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Relationship between Community Collectivization and Financial Vulnerability of Female Sex Workers in Southern India

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  • Sangram Kishor Patel
  • Parimi Prabhakar
  • Anrudh Kumar Jain
  • Niranjan Saggurti
  • Rajatashuvra Adhikary

Abstract

Introduction: Studies exploring the linkages between financial vulnerabilities and community collectivization of female sex workers (FSWs) are scarce in India despite having potential policy implications. To fill this gap in the literature, this study attempts to understand the financial vulnerabilities among FSWs and assess the relationship between community collectivization and financial vulnerabilities in southern India. Data and Methods: Data were drawn from a cross-sectional, behavioral tracking survey (BTS)—2014, conducted among FSWs (N = 2400) in Andhra Pradesh, a southern state of India under the Avahan-India AIDS initiative program. Adjusted odds ratios (AOR) and their 95% confidence intervals (CI) were estimated through multivariate logistic regression, to assess the independent relationships of the degree of community collectivization indicators with financial vulnerability indicators, adjusting for socio-demographic characteristics. Results: Most FSWs (87%) reported having either one or more financial vulnerability and nearly one-fifth had a high financial vulnerability. The risk of facing financial vulnerability was significantly lower among FSWs with a high degree of perceived collective efficacy (15% vs 31%; AOR: 0.4; 95% CI: 0.3–0.5) and collective agency (4% vs 21%; AOR: 0.2; 95% CI: 0.1–0.3) as compared to their respective counterparts, after controlling for their individual socio-demographic characteristics. FSWs with a high degree of collective efficacy are also less likely to report different components of financial vulnerability (e.g. income, saving, expenditure, and debt). Conclusion: This study finding suggests that community-led interventions such as improving collectivization are promising strategies to address financial vulnerabilities and a path to a sustainable reduction of HIV risk. This study calls for further evidence-based research and measurement of the effects of community-led approaches in addressing the financial vulnerabilities of the key population at risk for HIV.

Suggested Citation

  • Sangram Kishor Patel & Parimi Prabhakar & Anrudh Kumar Jain & Niranjan Saggurti & Rajatashuvra Adhikary, 2016. "Relationship between Community Collectivization and Financial Vulnerability of Female Sex Workers in Southern India," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-12, May.
    • Handle: RePEc:plo:pone00:0156060
    DOI: 10.1371/journal.pone.0156060
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    References listed on IDEAS

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    1. Ghose, Toorjo & Swendeman, Dallas & George, Sheba & Chowdhury, Debasish, 2008. "Mobilizing collective identity to reduce HIV risk among sex workers in Sonagachi, India: The boundaries, consciousness, negotiation framework," Social Science & Medicine, Elsevier, vol. 67(2), pages 311-320, July.
    2. Swendeman, Dallas & Basu, Ishika & Das, Sankari & Jana, Smarajit & Rotheram-Borus, Mary Jane, 2009. "Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases," Social Science & Medicine, Elsevier, vol. 69(8), pages 1157-1166, October.
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    1. Bidhubhusan Mahapatra & Ruchira Bhattacharya & Yamini Atmavilas & Niranjan Saggurti, 2018. "Measuring vulnerability among female sex workers in India using a multidimensional framework," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-13, September.
    2. Sangram Kishor Patel & Saradiya Mukherjee & Bidhubhusan Mahapatra & Madhusudana Battala & Matangi Jayaram & Sameer Kumta & Yamini Atmavilas & Niranjan Saggurti, 2019. "Enhancing financial security of female sex workers through a community-led intervention in India: Evidence from a longitudinal survey," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-13, October.

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