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“The only thing necessary for these diseases to the triumph is for good people and governments to do nothing.”

 

HIV/AIDS Issues:
Women

Main topics can be found within the left column; sub-topics and/or research reports can be found near the bottom of this page.  Thank you
    
 

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"In the year 2001, it would be fair to say that HIV has emerged as a phenomenon in the lives of people world-wide and has become a social reality. Sadly, the focus of government-sponsored programmes has been only on prevention of the spread of HIV, and not on care, treatment and/ or support. Despite the obvious trends, government campaigns have been desperately slow and have been targeting populations in a compartmentalized manner. The government has been unwilling to look at the issues relating to illness within a family and the consequent dip in its economic conditions.

The sense of crisis is heightened as more and more people get infected with HIV and are dying due to the lack of medicines and treatment in hospitals. The rapidly emerging problems that families, including women and children, have to deal with have been completely ignored and HIV has shifted the burden on to people who are themselves dependent on food, clothing, shelter, medicines, etc. The laws of the land have evolved to partly protect the economic rights of women and their matrimonial property rights. Paradoxically, the ground realities and social circumstances relating to HIV have only perpetuated, exacerbated and heightened the inequalities that render women homeless and destitute - this despite the fact that the position of women under law has changed radically.

Women have for long been economically dependent. Economic dependency was fostered so that the wife could fulfill her role of procreation, bring up children and be available for sex to the husband. The law casts a duty upon a man to maintain his wife, children and aged parents. The wife thus has a right to be maintained by her husband, during marriage, on separation and as alimony on divorce. Maintenance includes providing a residence, food, clothing, medicines and the basic comforts in life. The amount of maintenance would depend on the income of the husband.

In the HIV scenario, the economic burden of the family seems to be falling on women and children. When the husband, the breadwinner in the family, falls ill and enters the symptomatic stage, he is unable to work. He thus has no source of income and cannot maintain his wife and children. The few savings made over the years are spent on treatment. Consequently the nutrition levels of the family as a whole fall drastically. The women often sell their jewellery to pay for the costs of medicines and treatment. The children are forced to drop out of school, as they have to look after an ill parent, do chores in the house and contribute to the finances in the family. This is a common phenomenon in most families affected by HIV. ." WOMEN AND HIV/AIDS - THE PERPETUAL BATTLE OF THE "BETTER HALF'S

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AIDS is the leading cause of death among African American and Hispanic women ages 25-44 in the US. African American and Hispanic women accounted for 76% of new AIDS cases among women reported in 1996 in the US. Women are one of the fastest growing groups of new AIDS cases, accounting for 20% of newly reported cases in the US and 42% of new cases worldwide. In clinical research on potential treatments, only 12% of research participants are female. Women are 33% more likely to die than men because treatment begins so much later, if at all. http://natap.org/

ADDITIONAL ARTICLES:

Document Name & Link to Document

Description

File Size /Type**

Making Sex Work Safe (Large report-increased download time) Making Sex Work Safe covers key issues for those initiating projects, including developing policies and strategies, what is safe commercial sex, working with mobile populations and drug users, and planning and evaluating projects.  However, it does not attempt to be a complete guide. 2500 kb pdf

Male circumcision for the heterosexual acquisition of HIV in men

Circumcision practices are largely culturally determined, so there are strong beliefs and opinions surrounding them.

Pdf 169 kb

Mapping the inhuman Trade: Preliminary Findings of the Database on Trafficking in Human Beings Trafficking in human beings has been one of the most heated topics in international criminological discourse for some years.  Many issues have been debated, such as the definition of trafficking in human beings, the differences between such trafficking and smuggling of migrants, its connection with prostitution and the legal significance of the consent of victims, to mention just a few. Pdf 99 kb

Medical Adherence among HIV positive Women

For HIV-positive patients, effective therapy often requires complex dosing regimens involving combinations of antiretroviral medications to suppress viral replication, delay disease progression, and prolong survival. However, poor compliance with this medication regimen can lead to incomplete viral suppression and the development of drug-resistant strains.

