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Spectrum of female commercial sex work in Bangui, Central African Republic

HIV infection and vaginal douching in central Africa. Interactions between herpes simplex virus type 2 and human immunodeficiency virus type 1 infection in African women: Opportunities for intervention.

The similarities were that they both basically considered themselves as FSWs, originating from the CAR, remaining largely free without a stable partner and, most often, having no or few children.

The differences were more evident. Clients usually Black men without preference on their nationalities men from CAR as well as Prostitutes Bangui. Our third analysis approach was to compare the four discrete groups among non-professional FSWs Table 4. Non-professional FSWs practiced occasional paid sex as a secondary source of income, but did not consider or report themselves as FSWs.

They were most often originating from the CAR. Taken together, the four subgroups of non-professional FSWs appeared very heterogeneous. The only similarities were that they originated from CAR, had begun sexual life at a similar age and did not use psycho-active substances. The three other groups showed more subtle differences, notably as regards marital status, number of Prostitutes Bangui, past history of STI and alcohol consumption.

Apart from housewives, they frequently used condoms and showed high capabilities to negotiate save sex. Occasional paid sex as secondary source of income in women not feeling themselves as prostitutes. Thus, we herein conducted a cross-sectional survey in a very heterogeneous Prostitutes Bangui of women involved in commercial sex transactions. We described a large socio-behavioural spectrum of commercial sex activities comprising both professional and non-professional FSWs living in Bangui, the capital city of the CAR.

We first observed that an unexpectedly high proportion of women involved in CSW do not identify themselves as FSWs, despite an excessively high risk of exposure. The deep Prostitutes Bangui and cultural Prostitutes Bangui, including profound gender inequalities, as well as the practices of polygamy and of male monetary compensation for female sex, may explain Prostitutes Bangui importance of these non-professional groups, accentuated by Prostitutes Bangui current difficult socio-economic conditions.

In bivariate analysis, the following variables were significantly associated with HIV infection: nationality, age of first sexual intercourse, self-assessment of HIV risk, knowledge of HIV status, anal sex practice with last clients, irregular condom use in last 3 last week, consumption of alcohol or other psycho-active substances, past history of STIs, HBs Ag, HSV-2 and bacterial vaginosis.

Developing comprehensive sexual health promotion programmes requires a comprehensive understanding of the spectrum of sex work in a particular area. Commercial sex activity is characterized by its considerable heterogeneity. These types of work are often grouped under the headings of direct and indirect CSW, with the latter group less likely to be perceived or to perceive themselves as sex workers. Direct CSW includes a variety of sex-related services for which the primary purpose is the exchange of sex for a fee.

Other Prostitutes Bangui proposed a dual typology separating professional commercial sex workers Prostitutes Bangui non-professional sex workers, to distinguish those Prostitutes Bangui make this activity a primary occupation or source of income from Prostitutes Bangui who practice it secondarily Nagot et al. In our study, we were able Prostitutes Bangui classify the women in two categories on the basis on their being reported as sex workers, corresponding to professional FSW or non-professional FSW.

Both categories are associated with a great variety in the social context and the possible harms associated with such paid sex transactions. The public health Prostitutes Bangui of each category may vary widely, and our study provides relevant information for conceiving and developing appropriate and targeted programmes. The category of non-professional FSW could be sub-divided into four subgroups, thus, it is widely heterogeneous. In Burkina Faso, Nagot and colleagues described four categories quite similar to those found in Bangui, including bar waitresses, street vendors, cabarets and students Nagot et al.

The subgroup of Prostitutes Bangui who sit on their stools and expect men in front of their working chamber, as previously reported in Burkina Faso Nagot et al. In addition to the concept of free girl that applies to all, the Sango language assesses the existence of two groups of FSWs. Indeed, the term of pupulenge specifically designates young women seeking wealthy men especially the French soldiers stationed in Bangui.

PDF | Classification of professional and non-professional female sex workers (FSWs) into different categories, never previously reported in the Central | Find, read and cite all the research Estimated Reading Time: 7 mins. Bangui's more popular night clubs and dance halls get quickly packed after opening at pm and don't close until very late into the night. Customers say they feel reassured by the presence of the AU's Misca mission, France's Operation Sangaris and a new European Union force (Eufor-CAR) that recently began to deploy under the aegis of the.

Synonymous with pupulenge is another Sango term, gba moundjouwhich literally means look at the White. Prostitutes Bangui pupulenge are contacted by their customers Prostitutes Bangui the telephone, sometimes via the Internet, through the hotel staff, the staff employed in the military camps French or African peacekeeping forcesand sexual interactions take place in hotels or in private homes escorts.

They are also sought by their clients in places such Prostitutes Bangui nightclubs, terraces, bars, Prostitutes Bangui, airport arrival areas, swimming pools and gyms. The deprecating term kata designates a more heterogeneous population of usually young and frequently unschooled girls, living in the poor suburbs of Bangui who roam the streets of popular neighbourhoods looking for men.

The kata seek their customers along the sidewalks or roads.

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They also meet with their clients in drinking establishments clubs, bars or dance halls of the lively and popular areas of the city. They also perform at bus stations and taxi and bus parking areas. Sexual interactions may take place in cheap hostels, similar to brothels, or even outdoors in dark places. In this study, the risk of HIV exposure of women involved in commercial sex was found to be particularly high.

Similar observations of high-risk commercial Prostitutes Bangui have been previously reported in sub-Saharan Africa.

For example, in the Republic of Congo Brazzavilleduring the 30 day period prior to being questioned, Taken together, these observations clearly demonstrate that the risk Prostitutes Bangui according to the category of male sex partner is variously appreciated among the population Prostitutes Bangui FSWs, and, furthermore, it changes over Prostitutes Bangui and with intervention programmes Ghys et al.

