scholarly journals Prevalence and patterns of gender-based violence across adolescent girls and young women in Mombasa, Kenya

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Parinita Bhattacharjee ◽  
Huiting Ma ◽  
Helgar Musyoki ◽  
Eve Cheuk ◽  
Shajy Isac ◽  
...  
Keyword(s):  
Sexual Violence ◽  
Sex Work ◽  
Adolescent Girls ◽  
Young Women ◽  
Casual Sex ◽  
First Episode ◽  
Intimate Partners ◽  
Gender Based Violence ◽  
Police Violence ◽  
Gender Based

Abstract Background We sought to estimate the prevalence and describe heterogeneity in experiences of gender-based violence (GBV) across subgroups of adolescent girls and young women (AGYW). Methods We used data from a cross-sectional bio-behavioural survey among 1299 AGYW aged 14–24 in Mombasa, Kenya in 2015. Respondents were recruited from hotspots associated with sex work, and self-selected into one of three subgroups: young women engaged in casual sex (YCS), young women engaged in transactional sex (YTS), and young women engaged in sex work (YSW). We compared overall and across subgroups: prevalence of lifetime and recent (within previous year) self-reported experience of physical, sexual, and police violence; patterns and perpetrators of first and most recent episode of physical and sexual violence; and factors associated with physical and sexual violence. Results The prevalences of lifetime and recent physical violence were 18.0 and 10.7% respectively. Lifetime and recent sexual violence respectively were reported by 20.5 and 9.8% of respondents. Prevalence of lifetime and recent experience of police violence were 34.7 and 25.8% respectively. All forms of violence were most frequently reported by YSW, followed by YTS and then YCS. 62%/81% of respondents reported having sex during the first episode of physical/sexual violence, and 48%/62% of those sex acts at first episode of physical/sexual violence were condomless. In the most recent episode of violence when sex took place levels of condom use remained low at 53–61%. The main perpetrators of violence were intimate partners for YCS, and both intimate partners and regular non-client partners for YTS. For YSW, first-time and regular paying clients were the main perpetrators of physical and sexual violence. Alcohol use, ever being pregnant and regular source of income were associated with physical and sexual violence though it differed by subgroup and type of violence. Conclusions AGYW in these settings experience high vulnerability to physical, sexual and police violence. However, AGYW are not a homogeneous group, and there are heterogeneities in prevalence and predictors of violence between subgroups of AGYW that need to be understood to design effective programmes to address violence.

scholarly journals Work-related mobility and experiences of gender-based violence among female sex workers in Iringa, Tanzania: a cross-sectional analysis of baseline data from Project Shikamana

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022621 ◽  
Author(s):  
Zoé Mistrale Hendrickson ◽  
Anna M Leddy ◽  
Noya Galai ◽  
Jessie K Mbwambo ◽  
Samuel Likindikoki ◽  
...  
Keyword(s):  
Relative Risk ◽  
Sexual Violence ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Recent Experience ◽  
Gender Based Violence ◽  
Cross Sectional ◽  
Work Related ◽  
Gender Based

ObjectivesTo examine how work-related mobility among female sex workers (FSWs) is associated with gender-based violence (GBV) in Iringa, Tanzania.DesignCross-sectional analyses were conducted on baseline data gathered between October 2015 and April 2016 from FSWs participating in Project Shikamana, a community empowerment-based combination HIV prevention intervention.SettingParticipants were recruited for the baseline study using venue-based time-location sampling in two communities in Iringa, Tanzania.ParticipantsFSWs were eligible for participation if they were 18 years or older and had exchanged sex for money within the past month. Four-hundred ninety-six FSWs participated in the baseline survey.Primary and secondary outcome measuresAny recent experience of GBV was examined by recent work-related mobility among FSWs. Any recent experience of GBV was also disaggregated by severity for analyses. All bivariate and multivariate binary and multinomial logistic regressions adjusted for intraclass correlations among women recruited from the same venues.ResultsForty per cent of participants experienced recent physical or sexual violence, and 30% recently experienced severe physical or sexual violence. Thirty-three per cent of participants recently exchanged sex for money outside of their district or region, and 12% were both intraregionally and inter-regionally mobile for sex work. Intraregionally and inter-regionally mobile FSWs had 1.9 times greater odds of reporting recent GBV (adjusted OR: 1.89; 95% CI: 1.06 to 3.38; p=0.031) compared with non-mobile FSWs and a 2.5 times higher relative risk for recent experience of severe GBV relative to no recent GBV (relative risk ratio: 2.51; 95% CI: 1.33 to 4.74; p=0.005).ConclusionsMobility for sex work may increase FSWs’ exposure to GBV, particularly more severe GBV. The vulnerability of mobile FSWs to violence, particularly severe forms, demands inclusive services that are accessible to mobile FSWs.

