scholarly journals Assessment of the Utilization of HIV Interventions by Sex Workers in Selected Brothels in Bangladesh: An Exploratory Study

2015 ◽  
Author(s):  
Nafisa Huq ◽  
Mahbub Chowdhury
Keyword(s):  
Sex Workers ◽  
Safe Sex ◽  
Mutual Support ◽  
Access To Health Services ◽  
Group Discussions ◽  
Hiv Interventions ◽  
Hiv Intervention ◽  
Access To Health ◽  
Depth Interviews ◽  
Sex Practices

In this qualitative study of brothel-based Female Sex Workers (FSWs), the authors explored factors that influence safe sex practices of FSWs within an integrated HIV intervention. Qualitative methods, including focus group discussions (FGDs), in-depth interviews and key informant interviews were applied in four brothels in Bangladesh. Young and elderly FSWs, Sordarnis (Madams who own young FSWs and who may be either active or inactive sex workers themselves), program managers and providers were the participants for this study. Findings showed that condom use was high but not consistent among bonded FSWs (those who are under the control of a Sordarni) who have regular clients. The bonded FSWs reported being maltreated by the Sordarnis for refusing to have sex without a condom, and access to health services was hindered by Sordarnis. Implications of the study are that integrated HIV intervention should provide more encouragement to relevant stakeholders to promote mutual support towards safe sex practices for the FSWs.

scholarly journals HIV/AIDS risk among female sex workers who use crack in Southern Brazil

2008 ◽  
Vol 42 (5) ◽  
pp. 830-837 ◽  
Author(s):  
Monica Malta ◽  
Simone Monteiro ◽  
Rosa Maria Jeronymo Lima ◽  
Suzana Bauken ◽  
Aliamar de Marco ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Community Leaders ◽  
Health Providers ◽  
Southern Brazil ◽  
Female Sex ◽  
Access To Health ◽  
Aids Risk ◽  
Depth Interviews ◽  
Hiv Aids

OBJECTIVE: To understand the social context of female sex workers who use crack and its impact on HIV/AIDS risk behaviors. METHODODOLOGICAL PROCEDURES: Qualitative study carried out in Foz do Iguaçu, Southern Brazil, in 2003. Twenty-six in-depth interviews and two focus groups were carried out with female commercial sex workers who frequently use crack. In-depth interviews with health providers, community leaders and public policy managers, as well as field observations were also conducted. Transcript data was entered into Atlas.ti software and grounded theory methodology was used to analyze the data and develop a conceptual model as a result of this study. ANALYSIS OF RESULTS: Female sex workers who use crack had low self-perceived HIV risk in spite of being engaged in risky behaviors (e.g. unprotected sex with multiple partners). Physical and sexual violence among clients, occasional and stable partners was widespread jeopardizing negotiation and consistent condom use. According to health providers, community leaders and public policy managers, several female sex workers who use crack are homeless or live in slums, and rarely have access to health services, voluntary counseling and testing, social support, pre-natal and reproductive care. CONCLUSIONS: Female sex workers who use crack experience a plethora of health and social problems, which apparently affect their risks for HIV infection. Low-threshold, user-friendly and gender-tailored interventions should be implemented, in order to increase the access to health and social-support services among this population. Those initiatives might also increase their access to reproductive health in general, and to preventive strategies focusing on HIV/AIDS and other sexually transmitted infections.

The Post-Amputation Rehabilitation Experience of People Living in Rural Settings

2001 ◽  
Vol 7 (1) ◽  
pp. 23-37
Author(s):  
Amanda Young ◽  
Gregory Murphy ◽  
Sandra Kippen ◽  
Peter Foreman
Keyword(s):  
Surgical Intervention ◽  
Health Planning ◽  
Rural Setting ◽  
Access To Health Services ◽  
Counselling Services ◽  
Access To Health ◽  
Rural Settings ◽  
Social Support Services ◽  
Depth Interviews ◽  
Initial Focus

This paper reports the results from a qualitative study aimed at identifying the factors influencing the rehabilitation experience of people living with an amputation in a rural setting. Following the conduct of an initial focus group, 24 rural-based individuals responded to an invitation to participate in the study's in-depth interviews. Fourteen of those interviewed lived in a ‘regional’ setting (the regional group) and the other ten lived in more remote locations (the ‘distant’ group). Consistent with this population's demography, the sample was comprised mainly of older people (mean age of 66.8 years) who had suffered their amputation as a result of vascular disease. While the groups differed with respect to two aspects of their rehabilitation experience (with the distant group reporting more problems with accommodation and access to health services), many common themes emerged from the interviews, including an overall positive acceptance of the surgical intervention, the call for increased post-operative counselling services, and an endorsement of the usefulness of peer-support (and more generally of social support) services. Results are discussed in terms of their implications for service delivery and endorsement is made of the suggestion that rural health planning be more community-focussed.

