Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex
Autor: | William H. Dow, Wendee M. Wechsberg, Marianna P. Balampama, Laura Packel, Ann C. Keller, Damien de Walque, Jan E. Cooper, Lia C. H. Fernald, Emily J. Ozer, Admirabilis Kalolella, Sandra I. McCoy |
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Rok vydání: | 2017 |
Předmět: |
Adult
Safe Sex Cash transfers Health (social science) media_common.quotation_subject Population Psychological intervention EMPOWERMENT HIV Infections Context (language use) Tanzania STIs CONDITIONAL CASH TRANSFERS 03 medical and health sciences 0302 clinical medicine History and Philosophy of Science Humans Medicine 030212 general & internal medicine FEMALE SEX WORKERS education Empowerment SEXUALLY TRANSMITTED INFECTION Qualitative Research media_common education.field_of_study Sex Workers 030505 public health Actuarial science business.industry Conditional cash transfer CONDOMS Fee-for-Service Plans INCENTIVES Incentive Cash Female GENDER 0305 other medical science business Demography |
Popis: | Female Sex Workers are a core population in the HIV epidemic, and interventions such as conditional cash transfers (CCTs), effective in other health domains, are a promising new approach to reduce the spread of HIV. Here we investigate how a population of Tanzanian female sex workers, though constrained in many ways, experience and use their power in the context of a CCT intervention that incentivizes safe sex. We analyzed 20 qualitative in-depth interviews with female sex workers enrolled in a randomized-controlled CCT program, the RESPECT II pilot, and found that while such women have limited choices, they do have substantial power over their work logistics that they leveraged to meet the conditions of the CCT and receive the cash award. It was through these decisions over work logistics, such as reducing the number of workdays and clients, that the CCT intervention had its greatest impact on modifying female sex workers' behavior. |
Databáze: | OpenAIRE |
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