Search Results (6)

Background: Key populations (KPs), particularly female sex workers (FSWs), continue to face significant barriers in accessing HIV-related healthcare services in South Africa. Structural challenges have historically hindered equitable HIV treatment access, worsened by the COVID-19 pandemic. Overburdened clinics, staff shortages, and travel constraints disrupted HIV services and ART adherence. In response, the Differentiated Service Delivery (DSD) model was rapidly scaled up to decentralise care and improve treatment continuity. Objective: To solicit the views of stakeholders regarding their interests, roles and experiences in the implementation of the HIV treatment DSD model among FSWs in South Africa, as well as associated successes and barriers thereof. Methods: We purposively selected and interviewed eight stakeholders, comprising government officials, implementers and sex workers’ advocacy organizations. Thematic analysis was used to explore the perceived impact of DSD models and associated successes and barriers in the current service delivery landscape. Results: The study found that decentralization of DSD models improved access to services for FSWs. However, the criminalization of sex work perpetuates fear and marginalization, while stigma and discrimination within healthcare settings remain significant deterrents to HIV treatment uptake. High mobility among FSWs also disrupts continuity of care, contributing to treatment interruptions and lack of data on loss to follow-up. Participants highlighted the need for legal reform, increased healthcare provider sensitization, and the integration of mental health and psychosocial support in HIV services. Peer-led interventions and digital health innovations, such as biometric systems and electronic medical records, emerged as promising strategies for enhancing patient tracking and retention. Nonetheless, the sustainability of DSD models is threatened by an overreliance on external donor funding and insufficient government ownership. Conclusions: To achieve equitable healthcare access and improved HIV outcomes for KPs, especially FSWs, a multi-pronged, rights-based approach is essential. This must include community engagement, structural and legal reforms, integrated support services, and sustainable financing mechanisms to ensure the long-term impact and scalability of DSD models. Full article

The ‘end demand’ approach to prostitution has been popping up in Europe through the anti-trafficking debate and receives increasing attention on the international agenda. It is well recognized that improving workers’ rights, increasing unionization and collective bargaining coverage are effective strategies for tackling trafficking. However, with regard to sexual exploitation, focus is not on these strategies but instead on the abolition of the entire sex industry with the help of criminal justice systems. In first decade after the Palermo Protocol (2000), international organizations (IGOs) promoted a human rights-based approach to tackling trafficking, aiming to balance the criminal justice focus of the protocol. This work guided states on how to maintain and protect human rights while combating human trafficking. However, the explosive issue of sex work/prostitution was minimized, with IGOs avoiding the topic due to the fragile consensus about the definition of human trafficking and state obligations. Meanwhile, sex workers’ collectives and unions globally and throughout Europe developed their own strategies on how to address widespread criminalization, discrimination, violence and exploitation, with no or very limited funding and resources—and without recognition of their work, experience and expertise. This article presents how the European Sex Workers’ Rights Alliance (ESWA) and other sex workers’ rights civil society organizations have sought to challenge the harmful impacts of the ‘end demand’ discourse and the criminalization of sex work in the name of anti-trafficking in Europe. Full article

The present article is a brief account of the representational politics surrounding the insertion of the Brazilian prostitutes’ movement into anti-trafficking policy-making, following the 2013 death of Gabriela Leite, one of the founders and principal leaders of the movement. Leite’s death left an organizational hole in the attempts by one of Brazil’s oldest sex worker NGOs, Davida, to secure a place for sex workers at the policy-making table in the rewriting of the country´s anti-trafficking laws. Here, we relate how sex workers, academics, journalists, and activists came together to attempt to patch that hole, successfully fighting for sex worker representation in the governmental organs overseeing the struggle against human trafficking in Rio and, more broadly, Brazil. The re-organization of this project following the death of Gabriela highlights how multifaceted alliances between differently positioned actors can leverage the visibility and power of sex workers in culture and politics, creating opportunities to implement policies that favor prostitute rights. Full article

Cambodia has experienced rapid economic development and increased globalization in the last two decades, which have influenced changes in sexual attitudes and politics. Yet deeply embedded patriarchal structures that promote adherence to traditional values, gender binaries, and sexual purity of women impede progress in the recognition of the rights of sex/entertainment workers and LGBT communities. Using the framework of sexual humanitarianism, this paper outlines the ways in which these constraints are compounded by two dominant conflicting narratives that place these groups as either at-risk and vulnerable or socially deviant, and deemed in need of interventions that protect and control. Drawing on over a decade of empirical research on the sex/entertainment industries, and broader gender/sexual landscape in Cambodia, as well as current social activism of the authors, this paper also describes the ways LGBT and sex worker communities are engaging in shared organizing and self-advocacy as strategies to address their needs and the consequences left in the wake of sexual humanitarian interventions. In order to contextualize their deeply-rooted legacy in Cambodia, the paper also provides an overview of past and contemporary gender/sexual norms and diversity, and concludes with a call for governments and policymakers to expand support for grassroots movements and to listen more closely to the voices of LGBT and sex worker communities so that the political and social needs of these groups can be addressed. Full article

This article describes and discusses the results of two comparative studies of prostitution policy in Europe that are complementary in their design and methodology. One is a comparison of 21 countries using a most different systems design; the other an in-depth comparison of Austria and The Netherlands, using a most similar systems design. The two studies found a remarkable continuity in the inherent approach to the regulation of prostitution and its effects. Despite differences in political regime, administrative organization, and national cultures, since the middle of the 19th century, the purpose of prostitution policy has been to impose strict controls on sex workers and to a lesser extent their work sites. The effects of this approach have been disappointing: despite rhetorical claims to the contrary the control of sex workers has no discernable effect on the prevalence of prostitution in society. The effects of policies aimed at control are mostly negative in that they corrode the human and labor rights of sex workers. The article discusses several challenges to the regulation of prostitution (such as its deeply moral nature and the lack of precise and reliable data) as well a number of other important outcomes (such as the importance of local policy implementation for the effects of regulation). The article concludes with the empirically substantiated suggestion that a form of collaborative governance in which sex worker advocacy organizations participate in the design and implementation of prostitution policy offers real prospects for an effective and humane prostitution policy. Full article

Historically, academic literature on sex work has documented the changing debates, policies, and cultural discourse surrounding the sex industry, and their impact on the rights of sex workers worldwide. As sex work scholars look to the future of sex workers’ rights, however, we are also in a critical moment of self-reflection on how sex work scholarship engages with sex worker communities, produces knowledge surrounding sex work, and represents the lived experiences of sex workers’ rights, organizing, and activism. In this short Communication, proceedings from a recent sex work research symposium entitled, Sexual Economies, Politics, and Positionality in Sex Work Research are presented. Held at the Centre for Refugee Studies at York University, this symposium is a response to the need for sex work researchers, sex workers, and sex worker-led organizations to come together and critically examine the future of research on sex work and the politics of documenting sex workers’ rights. Full article