Selling sex in Luganville: Ni-Vanuatu sex workers' experiences of, and limits to claiming their sexual and reproductive health rights in Luganville, Espiritu Santo, Vanuatu

<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>

Selling sex in Luganville: Ni-Vanuatu sex workers' experiences of, and limits to claiming their sexual and reproductive health rights in Luganville, Espiritu Santo, Vanuatu

<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>

Informal settlements, Covid-19 and sex workers in Kenya

This paper highlights the challenges faced by female sex workers living and working in the urban informal settlements in Nairobi, Kenya, during the Covid-19 outbreak and the aftermath of the pandemic. Using data collected through phone interviews during the immediate crisis, we document the experiences of urban poor sex workers, illustrating the acute problems they faced, including precarious housing with the reality of eviction and demolition. The paper highlights the ramifications of the Covid-19 crisis for the sex industry and predominantly women working within this informal, illegal economy. Through our empirical data we illustrate how the nature of selling sex has changed for sex workers in this context, increasing risks of violence including police abuses. We argue that examining the Covid-19 crisis through the lens of one the most marginalised populations graphically highlights how the pandemic has and will continue to deepen pre-existing structural urban inequalities and worsen public health outcomes among the urban poor. Sex worker communities are often located at the intersections of structural inequalities of gender, class, race and nation and the socio-spatial fragmentations of how they live make them some of the most vulnerable in society. We close with comments in relation to sexual citizenship, exclusionary state practices and the feminisation of urban poverty.

Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study

Background Female sex workers (FSW), due to their working conditions, have an increased likelihood of heavy episodic drinking (HED), which is associated with risky sexual behavior. Nevertheless the specific contribution of HED to risky sexual behavior among FSWs in Ethiopia is not well documented for prevention activities. Objective The purpose of this study was to explore the determinants and consequences of HED among FSWs in Ethiopia. Methods A cross-sectional study using respondent-driven sampling was conducted among 4886 FSWs in 11 major towns in Ethiopia in 2014. A structured interview was performed, and data were examined using descriptive statistics and multiple logistic regression analyses. Results Most (66%) FSWs consumed alcohol, and the prevalence of HED was 29.1%. Compared to street-based FSWs, those who worked in bars/hotels and local drinking houses had 2.19 and 1.29 times higher odds of HED, respectively. FSWs who started selling sex when younger than 18 years (compared to those who started when older than 25 years) and those who were forced into selling sex had 1.48 and 2.91 times higher odds of HED, respectively. FSWs with more income from selling sex and FSWs who chewed khat reported increased odds of HED. Moreover, FSWs with experience of HED reported 1.27 and 1.44 times higher odds of physical beating and condom breakage/slippage, respectively. Furthermore, the population attributable risk fraction of HED among FSWs showed that 6.2% of physical beating and 8.9% of condom breakage/slippage could be attributed to HED. Conclusion In general, several factors increase the experience of HED, and HED in turn increases the likelihood of violence and condom breakage. These factors could inform programs and intervention activities among FSWs populations.

Selling Sex

This chapter explores the lives and challenges of women who sold sex in the late Russian Empire by looking at the different ways in which registered prostitutes defined themselves, and how they were defined by those in authority. Some women who sold sex were urban workers who fought for their rights to be upheld and called out the illegal application of regulation. Others were migrant seasonal workers, who sold sex for a few months or weeks at a time, before moving on to a new place or job. The imperial police often conflated ‘promiscuous’ behaviour with prostitution and registered women as prostitutes against their will. This chapter incorporates women who sold sex into wider labour and migration histories of the late imperial period and pays attention to the interplay between policing practices and ideas regarding gender and sexuality.

Identifying Risk Factors and Spatial Clustering of HIV Infection Among Female Sex Workers in India

Background: The human immunodeficiency virus (HIV) epidemic in India is generally considered to be more concentrated, with the focus on high-risk groups including female sex workers (FSWs). The Integrated Biological and Behavioral Surveillance (IBBS), the first nationwide surveillance conducted during 2014-2015, collected many key indicators, including indicators related to HIV/STI transmission. The purpose of this study was to develop an index score for each domain surveyed and to identify focus areas for interventions among FSWs. Methods: The study population consisted of 27,007 FSWs. Forty high-risk related covariates of HIV/STI transmission, demographic characteristics, sexual history, condom practices, knowledge of HIV/STI and biological variables were considered. The original data set was examined using the correlation matrix and was reduced to 15 highly-correlated factors using principal component analysis. The factors were further improved using varimax rotation and the percentage of variation was used as weights to obtain the initial score for each domain, which were then standardized for comparison. Bartlett’s test of sphericity was examined before the factor extraction. Results: Six factors were extracted, which together explained about 73% of the total variation. The factors were: (1) more number of clients; (2) younger FSW and started selling sex at younger age; (3) experiencing condom breakage; (4) having occasional clients and poor HIV/AIDS knowledge; (5) illiteracy; and (6) a longer period of sex work. Six domains with an index score of above 80, from the states of Maharashtra, Rajasthan, Arunachal Pradesh, Uttar Pradesh, and Jharkhand need greater intervention. Conclusion and Implications for Translation: FSWs’ current age, age at commencement of sex work, and the number of clients were the indicators most-associated with HIV infection. Therefore, program and policy interventions should focus on FSWs who are younger than <25 years, who started selling sex at <22 years, and who have >10 clients. Key words: • Female Sex Worker • Kriged Map • Factor Analysis • Principle Component Analysis • HIV • Sexually Transmitted Infections Copyright © 2021 Elangovan et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.