scholarly journals Violence and Victimization in Interactions Between Male Sex Workers and Male Clients in Mombasa, Kenya

2020 ◽  
pp. 088626052092236
Author(s):  
Pablo K. Valente ◽  
Alberto Edeza, BS ◽  
Tsitsi B. Masvawure ◽  
Theo G. M. Sandfort ◽  
Peter B. Gichangi ◽  
...  
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Peer Networks ◽  
Same Sex ◽  
Male Sex Workers ◽  
Male Clients ◽  
Sexual Exchange ◽  
Male Sex ◽  
Depth Interviews ◽  
Sex Practices

Male sex workers (MSWs) and male clients (MCMs) who engage their services face increased vulnerability to violence in Kenya, where same-sex practices and sex work are criminalized. However, little is known about how violence might arise in negotiations between MSWs and MCMs. This study explored the types of victimization experienced by MSWs and MCMs, the contexts in which these experiences occurred, and the responses to violence among these groups. We conducted in-depth interviews with 25 MSWs and 11 MCMs recruited at bars and clubs identified by peer sex worker educators as “hotspots” for sex work in Mombasa, Kenya. Violence against MSWs frequently included physical or sexual assault and theft, whereas MCMs’ experiences of victimization usually involved theft, extortion, or other forms of economic violence. Explicitly negotiating the price for the sexual exchange before having sex helped avoid conflict and violence. For many participants, guesthouses that were tolerant of same-sex encounters were perceived as safer places for engaging in sex work. MSWs and MCMs rarely reported incidents of violence to the police due to fear of discrimination and arrests by law enforcement agents. Some MSWs fought back against violence enacted by clients or tapped into peer networks to obtain information about potentially violent clients as a strategy for averting conflicts and violence. Our study contributes to the limited literature examining the perspectives of MSWs and MCMs with respect to violence and victimization, showing that both groups are vulnerable to violence and in need of interventions to mitigate violence and protect their health. Future interventions should consider including existing peer networks of MSWs in efforts to prevent violence in the context of sex work. Moreover, decriminalizing same-sex practices and sex work in Kenya may inhibit violence against MSWs and MCMs and provide individuals with safer spaces for engaging in sex work.

Listening to female sex workers in Vietnam: influences on safe-sex practices with clients and partners

Sexual Health ◽  
2006 ◽  
Vol 3 (1) ◽  
pp. 21 ◽  
Author(s):  
Doreen Rosenthal ◽  
Tran Thi Kim Oanh
Keyword(s):  
Condom Use ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Safe Sex ◽  
Structured Interviews ◽  
Sex Worker ◽  
Female Sex ◽  
Sex Practices ◽  
Hiv Aids

Background: This qualitative study assessed HIV/AIDS knowledge and frequency of and influences on condom use with clients and regular, non-client partners among female sex workers (FSWs) in Khanh Hoa, a tourist-oriented province of central Vietnam where sex work is common. Methods: Data were collected via semi-structured interviews with indirect (n = 16) and direct (n = 9) FSWs. Results: Although the majority of respondents were well informed about HIV/AIDS transmission, about one-third had inaccurate beliefs about HIV-positive people as well as the mechanisms by which HIV is transmitted from mother to child. Condom use was inconsistent. More direct than indirect FSWs reported using condoms most of the time with clients but none used condoms all the time. With regular partners, most respondents reported that they never used condoms. Around one-third of women hid their sex work from their regular partners, who made the decision to use or not to use condoms. The most frequently reported reasons for not using condoms with clients were because clients offered a higher price, clients insisted on condom-free sex, and possession of condoms as evidence of sex worker status. For regular partners, the reasons were familiarity, condom use being dependent on partner’s decision, and condom use as evidence of sex worker status. There was no apparent relationship between HIV knowledge, time in sex work, and safe sex practices. Conclusion: Recommendations are made to improve the rate of condom use among FSWs.

Sex preparation and diaphragm acceptability in sex work in Nairobi, Kenya

Sexual Health ◽  
2006 ◽  
Vol 3 (4) ◽  
pp. 261 ◽  
Author(s):  
Anjali Sharma ◽  
Elizabeth Bukusi ◽  
Samuel Posner ◽  
Douglas Feldman ◽  
Elizabeth Ngugi ◽  
...  
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Personal Hygiene ◽  
Barrier Method ◽  
Group Discussions ◽  
Sti Prevention ◽  
Beneficial Effects ◽  
Intravaginal Practices ◽  
Depth Interviews

