13.0). The multivariable model showed that unstable housing (aOR: 8.86, 95%CI: 2.68, 29.32) and drug use (aOR: 3.47, 95%CI: 1.33, 9.06) were associated with increased likelihood of HIV testing. However, FSWs with a higher level of income were less likely to be tested for HIV (aOR: 0.09, 95%CI: 0.02, 0.43). Conclusion Almost one in ten street-based FSWs had never tested for HIV. These findings suggest the need for evidence-based strategies such as outreach support and HIV self-testing to improve HIV testing in this marginalized population.

The Mental and Physical Health of Female Sex Workers: A Comparative Study

2001 ◽  
Vol 35 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Sarah E. Romans ◽  
Kathleen Potter ◽  
Judy Martin ◽  
Peter Herbison
Keyword(s):  
Social Networks ◽  
Physical Health ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Convenience Sample ◽  
Female Sex ◽  
Mental And Physical Health

Objectives: The objective of this study was to compare the mental and physical health, adult abuse experiences and social networks of female sex workers with data previously collected from two large community samples of age-matched women. Method: A convenience sample of sex workers were interviewed and completed two wellestablished questionnaires, the General Health Questionnaire (GHQ-28) and the Intimate Bond Measure (IBM). Sex workers were invited to reflect on their experiences of their work. Results: There were no differences in mental health on the GHQ-28 or in self-esteem (measured by an item on the Present State Examination) between the two groups. Neither were there any differences in their assessment of their physical health or the quality of their social networks. Sex workers were less likely to be married and had been exposed to more adult physical and sexual abuse than the comparison group. They were more likely to smoke and to drink heavily when they drank. One-third said that their general practitioner was not aware of their work. A subgroup not working with regular clients or in a massage parlour had higher GHQ-28 scores and may be an at-risk group. Narrative information about the work, particularly its intermittent nature, is presented. Conclusions: No evidence was found that sex work and increased adult psychiatric morbidity are inevitably associated, although there may be subgroups of workers with particular problems. The illegal and stigmatized nature of sex work are likely to make usual public health strategies more difficult to apply, considerations which should give concern from a preventive health standpoint.

scholarly journals The Female Sex Work Industry in a District of India in the Context of HIV Prevention

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Raluca Buzdugan ◽  
Shiva S. Halli ◽  
Jyoti M. Hiremath ◽  
Krishnamurthy Jayanna ◽  
T. Raghavendra ◽  
...  
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Work Setting ◽  
Vulnerability Factors ◽  
Modes Of Operation ◽  
Sex Worker ◽  
Work Settings ◽  
Female Sex ◽  
Female Sex Work

HIV prevalence in India remains high among female sex workers. This paper presents the main findings of a qualitative study of the modes of operation of female sex work in Belgaum district, Karnataka, India, incorporating fifty interviews with sex workers. Thirteen sex work settings (distinguished by sex workers' main places of solicitation and sex) are identified. In addition to previously documented brothel, lodge, street,dhaba(highway restaurant), and highway-based sex workers, under-researched or newly emerging sex worker categories are identified, including phone-based sex workers, parlour girls, and agricultural workers. Women working in brothels, lodges,dhabas, and on highways describe factors that put them at high HIV risk. Of these,dhabaand highway-based sex workers are poorly covered by existing interventions. The paper examines the HIV-related vulnerability factors specific to each sex work setting. The modes of operation and HIV-vulnerabilities of sex work settings identified in this paper have important implications for the local programme.

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