‘They bring AIDS to us and say we give it to them’: Socio-structural context of female sex workers’ vulnerability to HIV infection in Ibadan Nigeria

Type Journal Article - Journal of Social Aspects of HIV/AIDS
Title ‘They bring AIDS to us and say we give it to them’: Socio-structural context of female sex workers’ vulnerability to HIV infection in Ibadan Nigeria
Author(s)
Volume 7
Issue 2
Publication (Day/Month/Year) 2010
URL http://www.ajol.info/index.php/saharaj/article/viewFile/67723/55824
Abstract
The aim of the study was to examine and describe the individual and structural-environmental factors that shape the vulnerability
of brothel-based female sex workers (FSWs) in Ibadan, southwest Nigeria to HIV infection. A descriptive qualitative research design
was utilised to elicit data, using in-depth interviews and focus group discussions, from 60 randomly selected participants in four
brothels. A thematic analysis of data was undertaken following transcription and validation of interviews. Five themes emerged
from the data: (i) flawed knowledge and fatalistic attitudes; (ii) the psychosocial and economic context of sex work; (iii) religious
beliefs, stigma and risk taking; (iv) barriers to HIV testing; and (v) legal and policy constraints to sex work. We describe the complex
interaction between these themes and how they combine to increase the risk of HIV infection among FSWs. The impact of previous
interventions to reduce the risk of HIV infection among FSWs has been limited by personal and structural factors; hence we
recommend that new strategies that recognise the practical constraints to HIV prevention among FSWs are urgently needed to make
the environment of commercial work safer for FSWs, their clients, and by extension the general population.

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