 

Men as Partners: South African Men Respond to Violence Against Women and HIV/AIDS In South Africa, like in many parts of the world, men all too often act in ways that contribute to a variety of public health problems such as domestic and sexual violence, sexually transmitted infections, spiraling rates of HIV/AIDS, and high rates of maternal and infant mortality. 1121 kb pdf
Men of Quality are not afraid of equality. Besides deep changes in society, what we need is a deeply spiritual transformation in identity of men 2,619 kb pdf
Migration, trafficking & Exploitation of Women in Thailand Health and HIV/AIDS risks for Burmese and Hill tribe women and girls.  This report describes the policy failures of the government of Thailand, despite a program widely hailed as a model of HIV prevention for the region. 625 kb pdf

Migration Trends in Central Asia and the Case of Trafficking of Women

(Large report-increase download time)
After the collapse of the Soviet Union and the elimination of state regulation of population movements, migration from, to and within Central Asia has become an acute and continuous process. Pdf 4820 kb
Modern-Day Comfort Women: The US Military, Transnational Crime, and the Trafficking of Women This paper will examine three types of trafficking that are connected to US military bases in South Korea: Domestic trafficking of Korean women to clubs around the military bases in South Korea, transnational trafficking of women to clubs around military bases in South Korea, and the transnational trafficking of women from South Korea to massage parlors in the United States 71 kb pdf
Modern Marriage, Extramarital Sex, and HIV Risk in Southeastern Nigeria For women in Nigeria, as in many settings, simply being married can contribute to the risk of contracting HIV. This ethnographic study examines how modern marriage, despite appearances of greater gender equality, places many women in positions where they cannot easily confront their husbands’ infidelity or protect themselves from HIV infection. Male extramarital sexual practices are situated in socioeconomic and cultural contexts, showing how the social organization of infidelity is located at the intersection of economic inequality, aspirations for modern lifestyles, gender disparities, and contradictory moralities. It is people’s anxieties about sexual morality and social reputation in the context of seeking modern lifestyles -- rather than immoral sexual behavior and traditional culture – that exacerbate risks produced by poverty and inequality. Pdf 324 kb
Morality of Premarital Sex by Religiosity and Generation Premarital sex is an issue that most teenagers and young couples face as they enter new phases of their relationship.  The purpose of this study is to determine if there is a correlation between acceptance of sexual relations before marriage and religiosity or generation.  This study is a cross-sectional, secondary analysis of the variables PREMARSX, RELPERSN, and COHORT (which was recoded into three generation categories), which were extracted from the 1998 General Social Survey (GSS).  Data analysis of the three variables was performed using the Statistical Package for the Social Sciences (SPSS) 10.0, applying Pearson's chi-square as the test of statistical significance and Cramer's V as the measure of association.  The results of this study indicate that very religious people are more inclined to view premarital sexual relations as always wrong.  When compared to the three generation categories, no significant correlation existed.  
“My husband has many girlfriends”:-The political economy of male infidelity and married women’s HIV risk in Uganda Married women’s greatest risk for HIV infection is from their husbands’ extramarital liaisons. This article examines the socio-economic context that shapes men’s extramarital sexuality. Based on six months of ethnographic research in southeastern Uganda, this paper demonstrates how the intertwining of (1) HIV messages of ‘be faithful’, (2) new discourses of modern love and gender equality, and (3) monetization of the economy have driven men’s extramarital sex underground. Increased stigma surrounding polygyny and infidelity combined with mobility and migration patterns have facilitated greater secrecy surrounding extramarital relationships and a pattern of informal secondary households. Denial and secrecy surrounding extramarital sexuality have become a way for husbands and wives to manage their pubic reputations and maintain the appearance of modern marital idea. By examining geographies of secrecy and risk, this paper suggests that risk reduction must address structural factors that provide opportunities for men’s extramarital sex. Pdf 324 kb
New challenges: HIV/AIDS and drugs
Misconceptions about HIV/AIDS have led in some parts of the 
world to an increased demand for young sex partners, including 
very young children.  In addition to the fallacy that children are 
