Sex Work, Health, and Human Rights : Global Inequities, Challenges, and Opportunities for Action.

Format:

Book

Author/Creator:

Goldenberg, Shira M.

Contributor:

Thomas, Ruth Morgan.

Forbes, Anna.

Baral, Stefan.

Series:

Medicine Series

Language:

English

Physical Description:

1 online resource (272 pages)

Edition:

1st ed.

Place of Publication:

Springer Nature 2021

Cham : Springer International Publishing AG, 2021.

Language Note:

English

Summary:

This open access book provides a comprehensive overview of the health inequities and human rights issues faced by sex workers globally across diverse contexts, and outlines evidence-based strategies and best practices. Sex workers face severe health and social inequities, largely as the result of structural factors including punitive and criminalized legal environments, stigma, and social and economic exclusion and marginalization. Although previous work has largely emphasized an elevated burden and gaps in HIV and sexually transmitted infection (STI) services in sex work, less attention has been paid to the broader health and human rights concerns faced by sex workers. This contributed volume addresses this gap. The chapters feature a variety of perspectives including academic, community, implementing partners, and government to synthesize research evidence as well as lessons learned from local-level experiences across different regions, and are organized under three parts: Burden of health and human rights inequities faced by sex workers globally, including infectious diseases (e.g., HIV, STIs), violence, sexual and reproductive health, and drug use Structural determinants of health and human rights, including legislation, law enforcement, community engagement, intersectoral collaboration, stigma, barriers to health access, im/migration issues, and occupational safety and health Evidence-based services and best practices at various levels ranging from individual and community to policy-level interventions to identify best practices and avenues for future research and interventions Sex Work, Health, and Human Rights is an essential resource for researchers, policy-makers, governments, implementing partners, international organizations and community-based organizations involved in research, policies, or programs related to sex work, public health, social justice, gender-based violence, women's health and harm reduction.

Contents:

Intro

Preface

Evidence Gaps and Opportunities Addressed by this Edited Volume

Summary of Approach

References

Acknowledgements

Contents

Contributors

About the Editors

Chapter 1: Overview and Evidence-Based Recommendations to Address Health and Human Rights Inequities Faced by Sex Workers

Part I: Burden of Health and Human Rights Inequities Faced by Sex Workers Globally

Part II: Structural Determinants of Health and Human Rights Inequities in Sex Work

Part III: Evidence-Based Services and Best Practices: Opportunities for Action

Implications for Policy, Advocacy, and Programmes

Reference

Chapter 2: The Epidemiology of HIV Among Sex Workers Around the World: Implications for Research, Programmes, and Policy

Introduction

Epidemiological Data on the Global Burden of HIV Among Sex Workers

Engagement in Care and the HIV Treatment Cascade

Determinants of HIV Among Sex Workers

Stigma

Criminalisation, Violence, and Policing

Migration

Drug Use Among Sex Workers

Coverage of Interventions Addressing HIV Burden

Community Empowerment Responses

Influence of Access to and Uptake of Biomedical HIV Prevention Tools on the Epidemiology of HIV

HIV Self-Testing (HIVST)

Pre-exposure Prophylaxis (PrEP)

Other Innovations

Research Gaps

Conclusion

Chapter 3: Global Burden of Violence and Other Human Rights Violations Against Sex Workers

Interpersonal Violence from Clients and Intimate/Non-paying Partners

The Impacts of Criminalisation

Police Repression, Extortion, and Abuse

Impact of Violence on HIV/STIs

Forced Rehabilitation and Mandatory Testing

Strategies for Change: A Human Rights Framework and Community-Led Interventions.

Case Study: Response to Violence in Asia Pacific

Conclusions and Future Directions

Chapter 4: Sexual and Reproductive Health and Rights Inequities Among Sex Workers Across the Life Course

Sexual and Reproductive Health: A Fundamental Human Right

Structural Determinants of Sexual and Reproductive Health Access for Sex Workers

Gaps in Comprehensive Sexual and Reproductive Health Services Across the Life Course

Barriers to Accessing SRH Services and Rights: Findings from In-Depth Interviews and Focus Groups

Widespread Criminalisation, Discrimination, and Stigmatisation in Healthcare Settings

