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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

Author

Listed:
  • Cooper, Jan E.
  • Dow, William H.
  • de Walque, Damien
  • Keller, Ann C.
  • McCoy, Sandra I.
  • Fernald, Lia C.H.
  • Balampama, Marianna P.
  • Kalolella, Admirabilis
  • Packel, Laura J.
  • Wechsberg, Wendee M.
  • Ozer, Emily J.

Abstract

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.

Suggested Citation

  • Cooper, Jan E. & Dow, William H. & de Walque, Damien & Keller, Ann C. & McCoy, Sandra I. & Fernald, Lia C.H. & Balampama, Marianna P. & Kalolella, Admirabilis & Packel, Laura J. & Wechsberg, Wendee M., 2017. "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," Social Science & Medicine, Elsevier, vol. 181(C), pages 148-157.
    • Handle: RePEc:eee:socmed:v:181:y:2017:i:c:p:148-157
    DOI: 10.1016/j.socscimed.2017.03.018
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    References listed on IDEAS

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    1. Campbell, Catherine, 2000. "Selling sex in the time of AIDS: the psycho-social context of condom use by sex workers on a Southern African mine," Social Science & Medicine, Elsevier, vol. 50(4), pages 479-494, February.
    2. Yang, Cui & Latkin, Carl & Luan, Rongsheng & Nelson, Kenrad, 2010. "Peer norms and consistent condom use with female sex workers among male clients in Sichuan province, China," Social Science & Medicine, Elsevier, vol. 71(4), pages 832-839, August.
    3. de Brauw, Alan & Gilligan, Daniel O. & Hoddinott, John & Roy, Shalini, 2014. "The Impact of Bolsa Família on Women’s Decision-Making Power," World Development, Elsevier, vol. 59(C), pages 487-504.
    4. Maman, S. & Mbwambo, J.K. & Hogan, N.M. & Kilonzo, G.P. & Campbell, J.C. & Weiss, E. & Sweat, M.D., 2002. "HIV-positive women report more lifetime partner-violence: Findings from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1331-1337.
    5. Omar Galárraga & Sandra Sosa-Rubí & César Infante & Paul Gertler & Stefano Bertozzi, 2014. "Willingness-to-accept reductions in HIV risks: conditional economic incentives in Mexico," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(1), pages 41-55, January.
    6. de Walque, Damien & Dow, William H & Nathan, Rose & Abdul, Ramadhani & Abilahi, Faraji & Gong, Erick & Isdahl, Zachary & Jamison, Julian & Jullu, Boniphace & Krishnan, Suneeta & Majura, Albert & Migue, 2012. "Incentivising safe sex: a randomised trial of conditional cash transfers for HIV and sexually transmitted infection prevention in rural Tanzania," Department of Economics, Working Paper Series qt4vw984q0, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    7. Nyqvist,Martina Björkman & Corno,Lucia & De Walque,Damien B. C. M. & Svensson,Jakob, 2015. "Using lotteries to incentivize safer sexual behavior : evidence from a randomized controlled trial on HIV prevention," Policy Research Working Paper Series 7215, The World Bank.
    8. Paul Gertler & Manisha Shah & Stefano M. Bertozzi, 2005. "Risky Business: The Market for Unprotected Commercial Sex," Journal of Political Economy, University of Chicago Press, vol. 113(3), pages 518-550, June.
    9. Medlin, Carol & de Walque, Damien, 2008. "Potential applications of conditional cash transfers for prevention of sexually transmitted infections and HIV in Sub-Saharan Africa," Policy Research Working Paper Series 4673, The World Bank.
    10. de Walque, Damien & Dow, William H. & Gong, Erick, 2014. "Coping with risk : the effects of shocks on reproductive health and transactional sex in rural Tanzania," Policy Research Working Paper Series 6751, The World Bank.
    11. Barrington, Clare & Latkin, Carl & Sweat, Michael D. & Moreno, Luis & Ellen, Jonathan & Kerrigan, Deanna, 2009. "Talking the talk, walking the walk: Social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic," Social Science & Medicine, Elsevier, vol. 68(11), pages 2037-2044, June.
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    Cited by:

    1. Islam, Asad & Smyth, Russell & Tan, HongQi Alexis & Wang, Liang C., 2019. "Survey measures versus incentivized measures of risk preferences: Evidence from sex workers' risky sexual transactions," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. Packel, Laura J. & de Walque, Damien & Feeney, Kevin C. & Balampama, Marianna P. & Cooper, Jan E. & Kalolella, Admirabilis & Wechsberg, Wendee M. & Dow, William H., 2021. "A randomized trial of cash incentives for sexual behavior change among female sex workers in Dar es Salaam," Social Science & Medicine, Elsevier, vol. 272(C).
    3. de Walque, Damien, 2020. "The use of financial incentives to prevent unhealthy behaviors: A review," Social Science & Medicine, Elsevier, vol. 261(C).

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