less likely to contract and transmit HIV/AIDS, in some countries 
of Asia these are long-established myths about the rejuvenating 
powers of youth.
82 kb pdf
New Zealand Sex Industry-a guide to Occupational Health and Safety This guide has been written for everyone involved in the New Zealand sex industry: sex workers both employed and self-employed, operators, owners and others such as sex worker organizations. 408 kb pdf
News: OSI Sues USAID over Dangerous Public Health Policy The Open Society Institute (OSI), along with its affiliate the Alliance for Open Society International (AOSI), filed a lawsuit today against USAID to challenge its unconstitutional and dangerous policy of requiring grantees to sign a pledge opposing prostitution. Failure to endorse this loyalty oath means health workers across the world striving to stop the spread of HIV/AIDS could lose funding and be forced to abandon life-saving programs.  
Nun or prostitute? Tibet's women face few choices There are few choices for women in Tibet-if you are single you can either become a nun or prostitute.  
Obstetric Care in Patients with HIV Disease Appropriate management of pregnant patients who have human immunodeficiency virus (HIV) disease can have a major impact on maternal and infant health. The goals of therapy are to properly manage the pregnancy, treat the maternal HIV infection and minimize the risk of vertical transmission of HIV. Early detection of HIV through aggressive screening programs is necessary to initiate timely therapy.  
OPEN-ENDED PROSTITUTION AS A SKILLFUL GAME OF LUCK Rural to urban migrants from depressed areas of Thailand, and particularly the Northeast (Isaan), move into Bangkok in ever-greater numbers in search of employment and income for their own subsistence or for the support of their relatives back home. Prominent among these are large numbers of young women, many of whom hope to make enough money in the city to be able to support not only themselves, but also their parents, siblings and children. They soon realize that the employment opportunities for uneducated and unskilled workers are severely limited. In fact, it appears that in recent years the opportunity structure facing unskilled in-migrant women in Bangkok has even contracted.  
Passing the Test: New York's Newborn This appendix traces the evolution of policy in New York State regarding the screening of newborns for HIV antibodies, from the introduction of the blinded newborn seroprevalence survey in November 1987 through the implementation of the mandatory newborn testing and notification begun in February 1997.  
Police investigate trafficking of women across West Timor border Many Indonesian women were enticed to work abroad with high salary but in fact they were sold and forced to make a living as sex workers.  According to Gadis, the current law on children's protection could not cover all cases of women and children smuggling.  
Positively Abandoned: Stigma and Discrimination against HIV-positive Mothers and their Children in Russia Russia is home to one of the fastest-growing and potentially massive AIDS epidemics in the world, but the government has done little to address the problem.  As a result, the Russian public today, though highly educated, is almost as ignorant of HIV and how it is spread as it was ten years ago, when AIDS was hardly known in Russia Pdf 303 kb
Predictors of Risky Sexual Behavior in African American Adolescent Girls: Implications for Prevention Interventions Teens presenting in primary care settings in urban environments seem to be at high risk for HIV, STDs, and substance abuse, and risk reduction strategies should be introduced during the preteen years. An interdisciplinary model of care in primary care settings serving adolescents is clearly indicated, and prevention-oriented interventions aimed at reducing risky behaviors and preventing the development of more significant health, mental health, or substance abuse disorders are needed.  
Pregnancy in Perinatally HIV-Infected Adolescents and Young Adults -- Puerto Rico, 2002 The number of perinatally HIV-infected females in the United States who are becoming both sexually active and pregnant is increasing. During August 1998-May 2002, a total of 10 pregnancies were identified among eight perinatally HIV-infected adolescents and young adults in Puerto Rico; in April 2002, the Puerto Rico Department of Health (PRDOH) asked CDC to assist in assessing such pregnancies. This report describes these pregnancies and discusses factors associated with sexual activity and pregnancy.  
Perspectives on trafficking in human beings-English, Portuguese, and Greek Languages Trafficking in human beings is a controversial and delicate issue.  Victims of this phenomenon are often liable to inhuman treatments.  However, in most countries, they are regarded as irregular migrants who face forced deportation 1,834 kb pdf