scholarly journals Gender-Based Violence as A Driver of HIV Infections Among Adolescent Girls and Young Women in Kisumu, Kenya

2019 ◽  
pp. 665-678
Author(s):  
Anthony Wainaina Ndungu
Keyword(s):  
Hiv Prevention ◽  
Data Collection ◽  
Violence Prevention ◽  
Adolescent Girls ◽  
Young Women ◽  
Group Discussion ◽  
Sampling Technique ◽  
Monitoring And Evaluation ◽  
Gender Based Violence ◽  
Gender Based

Gender Based Violence is a universal catastrophe affecting global health, and thus development and is a major human rights concern. This study’s major objective was to establish what extent gender-based violence prevention influence performance of HIV prevention projects for young women and teenagers in Kisumu County. The study population constituted of teenage girls, and young women enrolled in HIV prevention projects implemented in Kisumu County for at least two years. Interviews were also conducted with key project implementers including project managers and monitoring and evaluation managers. Data collection for the study was done by utilizing data collection tools which included focused group discussion, structured questionnaires and an interview guide. 364 respondents were taken from 89,611 adolescents enrolled in HIV prevention projects using stratified random sampling technique. For descriptive data the study employed percentages, frequencies Arithmetic Mean as analytical tools of analysis. The Pearson’s value and Linear Regression were manipulated as statistical tools for inferential statistics. To test the hypotheses, the Fisher (F) test utilized. Descriptive statistics showed that gender-based violence prevention has a noteworthy effect on the production of HIV prevention projects for young women and adolescent girls in Kisumu County. The value of r2 was 0.452, indicating that gender-based violence prevention explained 45.2% of the change in the effectiveness of HIV prevention projects in Kisumu. The beta coefficient was 0.623, implying that gender-based violence had a noteworthy statistical impact on the performance of HIV prevention projects (β=0.623, t=10.928, p=0.000<0.05).

How to Live with a Female Body: Securityscapes against Sexual Violence and Related Interpretation Patterns of Kyrgyz Women

2020 ◽  
pp. 117-152
Author(s):  
Kathrin Oestmann ◽  
Anna M. Korschinek
Keyword(s):  
Sexual Harassment ◽  
Sexual Violence ◽  
Young Women ◽  
Rural Areas ◽  
Capital City ◽  
Security Measures ◽  
Gender Based Violence ◽  
Daily Lives ◽  
Gender Based ◽  
Interpretation Patterns

The chapter investigates individual securityscapes that respond to gender-based violence. Indeed, large parts of Kyrgyz society remain structured around highly patriarchal norms and violence against women is commonplace. Academic literature on this problem has so far mainly considered the practice of 'bride kidnapping' in rural areas of the country. However, as this chapter demonstrates, it also concerns young women in the capital city of Bishkek. In order to avoid the ever-present prospect of sexual harassment or even rape, they need to adhere to specific security measures that determine much of their daily lives. This involves, for example, remaining inconspicuous and constricting their movements around certain times and places.

Predictors of Resilience Among Adolescent Girls and Young Women Who Have Experienced Intimate Partner Violence and Sexual Violence in South Africa

2021 ◽  
pp. 088626052110051
Author(s):  
Caroline Kuo ◽  
Ashleigh LoVette ◽  
Nevilene Slingers ◽  
Catherine Mathews
Keyword(s):  
South Africa ◽  
Sexual Violence ◽  
Adolescent Girls ◽  
Young Women ◽  
Intimate Partner ◽  
World Health ◽  
Future Research ◽  
Intimate Partners ◽  
Hiv Intervention ◽  
Forced Sex

