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Coping with Stigma, Discrimination, and Violence: Sex Workers Talk About Their Experiences (outside link, pdf)
Research conducted by the Sex Worker Education & Advocacy Taskforce Cape Town by Nicolé Fick

This report, from Save the Children (SC), explores the links between commercial sex work and food security in a fishing community in northern Zimbabwe. The authors found that one of the coping strategies for women during periods when they had little or no income or food would be to engage in commercial sex work (CSW). The authors argue that sex work needs be viewed form a livelihoods perspective if the underlying factors of sex work are to be addressed. Existing SC programming focuses more on the provision of information, education and condoms in order to reduce the risk of HIV transmission through commercial sex, rather than on livelihoods-related aspects.

The authors suggest two basic ways in which livelihoods programming could influence CSW. In order to prevent women from entering CSW, large-scale interventions such as SC food aid programmes could potentially have a role in supporting livelihoods and therefore help to reduce the need for women to engage in sex work. For those already engaged in CSW, but seeking a way out, income-generating projects should be considered. The authors also argue that promoting ‘safe sex’ to those engaged in CSW does not work because women are not in a position to negotiate condom use and, indeed, can make more money by not using condoms. The authors suggest that SC review its delivery channels for condom delivery and use and take these livelihood factors into consideration.

The prevalence of HIV in Nigeria is high and rising. Sex workers have a high risk of contracting and spreading the disease and are often the target of public health interventions aiming to increasing condom use. What factors influence the use of condoms by sex workers?

Patterns of risk behaviour and condom use among commercial sex workers (CSWs) have been heavily investigated in recent years. But what is known about the social context of these women's lives? What factors prevent them from having safer sex? Researchers from Population Services International investigate the lives of CSWs in Lusaka, Zambia.