Predictors of Mother-Adolescent Discussions About Condoms: Implications for Providers Who Serve Youth

By univariate analysis, mother-adolescent communication about condoms was associated with greater knowledge about sexuality and acquired immunodeficiency syndrome, perception of having enough information to discuss condoms, information from a health-related source, less conservative attitudes about adolescent sexuality, perception that the adolescent was at risk for human immunodeficiency virus, greater ability and comfort in discussing condoms, stronger belief that condoms prevent human immunodeficiency virus/acquired immunodeficiency syndrome, and a more favorable endorsement of condoms

 

Predictors of Mother-Adolescent Discussions About Condoms: Implications for Providers Who Serve Youth

By univariate analysis, mother-adolescent communication about condoms was associated with greater knowledge about sexuality and acquired immunodeficiency syndrome, perception of having enough information to discuss condoms, information from a health-related source, less conservative attitudes about adolescent sexuality, perception that the adolescent was at risk for human immunodeficiency virus, greater ability and comfort in discussing condoms, stronger belief that condoms prevent human immunodeficiency virus/acquired immunodeficiency syndrome, and a more favorable endorsement of condoms

150 kb pdf

Preparing for adulthood: adolescent sexual and reproductive health The nature and experience of adolescence vary tremendously by sex, marital status, class, region and cultural context.  As a group, however, adolescents are generally recognized to have sexual and reproductive health needs that differ from those of adults and which are still poorly understood in much of the world 494 kb pdf
Preteens in Indian Caste Forced Into Prostitution In one Indian community, 12-year-old girls are forced into prostitution, driven by the economic needs of their families and the pressure of religious legend. Human rights officials are trying to end the practice, but red tape slows their efforts.  
Prevalence of sexually transmitted infections and performance of STI syndromes against aetiological diagnosis, in female sex workers of red light area in Surat, India The mean number of different sexual partners of SWs per day was five. 94.9% reported consistent condom use with the clients. 58.5% of SWs had no symptoms related to STDs at the time of examination. Reported symptoms included lower abdominal pain (19.5%), abnormal vaginal discharge (12.7%), painful sexual intercourse (12.7%), painful micturition (11.0%), itching around the genital area (10.2%), and genital ulcer (5.9%). The prevalence of STI "syndromes" were vaginal discharge syndrome 51.7%, pain in lower abdomen 19.5%, enlarged inguinal lymph nodes 11.9%, and genital ulcer 5.9%. Based on the laboratory reports (excluding HIV tests), 62 (52.5%) SWs did not have any of the four tested STIs. Prevalence of laboratory confirmed STIs were syphilis 22.7% (based on reactive syphilis serology tests), gonorrhoea 16.9%, genital chlamydial infection 8.5%, and trichomoniasis 14.4%. HIV prevalence was 43.2%. The performance of Indian recommended treatment guidelines for vaginal discharge syndrome (VDS) and genital ulcer syndrome (GUS) against aetiological diagnosis was poor.  

Prevention of Mother to Child transmission of HIV/AIDS.

Every communication initiative should be strategic and sustainable.  However, due to lack of adequate human and financial resources, and to other constrains, some communication initiatives, including the ones employed in the response to HIV/AIDS, are still too often developed without a proper strategic planning methododoloty