South Africa has some of the highest rates of intimate partner and sexual violence globally, with prevalence ranging from 10% to 21% among adolescent girls and young women (AGYW). Yet, few studies characterize the relationship between violence and resilience. Identifying factors associated with resilience following exposure to violence can guide the development of strength-based interventions that change modifiable protective factors to bolster resilience. Data were derived from a cross-sectional survey of AGYW aged 15 to 24 years in South Africa that took place from 2017 to 2018. This survey was part of a national evaluation of a South African combination HIV intervention for AGYW funded by the Global Fund to Fight AIDS, TB, and Malaria. A sample of 4,399 observations was achieved through a systematic random sampling frame of 35% of households in districts where AGYW were at highest risk for HIV, and where the intervention was implemented. Resilience was assessed using the Connor-Davidson Resilience Scale. Intimate partner and sexual violence were assessed using: (a) an adapted version of a questionnaire from the World Health Organization’s 2005 multicountry study on domestic violence against women, and (b) questions on lifetime experience of forced sex/rape. Nearly a third of AGYW (29.6%) reported intimate partner emotional and/or physical and/or sexual violence in the past year. Nearly a quarter of AGYW (23.74%) reported emotional violence, 17.48% reported physical violence, and 6.37% reported sexual violence from intimate partners. Nearly 8% (7.72%) reported forced sex/rape from intimate partners and/or nonpartners. More equitable gender norms, higher social support, and hazardous drinking were positively associated with higher resilience among those who experienced physical or sexual violence. This study addresses a gap in the resilience and violence literature. Future research should focus on the development of resilience-promoting interventions for individuals who have experienced violence.

scholarly journals “You talk about problems until you feel free”: South African adolescent girls’ and young women’s narratives on the value of HIV prevention peer support clubs

2020 ◽  
Author(s):  
Deborah Baron ◽  
Fiona Scorgie ◽  
Lethabo Ramskin ◽  
Nomhle Khoza ◽  
Jennifer Schutzman ◽  
...  
Keyword(s):  
South African ◽  
Adolescent Girls ◽  
Young Women ◽  
Gender Based Violence ◽  
Partner Communication ◽  
Adherence Support ◽  
Gender Based ◽  
And Gender ◽  
Exposure Prophylaxis ◽  
As Relationship

Abstract Background: Daily oral pre-exposure prophylaxis (PrEP) can reduce HIV infection in adolescent girls and young women if used consistently during periods of risk. The EMPOWER study evaluated peer-based clubs incorporating an empowerment curriculum offered to adolescent girls and young women (16-24 years) in South Africa and Tanzania for adherence support. Methods: Using serial in-depth interviews (n=33), we assessed the benefits and challenges of club attendance among 13 EMPOWER participants in the Johannesburg site who were randomised to clubs. We used a summary matrix of coded data to support a narrative, case-based analysis. Four case studies are presented. Results: Club participants reported benefits such as increased self-esteem and self-efficacy, reduced isolation, and greater insight into gender-based violence and strategies to address it. Day-to-day PrEP adherence was not the only topic discussed in clubs; participants also appreciated the safe space for sharing problems (such as relationship conflict and PrEP stigma) and found interactive exercises helpful in improving partner communication.Conclusions: Findings support the use of peer-based clubs using a structured empowerment approach, which may offer valuable PrEP initiation support to adolescent girls and young women in settings with high HIV and gender-based violence prevalence.Trial registration: South African Clinical Trial Register 4353, 15 April 2016

scholarly journals “You talk about problems until you feel free”: South African adolescent and young women’s narratives on the value of HIV prevention peer support clubs

2020 ◽  
Author(s):  
Deborah Baron ◽  
Fiona Scorgie ◽  
Lethabo Ramskin ◽  
Nomhle Khoza ◽  
Jennifer Schutzman ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Young Women ◽  
Gender Based Violence ◽  
Partner Communication ◽  
Adherence Support ◽  
Gender Based ◽  
And Gender ◽  
Exposure Prophylaxis ◽  
Violence Prevalence ◽  
Interactive Exercises

Abstract Daily oral pre-exposure prophylaxis (PrEP) can reduce HIV infection in adolescent girls and young women if used consistently during periods of risk. The EMPOWER study evaluated peer-based clubs incorporating an empowerment curriculum offered to adolescent girls and young women (16-24 years) in South Africa and Tanzania for adherence support. Using serial in-depth interviews (n=33), we assessed the benefits and challenges of club attendance among 13 EMPOWER participants in the Johannesburg site who were randomised to clubs. We used a summary matrix of coded data to support a narrative, case-based analysis. Four case studies are presented. Club participants reported benefits such as increased self-esteem and self-efficacy, reduced isolation, and greater insight into gender-based violence and strategies to address it. Day-to-day PrEP adherence was not the only topic discussed in clubs; participants also appreciated the safe space for sharing problems and found interactive exercises helpful in improving partner communication. Findings support the use of peer-based clubs using a structured empowerment approach, which may offer valuable PrEP initiation support to adolescent girls and young women in settings with high HIV and gender-based violence prevalence.

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