Lack of Tailored and Integrated SRH Services

Harmful and Coercive SRH Policies

Logistical and Practical Barriers to SRH Care

Supporting the SRH Rights and Needs of SWs: Community Recommendations

Chapter 5: Exploring the Protective Role of Sex Work Social Cohesion in Contexts of Violence and Criminalisation: A Case Study with Gender-Diverse Sex Workers in Jamaica

Background

Case Study: Human Rights Violations Experienced by a Sex Worker in Jamaica

Findings from a Community-Based Research Study with Sex Workers in Jamaica

Measures

Statistical Analysis

Results

Discussion: Implications for Researchers, Service Providers, and Activists

Chapter 6: Patterns and Epidemiology of Illicit Drug Use Among Sex Workers Globally: A Systematic Review

Methods

Search Strategy

Inclusion/Exclusion Criteria

Data Extraction and Synthesis

Discussion

Conclusions

Chapter 7: Criminalised Interactions with Law Enforcement and Impacts on Health and Safety in the Context of Different Legislative Frameworks Governing Sex Work Globally.

Background

Regimes of Regulating Sex Work

Full and Partial Criminalisation

Links Between Client Violence, Criminalisation, and Policing

Violence by Police

Intersections of Criminalisation

End-Demand Criminalisation

Legalisation

Decriminalisation

Chapter 8: Stigma, Denial of Health Services, and Other Human Rights Violations Faced by Sex Workers in Africa: "My Eyes Were Full of Tears Throughout Walking Towards the Clinic that I Was Referred to"

Sex Work and Health in Africa

How Do Sex Workers Experience Existing Healthcare Services?

The Power of Positive Experiences

Chapter 9: Criminalisation, Health, and Labour Rights Among Im/migrant Sex Workers Globally

Intersection of Sex Work Laws and Immigration Policies: A Dual Burden of Criminalisation

Prohibitive Laws: Protecting Im/migrants or Punitive Enforcement?

Mandatory Health Testing: Punitive Regulations and Barriers to Health Services

Precarious Immigration Status: Increasing Vulnerability and Barriers to Health and Police Protections

Economic Marginalisation

Racialisation, Racism, Stigma, and Discrimination

Language Barriers, Gender, and Power

Unique Marginalisation of Male and Gender-Diverse Im/migrant Sex Workers

Recommendations and Areas for Intervention

Enabling Indoor Work Environments

Removal of Punitive Laws and Policies

Supporting Peer and Community-Led Education, Outreach, and Services

Chapter 10: Sex Worker-Led Provision of Services in New Zealand: Optimising Health and Safety in a Decriminalised Context

Building Relationships with the Police: 'What to Do'

Working Collaboratively with Government.

Becoming a Sex Worker: 'Stepping Forward'

Chapter 11: Best Practices and Challenges to Sex Worker Community Empowerment and Mobilisation Strategies to Promote Health and Human Rights

Community Empowerment Among Sex Workers: Principles and Approach

Impact of Community Empowerment Among Sex Workers on HIV and Health Outcomes

Mobilising the Sex Worker Community in Mysore, India: Ashodaya Samithi Case Study

Addressing Institutional Violence and Punitive Laws in Mexico: APROASE Case Study

Chapter 12: Reimagining Sex Work Venues: Occupational Health, Safety, and Rights in Indoor Workplaces

Health, Safety, and Rights of Sex Workers in Venues

Physical Characteristics

Economic Factors

Social Factors

Policy Environment

Additional Considerations

Case Study of Empower Thailand

Lessons from Empower and Beyond: Best Practices to Reduce Harm, Promote Health, and Advance Rights for Indoor Sex Workers

Chapter 13: Integrated Interventions to Address Sex Workers' Needs and Realities: Academic and Community Insights on Incorporating Structural, Behavioural, and Biomedical Approaches

Introduction to Integrated, Multi-component, Multi-level Interventions

Evaluation of Integrated Interventions

Specifying the Intervention and Outcomes

Challenges in Evaluation of Multi-component, Multi-level Interventions Among Sex Workers

Evidence of Impact of Integrated, Multi-component Interventions

HIV and STIs

Sexual and Reproductive Health

Violence and Human Rights Violations

Mental Health and Drug and Alcohol Use

Evidence Gaps

Summarising Gaps in the Evidence

Addressing Gaps in Empiric Evidence Through Insights from Mathematical Modelling

Challenges with Evidence Creation

References.

Epilogue

Index.

Notes:

Description based on publisher supplied metadata and other sources.

ISBN:

3-030-64171-6

OCLC:

1249513359