Pdf 27 kb

Preventing Trafficking and HIV/AIDS in South Asia
The issue of sex work cannot be separated from the larger context 
of education, empowerment and economic opportunities for women.  
Women in sex trade may work voluntarily or against their will.  While 
customers of sex workers are not discriminated against, prostitutes 
are currently perceived to be indecent and immoral people who need
 help
635 kb pdf
Prostitution and HIV/AIDS Female prostitutes in particular are perceived as the bridge between an HIV-infected "underworld" and the "general population" (to be read as heterosexual white males). According to policy-makers and the media, the protection of public health justifies draconian legal measures and moral intolerance.  Few if any of these measures reduce a prostitute's own risk of contracting HIV.  Research has indicated that punitive measures to control the sex trade -- such as increased criminal penalties, mandatory testing, and electronic monitoring -- will further erode prostitutes' ability to negotiate safe sex and further alienate them from public health initiatives. As a result, HIV risks will be increased rather than reduced. Nevertheless, governments continue to pursue these policies.  
Prostitution and HIV/AIDS Legal, moral and social censure of prostitutes has increased dramatically since the advent of HIV/AIDS. As has been the case throughout history, sex-trade workers are seen as the "vectors of disease."  Female prostitutes in particular are perceived as the bridge between an HIV-infected "underworld" and the "general population" (to be read as heterosexual white males). According to policy-makers and the media, the protection of public health justifies draconian legal measures and moral intolerance.  Few if any of these measures reduce a prostitute's own risk of contracting HIV. Research has indicated that punitive measures to control the sex trade -- such as increased criminal penalties, mandatory testing, and electronic monitoring -- will further erode prostitutes' ability to negotiate safe sex and further alienate them from public health initiatives. As a result, HIV risks will be increased rather than reduced.  
Prostitution: Causes and Solutions Around the world today, there is a human rights crisis of sexual abuse of millions of women, children, and thousands of men in prostitution and other forms of sexual exploitation. There are regions of the world where prostitution has gone from being almost non-existent to a hundred million dollar moneymaking industry. Pdf 31 kb
Prostitution in Canada: Throughout time prostitution has aroused a wide range of emotions from the communities in which it exists. Some are morally outraged by its presence, others merely curious. Some view it as a threat, others as a necessary evil. However, at least in recorded history, no society has completely accepted it as a valid and integral part of the community. Prostitution is something to be abhorred or tolerated but never condoned. It is a "nuisance," a "problem," but above all it is an embarrassment. For the religiously inclined it reminds us that we are far from the moral standards set for us by most scriptures. For government officials it is considered a sign of their mismanagement since prostitution is taken to symbolize a society in decline. For police officials it is a blotch on their record, an indication of incompetency, because it is something they are unable to control much less eradicate. For many feminists it signals the continued entrenchment of the patriarchy, the ultimate exploitation of women, a significant indication of how far we are from achieving full gender equality. Prostitution is the poor relative of whom we are slightly ashamed, the black sheep of the family who is a reproach to our cultural image of ourselves. And so like most families in this situation we would keep prostitution out of sight, if not out of mind, as much as possible.  
Prostitution in Five Countries: Violence and Post-Traumatic Stress Disorder In an effort to document the experiences of women in prostitution, we interviewed and administered psychological tests to 475 people currently and recently prostituted in five countries.  These people live in social and legal contexts defining them variously as hated and filthy women, criminals and ‘sex workers’…Since violence is associated with psychological trauma, we also inquired about the severity of current symptoms of posttraumatic stress disorder. 227 kb pdf
Prostitution: a critical review of the medical and social sciences literature Listing of several different articles and papers 112 kb pdf
Prostitution on Demand
Research, programs, and legislation related to sex trafficking are 
often premised on the invisibility of the male buyer and the failure 
to address men’s role in buying and abusing women in prostitution…
others act as if the male demand for sexual exploitation is 
insignificant, or that prostitution is so entrenched because, after 
all, “men will be men.”
135 kb pdf
Prostitution: Then and Now When thinking about trades that have been around for centuries prostitution is not one that normally comes to mind yet it is claimed to be one of the oldest of professions. People have very different views on the subject of prostitution. Since Mesopotamian times, attitudes surrounding prostitution have evolved and changed many times from a celebrated necessity to a cultural evil. The United States Victorian era (1840-1900) experienced the same evolution of thoughts as their prostitutes experienced empathy in the beginning of the century then utter rejection towards the end. The twentieth century on through to the twenty-first has kept the ideals of the latter Victorians. American society’s outlook towards prostitution has not changed in over a century and a half because the societal views and the debate over a solution remain the same.  
Protecting Children from Sexual Abuse and Exploitation Child sexual abuse and exploitation is a global phenomenon.  It exists in most cultures irrespective of material wealth and state ideology 70 kb pdf
    
Provisions for Victims of Trafficking in Bonded Sexual labour, i.e. prostitution Trafficking in human beings is a violation of the trafficked person’s rights.  The trafficked person is also a victim of a crime.  It is important to identify these persons as a victim under the law and as a person whose human rights are violated.  National laws should have a legal definition of trafficking as a crime while at the same time these laws need to empower the victim to access their rights 443 kb pdf
Public Health and the Human Rights of sex workers In most countries, sex workers are stigmatized, discriminated against, prosecuted, and harassed.  They are often seen as immoral people or as victims of unscrupulous traffickers who exploit the lack of opportunities of deprivileged inhabitants of mostly poor countries Pdf 597 kb

Rapes fuel Bangladesh AIDS crisis

Police officers and crime lords who sexually abuse gay men and sex workers are stoking an emerging AIDS epidemic in Bangladesh, a Human Rights Watch (HRW) report warned on Tuesday

 

Reducing prenatal HIV transmission in developing countries through antenatal and delivery care, and breastfeeding In southern African countries, where the pandemic of HIV is moving faster than prevention efforts, pediatric wards of hospitals are becoming overcrowded with infants and children dying of AIDS and the average rate of HIV infection in women attending antenatal clinics can be 30% or more Pdf 335 kb
Report of the Expert Group on Strategies for Combating the Trafficking of Women and Children Trafficking in persons, especially women and children, for commercial sexual exploitation is one of the fastest growing areas of international criminal activity and of increasing concern to the international community…Trafficking for the purposes of labour exploitation, forced labour, marriage, adoption and the trade in organs are additional areas of concern, but are less well documented. Pdf 279 kb
Report of the Task Force on protection From Sexual Exploitation and Abuse in Humanitarian Crises The grave allegations of widespread sexual exploitation and abuse of refugee and internally displaced women and children by humanitarian workers and peacekeepers in West Africa have highlighted the vulnerability of refugees, internally displaced persons and others, especially women and girls 187 kb pdf

Reproductive & Child Health Programs.

