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HIV prevention while the bulldozers roll: Exploring the effect of the demolition of Goa's red-light area

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  • Shahmanesh, Maryam
  • Wayal, Sonali
  • Andrew, Gracy
  • Patel, Vikram
  • Cowan, Frances M.
  • Hart, Graham

Abstract

Interventions targeting sex-workers are pivotal to HIV prevention in India. Community mobilisation is considered by the National AIDS Control Programme to be an integral component of this strategy. Nevertheless societal factors, and specifically policy and legislation around sex-work, are potential barriers to widespread collectivisation and empowerment of sex-workers. Between November 2003 and December 2005 we conducted participatory observation and rapid ethnographic mapping with several hundred brief informant interviews, in addition to 34 semi-structured interviews with key-informants, 16 in-depth interviews with female sex-workers, and 3 focus-group-discussions with clients and mediators. This provides a detailed examination of the demolition of Baina, one of India's large red-light areas, in 2004, and one of the first accounts of the effect of dismantling the red-light area on the organisation of sex-work and sex-workers' sexual risk. The results suggest that the concentrated and homogeneous brothel-based sex-work environment rapidly evolved into heterogeneous, clandestine and dispersed modes of operation. The social context of sex-work that emerged from the dust of the demolition was higher risk and less conducive to HIV prevention. The demolition acted as a negative structural intervention; a catastrophic event that fragmented sex-workers' collective identity and agency and rendered them voiceless and marginalised. The findings suggest that an abolitionist approach to sex-work and legislation or policy that either criminalises this large group of women, or renders them as invisible victims, will increase the stigma and exclusion they experience. For the targeted HIV prevention approaches advocated by the National AIDS Control Programme to be effective, there is a need for legislation and policy that supports sex-workers' agency and self-organisation and enables them to create a safer working environment for themselves.

Suggested Citation

  • Shahmanesh, Maryam & Wayal, Sonali & Andrew, Gracy & Patel, Vikram & Cowan, Frances M. & Hart, Graham, 2009. "HIV prevention while the bulldozers roll: Exploring the effect of the demolition of Goa's red-light area," Social Science & Medicine, Elsevier, vol. 69(4), pages 604-612, August.
  • Handle: RePEc:eee:socmed:v:69:y:2009:i:4:p:604-612
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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. Wight, Daniel & Plummer, Mary L. & Mshana, Gerry & Wamoyi, Joyce & Shigongo, Zachayo S. & Ross, David A., 2006. "Contradictory sexual norms and expectations for young people in rural Northern Tanzania," Social Science & Medicine, Elsevier, vol. 62(4), pages 987-997, February.
    3. Asthana, Sheena & Oostvogels, Robert, 1996. "Community participation in HIV prevention: Problems and prospects for community-based strategies among female sex workers in Madras," Social Science & Medicine, Elsevier, vol. 43(2), pages 133-148, July.
    4. Cornish, Flora & Ghosh, Riddhi, 2007. "The necessary contradictions of 'community-led' health promotion: A case study of HIV prevention in an Indian red light district," Social Science & Medicine, Elsevier, vol. 64(2), pages 496-507, January.
    5. Downe, Pamela J., 1997. "Constructing a complex of contagion: The perceptions of AIDS among working prostitutes in Costa Rica," Social Science & Medicine, Elsevier, vol. 44(10), pages 1575-1583, May.
    6. O'Neil, John & Orchard, Treena & Swarankar, R. C. & Blanchard, J.F.James F. & Gurav, Kaveri & Moses, Stephen, 2004. "Dhandha, dharma and disease: traditional sex work and HIV/AIDS in rural India," Social Science & Medicine, Elsevier, vol. 59(4), pages 851-860, August.
    7. Kerrigan, D. & Moreno, L. & Rosario, S. & Gomez, B. & Jerez, H. & Barrington, C. & Weiss, E. & Sweat, M., 2006. "Environmental-structural interventions to reduce HIV/STI risk among female sex workers in the Dominican Republic," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 120-125.
    8. Scambler, Graham & Paoli, Frederique, 2008. "Health work, female sex workers and HIV/AIDS: Global and local dimensions of stigma and deviance as barriers to effective interventions," Social Science & Medicine, Elsevier, vol. 66(8), pages 1848-1862, April.
    9. Desmond, Nicola & Allen, Caroline F. & Clift, Simon & Justine, Butolwa & Mzugu, Joseph & Plummer, Mary L. & Watson-Jones, Deborah & Ross, David A., 2005. "A typology of groups at risk of HIV/STI in a gold mining town in north-western Tanzania," Social Science & Medicine, Elsevier, vol. 60(8), pages 1739-1749, April.
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