Background: Women in sex work stand to benefit if the contraceptive diaphragm alone or combined with a microbicide proves to be an effective barrier method against HIV and sexually transmissible infection (STI). Currently, contraceptive diaphragm users are advised to leave the diaphragm in situ without concomitant use of other intravaginal substances for at least 6 h after intercourse. Methods: We conducted in-depth interviews on sexual behaviour including post-coital intravaginal practices with 36 women in sex work and 26 of their clients and held two focus-group discussions, each with 10 women. Results: The women described adapting several potentially harmful substances, such as cloth and soapy water, for post-coital vaginal use to ensure personal hygiene, disease prevention and client pleasure. Some wanted to clean themselves and remove the diaphragm early, fearing exposure to HIV infection for themselves and their subsequent clients. Clients indicated their desire for ‘dry sex’, vaginal cleanliness and reduced risk of infection through vaginal cleaning. Conclusions: The diaphragm as a female-controlled barrier method for HIV/STI prevention may have limited acceptability among women in sex work if its effectiveness depends on a 6-h post-coital wait before removal, along with avoidance of concomitant use of intravaginal substances. In keeping with the beliefs of the the female sex workers and their needs and practices, alternative intravaginal substances and modes of insertion that will not disrupt vaginal flora, injure vaginal epithelium, damage the diaphragm or counteract potentially beneficial effects of microbicides are needed. The possibility of removing the diaphragm sooner than the recommended 6 h for contraception should be further studied.

Gender-based violence against female sex workers in Cameroon: prevalence and associations with sexual HIV risk and access to health services and justice

2016 ◽  
Vol 92 (8) ◽  
pp. 599-604 ◽  
Author(s):  
Michele R Decker ◽  
Carrie Lyons ◽  
Serge Clotaire Billong ◽  
Iliassou Mfochive Njindam ◽  
Ashley Grosso ◽  
...  
Keyword(s):  
Health Services ◽  
Hiv Risk ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Gender Based Violence ◽  
Access To Health Services ◽  
Female Sex ◽  
Access To Health ◽  
Gender Based

scholarly journals Studi Kualitatif Keberadaan Penyakit Kusta di Desa Dendun Kecamatan Mantang Kabupaten Bintan

2020 ◽  
Vol 11 (2) ◽  
pp. 84-93
Author(s):  
Harvensica Gunnara ◽  
Rian Yuliyana ◽  
Rinaldi Daswito ◽  
Ratna Juwita ◽  
Hendra Dhermawan Sitanggang
Keyword(s):  
Adherence To Treatment ◽  
Access To Health Services ◽  
Case Study Method ◽  
District Health ◽  
Analysis Process ◽  
Access To Health ◽  
History Of ◽  
Level Of Knowledge ◽  
Depth Interviews

Indonesia is in the third position in the world with the most leprosy sufferers after India and Brazil. Leprosy is commonly found in developing countries, as a result of the country's limited ability to provide adequate services in the fields of health, education, and socioeconomic welfare for the community. Dendun Village in Mantang District had the most cases of leprosy, 5 (five) cases in the Bintan Regency area in 2018. The study was used as a qualitative approach with a case study method. Content analysis was used in the analysis process of this research. Testing the results of research used source triangulation by cross-checking data with facts from other sources (informants) and triangulation methods by collecting data through in-depth interviews with informants and reviewing documents. The level of knowledge, negative stigma, adherence to treatment, history of contact with leprosy sufferers, and access to health services were important factors for the existence of leprosy in Dendun Village, Mantang District, Bintan Regency. Patients are expected to comply with the treatment program seriously to prevent transmission, cure, and recovery due to diseases carried out by the Bintan District Health Office and Mantang Puskesmas.

scholarly journals An Interview Study of Consequences of Early-Career Unemployment in Bulgaria

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Veneta Krasteva
Keyword(s):  
Personal Development ◽  
Age Groups ◽  
Early Career ◽  
Point Of View ◽  
Negative Consequences ◽  
Access To Health Services ◽  
Family Ties ◽  
Access To Health ◽  
In The Beginning ◽  
Depth Interviews

The article examines the consequences of prolonged unemployment experienced in the beginning of the career in Bulgaria from a subjective point of view. The analysis is based on information obtained from in-depth interviews with people from three age groups who have entered the labor market in periods with high levels of unemployment. The negative consequences pointed out by the interviewed people include material deprivation, limited access to health services, low self-esteem, interruption of social contacts, postponement of creating a family and living in a home of one’s own, loss of hope for a better future. Along with the negative consequences, some positive ones were also identified, such as strengthening family ties, people’s enhanced motivation to deal with the arising difficulties and their striving for personal development.

T12-P-05 Prevention of HIV/AIDS through empowerment of safe sex practices among sex workers, Istanbul, Turkey

Sexologies ◽  
2008 ◽  
Vol 17 ◽  
pp. S165
Author(s):  
N. Ozgulnar ◽  
F. Sasaoglu ◽  
M. Cokar ◽  
F. Kayaturk ◽  
B. Eren
Keyword(s):  
Sex Workers ◽  
Safe Sex ◽  
Prevention Of Hiv ◽  
Sex Practices ◽  
Hiv Aids
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