This document summarizes the productive collaboration between USAID and the Moroccan MOH spanning a period of over three decades.

Pdf 1,481 kb

Resiliency Approach to Adolescent Reproductive Health Power Point Presentation 171 kb pdf
Resource: Risky business - the market for unprotected commercial sex Each day over 20,000 people become infected with the human immunodeficiency virus (HIV) worldwide, a large proportion of whom are infected through unprotected sex with sex workers (UNAIDS 2002). Although condoms are an effective defense against the transmission of HIV and other sexually transmitted infections (STIs) and there has been substantial education of sex workers regarding the risk of infection, large numbers of sex workers are not using condoms with their clients (UNAIDS 2002). Indeed, infection rates among sex workers are among the highest of any group, especially in developing countries with widely disseminated epidemics (World Bank 1999). A major question confronting policy makers who design and implement interventions for the prevention of acquired immunodeficiency syndrome (AIDS) and STIs is: Why do sex workers risk infection by not using condoms in their work?  
RIGHTS-INDIA: Building a New Life for HIV-Infected Child Sex Workers
According to Sinha, 70 percent of the 218 girl children rescued
 during a police raid some years ago on a Mumbai brothel, were 
found HIV- infected. "These minors are more prone to the 
infection as they don't have the power to say no to sex without
 a condom," she says.
 
Risk Factors for HIV among Housewives in San Salvador Historically, HIV/AIDS behavioral research has focused on those populations and communities considered at highest risk for contracting and transmitting HIV.  Other than female sex workers, however, women have been neglected internationally as a focus of AIDS research.  Consequently, there has been inadequate understanding of women at risk and little attention to gender specific prevention efforts 340 kb pdf
Risk, Morality, and Blame: A Critical Analysis of Government and US Donor Responses to HIV Infections Among Sex Workers in India
The vulnerability of women sex workers to HIV infection in India is 
best understood through a lens of the ‘multiple disadvantages’ sex 
workers face in the context of both broad social inequities and 
specific gender disparities.  Despite recent economic progress 
and the growth of a large middle class in India, gender disparities 
in education, access to land and property, and other means of 
attaining economic security persist.
298 kb pdf
Role of core and bridging groups in the transmission dynamics of HIV and STIs The potential for exposure of low and high risk women to HIV and sexually transmitted infections (STI) through unprotected sex with male clients of female sex workers in Cotonou could account for most if not all of the estimated yearly numbers of HIV infections in Cotonou women (1000). As ongoing transmission of HIV, and also of the most predominant STIs such as gonorrhoea and HSV-2, appears to be largely fuelled by transmission within core and bridging groups in Cotonou, interventions targeted at both female sex workers and their male clients remain of the utmost importance and could have a significant effect on the evolution of HIV/STI epidemics in Benin.  
sacred lives. Over a period of five months, consultations with more than 150 commercially sexually exploited Aboriginal children and youth tool place in 22 communities across Canada. 818 kb pdf
Securing the Supply of Condoms and Other Essential Products for HIV/AIDS Programs Power Point Presentation 1,953 kb

Sex and HIV: Behaviour-change trial Shows no Link 

While the trial led to a marked change in sexual behavioural patterns, with the proportion reporting causal sexual partners falling from around 35 per cent to 15 per cent, there was no noticeable fall in the number of new cases of HIV infection, although there was a significant reduction in sexually transmitted diseases such as syphilis and gonorrhoea.

 

Sex for Sale, Legally 

Though some governments are still trying to crack down on prostitution, others are realizing that it is better to legalize and license it than to suffer the ill effects of driving it underground. New Zealand has just done so; Belgium looks set to be next.

 

Sex, Race, and Criminalization

 

2 million women and children internationally trafficked each year into the sex industry and for labor. All estimates, however, are preliminary and do not include trafficking within countries. The most prevalent forms of sex trafficking are for prostitution, sex tourism, and mail‑order bride industries. Women and children are also trafficked for bonded labor and domestic work, and much of this trafficking concludes with their being sexually exploited as well.  
Sex trafficking in women from Central and East European countries-promoting a ‘victim-centered’ and ‘woman-centred’ approach to criminal justice Since the collapse of the Berlin wall, women and girls have been trafficked from central and eastern Europe to work as prostitutes in the European union…The focus is on criminal justice intervention with respect to protection of and assistance to ‘victims’, and a specially witness protection Pdf 131 kb
Sex Trafficking of Women in the United States
Accounts about sex trafficking in the United States, mainly 
appearing in national and local media, indicate that trafficking 
for commercial sexual exploitation is a national problem, and 
one that is increasing is scope and magnitude.  The US 
government estimates that 50,000 women and children are 
trafficked each year into the United States, primarily from 
Latin America, countries of the former Soviet Union and 
Southeast Asia
587 kb pdf
Sex Work and HIV/AIDS in Asia (Large report-increase download time) People who buy and sell sex pose one of the high-risk behaviours for HIV exposure in Asia.  It is therefore essential for HIV prevention interventions to take into account the nature of the Asian sex industry 2,712 kb pdf
Sex Workers and the Cost of Safe Sex: The Compensating Differential for Condom Use in Calcutta The practice of safe sex by commercial sex workers is considered to be central in preventing the transmission of AIDS in developing countries.  However, anecdotal evidence suggests that sex workers may face large losses in income from using condoms because of a strong preference for condom-free sex among clients. 98 kb pdf

Sex work in the south 

In recent times, prompted by the concern over the spread of HIV/AIDS, commercial sex workers have been the focus of a great deal of attention, primarily with the aim of promoting safe sex as a method of preventing disease. Despite the numerous groups active among sex workers, and despite the government’s professed interest in the matter, there has been no accurate assessment of the total number of people practicing the profession in India

 

Sex Workers join Efforts to Contain Spread of AIDS

Commercial sex workers are not responsible for the rise in AIDS cases regionally, but their activities do contribute, and efforts to contain the spread of HIV now include members of the world's oldest profession

 

Sex workers problems in Greece

This law in Greece it's unconstitutional and can't make things work because you can't find a place in Athens which is 200 metre [away] from churches, schools youth centers public squares public buildings etc.

 

Sexuality Power Point Presentation  
Sexual Abuse of Women in U.S. State Prisons Our findings indicate that being a woman prisoner in U.S. state prisons can be a terrifying experience. If you are sexually abused, you cannot escape from your abuser. Grievance or investigatory procedures, where they exist, are often ineffectual, and correctional employees continue to engage in abuse because they believe they will rarely be held accountable, administratively or criminally. Few people outside the prison walls know what is going on or care if they do know. Fewer still do anything to address the problem.  

Sexual behavior among Vietnamese married women

While sex is love, excitement, and joy, in Vietnam existing studies also portray sexual activity as a source of weakness, fatigue and even an extra burden for women. They bear high rates of abortion and reproductive tract infections.

 

Sexual Behavior, HIV & Fertility Trends.

The USAID-supported ABC Study examines how prevention behaviors may have affected HIV prevalence as well as fertility patterns in three countries where HIV prevalence declined during the 90’s and in three countries where it appears not to have declined.

Pdf 3,541 kb

Sexuality Standards, Sexual Attitudes and Sexual Behavior In recent years a major public health effort has been directed at slowing the rise of teen pregnancy and halting the spread of sexually-transmitted diseases. The appearance of Acquired Immune Deficiency Syndrome (AIDS) on the sexual scene has added new urgency to these programs since there is currently no vaccine or cure. Behavioral change is the only way to limit the spread of AIDS. Abstinence and using condoms if sexually active can reduce the spread of Human Immunodeficiency Virus (HIV) and can also effectively reduce the transmission of other sexually transmitted diseases and prevent pregnancy.  
Sexually transmitted infections in male clients of female sex workers in Benin Since most STIs are asymptomatic in this population, case finding programmes for gonorrhoea and chlamydia could be useful. The performance characteristics of the LED test in this study suggest that it could be useful to detect asymptomatic infection by either C trachomatis or N gonorrhoeae in high risk men  
Slavery Slips Through Cracks in U.S. Policy The psychological grip of enslavement is typically compounded by a terror of government authority that traffickers seed in their captives… Critics fear that authorities are failing to address slavery as a pervasive human rights abuse, not unique to any economic sector  
Slavery, American-Style Human trafficking is a form of modern-day slavery.  Between 800,000 and 900,000 women, men, young children and teens are trafficked across international borders each year…Most traffickers force their captives into the shadowy world of commercial sex and sex-related entertainment.  Others press their victims into forced labor in homes, restaurants, agricultural fields, and sweatshops. Pdf 88 kb
Socio-Economic Aspects of Reproduction The economic approach to analyse the health care services system was used for many decades. Cost benefits (CB) studies were developed to evaluate the economic gain related to the expenditure for a specific treatment or health care method. The great challenge of those studies are how to quantify, for example, the life of a person, its health status or some morbidity condition, in order to compare the cost of a treatment to the benefit in terms of health, cure or death avoidance. How much is the cost of a woman’s life?"  

Socio-economic Factors Associated with Premarital child bearing and Adolescents’ Age at first Motherhood

This paper focuses on adolescence sexual activity and child bearing before and after first marriage as well as socio – economic factors associated with their age at first childbearing. The paper observed a high rate of first premarital adolescent pregnancies among interviewed adolescent women in Tanzania. The paper furthermore found that premarital first pregnancies seem to be prevailing in most of the analysed sub-Sahara African countries in comparison with others in the developing countries. Literate adolescent women had a higher likelihood of having premarital sexual intercourse than illiterates. However, literacy raises age at first birth for adolescents. Literate adolescents, on the other hand, are more likely to be displeased with the timing of their first birth than illiterate adolescent women. The more years an adolescent attends school, the higher the age at first birth. An urban adolescent woman had a higher likelihood to experience premarital sexual intercourse than rural adolescents. Protestant unmarried adolescent women are less likely to experience sexual intercourse compared to Moslems. Moslem adolescents have the first birth earlier than Christians. Pdf 104 kb

Stigma and Discrimination: Field Experiences and Research from Africa, Asia & Ukraine

“A woman will never decide to do the testing. If she finds herself HIV-positive she is signing three deaths: psychological death, social death & physical death. Don’t you think that is a lot?”

 

Stigma, discrimination and HIV/AIDS
Stigmatisation in many cases leads to discrimination, 
where people are attacked or treated badly purely on 
the basis of being positive. According to the Joint United 
Nations Programme on HIV/AIDS (UNAIDS, 2002), "the 
stigma and discrimination that people with HIV/AIDS face 
are unusually multiple and complex." It further states that
 "individuals tend not to be stigmatised and discriminated 
against only on the grounds of HIV/AIDS status, but also 
in accordance with what this connotes." Thus, women with 
HIV/AIDS may be doubly stigmatised both as 'women' and 
as 'people living with HIV/AIDS' when their identity becomes
known or men who have sex with men living with HIV/AIDS 
may be stigmatised both because of their sexual practice 
and their status.
 

Survey on STI among female sex workers in 5 border provinces of Vietnam

Little is known about the true magnitude of STIs among female sex workers (FSWs) in Vietnam.

 

Survey Suggests Lack of Awareness Heightens Risk for Sexually Transmitted Diseases New survey results unveiled today by the American Social Health Association (ASHA) - an organization dedicated to preventing sexually transmitted diseases (STDs) -- suggest that lack of awareness may put Americans at risk for contracting STDs.  

Swazis have sex workers covered

As awareness of the AIDS crisis breaks in Swaziland like a blinding dawn, measures that would have been unthinkable a year ago are now being initiated.

 

Teen Sex and Pregnancy

Most very young teens have not had intercourse: 8 in 10 girls and 7 in 10 boys are sexually inexperienced at age 15.The likelihood of teenagers' having intercourse increases steadily with age; however, about 1 in 5 young people do not have intercourse while teenagers. Most young people begin having sex in their mid-to-late teens, about 8 years before they marry; more than half of 17-year-olds have had intercourse.  (Several graphs and tables are included in this report)

 
Thai views of sexuality and sexual behaviour Although women did not express negative views about marrying a virgin man, for most it seemed pointless to contemplate this.   Indeed, many accepted the double standard implicit in the belief that men needed sexual experience before getting married.  This was evident in their tolerance of husbands' prior visits to prostitutes.   Women were also generally accepting of premarital non- commercial sexual relationships that their husbands might have had, although typically they expressed greater concern about prior affairs than about premarital patronage of prostitutes.  Women's main interest in this connection was getting assurance that any earlier relationships were ended and would not resume.  
The Challenge of Women’s Political Organizing in the Time of AIDS High vulnerability to HIV and high rates of infection amongst women and girls is an entrenched part of the epidemiology of AIDS in Africa…despite our knowledge of ‘women’s vulnerability’, little seems to be done to overcome the social and political determinants of HIV infection in women. Pdf 102 kb
The Demand Side of Trafficking? A Multi Country Pilot Study