It is remarkable that the risk perception with paying partners was particularly low in our study population, a finding that should be taken into account when planning interventions targeting FSWs in the CAR.

The ability to negotiate condom use with sexual partners, other than their Prostitutes Bangui partner, Prostitutes Bangui counselling and testing should clearly be improved because they are likely to have an impact on behaviour. Another important observation is the lower frequency of condom use in the last sexual intercourse in Prostitutes Bangui FSWs, as compared with professional FSWs The professional subgroups of kata and the non-professional subgroup of street vendors are often difficult to distinguish.

Indeed, some women are involved in informal trade as an activity, and in the long term, they may leave their small business for CSW since it pays more.

Prostitution in the Central African Republic is legal and commonplace.

Unexpectedly, no clandestine FSWs working in Prostitutes Bangui or in bars as waitresses Prostitutes Bangui be observed in the present study, as Prostitutes Bangui by other authors in West Africa Ahoyo et al. Finally, the consumption of psycho-active substances, as an important cofactor contributing to sexual risk behaviours for HIV infection Bryant,was frequent, reaching daily excessive i.

Alcohol consumption is also a factor contributing to unprotected sex in female FSWs Mgone et al. An additional aggravating feature is that the vast majority Finally, the consumption of other psycho-active substances, frequently observed among the kata subgroup, also increases the risk of acquiring HIV among sex workers Fritz et al.

The World Health Organization recommends that information campaigns for the prevention of HIV and other STIs for general adult populations include the problem of sexual risk behaviour changes secondary to alcoholism and the consumption of other psycho-active substances, especially for vulnerable populations including sex workers and youths World Health Organization, Our study has some limitations.

Prostitutes Bangui, the representativeness of the included study population likely depends on the completeness Prostitutes Bangui the mapping sites of suspected sexual transactions that were used as a sampling frame. Second, participants were included on a voluntary basis for completion of Prostitutes Bangui questionnaire. This latter approach may be a source of recruitment bias.

Prostitution in the Central African Republic

Furthermore, by using a face-to-face questionnaire, the validity of the answers to the questions were collected from participants, including items related to the intimacy of their sexual life. In the CAR, a number of women are unable to read and write properly, and so a self-administered questionnaire was not relevant for this reason; however, it has been Prostitutes Bangui that questions about Prostitutes Bangui privacy are best collected anonymously by means of a self-administered questionnaire Teunis, Prostitutes Bangui In addition, the recruitment based on associative networks and peer educators, which constituted the only way to easily connect with the social world of commercial sex workers, may have introduced a selection bias, at least because the study participants could themselves be part of the networks of peer educators.

Despite possible limitations, our study constitutes the first report providing objective information on the characteristics of women living in the CAR involved in transactional sex, thus, enabling us to propose a typology of female CSW that can very possibly be generalized to the whole country. It seems clear that FSWs of all categories are vulnerable because Prostitutes Bangui the Prostitutes Bangui gender relationships, Prostitutes Bangui violence and the very slipperiness of the lack of criminalization of sex work in Africa.

Our study constitutes the starting point for a reflection on the management of FSW in the CAR, including health authorities, non-governmental organizations of people living with HIV and public health researchers mainly from the faculty of medicine. The identification of several categories of FSW will help Prostitutes Bangui determine the Prostitutes Bangui spots of some forms of CSW across the country, and also to estimate the number of FSWs to be Prostitutes Bangui.

Targeted interventions that aim to increase condom use and reduce transmission of STI and HIV infection among FSWs and their clients have been shown to be feasible and effective Ghys et al.

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In addition, population-specific minimum packages of services will be defined for each category of reachable FSWs, including behaviour change, communication and condom promotion, by and in collaboration with peer educators, as Prostitutes Bangui as STI screening and treatment, counselling, and testing and care for the HIV infected Bekker et al. In the CAR, commercial sex is legal but not regulated; however, brothels are illegal.

Thus, efforts to Prostitutes Bangui progressive policy and legislation concerning FSW Prostitutes Bangui the minimum packages of services for the country will likely encourage decreasing barriers to STI prevention and care services for populations that already face societal discrimination.

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The final aim is to effect national intervention allowing the expansion and Prostitutes Bangui up of both community-based and clinic-based HIV and STI prevention activities for FSWs country-wide. Prostitutes Bangui intervention will use a phased approach with new clinic sites providing services for FSWs. At each site, Prostitutes Bangui minimum packages of prevention and care services will be offered.

The poorest and least educated categories are the katas and street vendors, which are also those who consume more alcohol and psycho-active substances cannabis, tramadol and glue and, therefore, are the least protected.

In a first approach, public health priority could focus prevention efforts on these two Prostitutes Bangui which are not so distinct from each other.

This is mainly to avoid giving leadership to other categories, classically described by UNAIDS as key populations UNAIDS,among which we find girls who speak or write French better and who are better interlocutors for professional health services. Furthermore, it could be relevant to cross-reference the different groups and subgroups of Prostitutes Bangui and their risk of other STIs such as syphilis and herpes simplex virus infection as important factors of comorbidity in Prostitutes Bangui CAR.

National Center for Biotechnology InformationU. Published online Nov 1. Find articles by Jean De Dieu Longo. Author information Copyright and License information Disclaimer. This Prostitutes Bangui has been cited by other articles in PMC. Abstract Classification of professional and non-professional female sex workers FSWs into different categories, never previously reported in the Central African Republic CARmay be useful to assess the dynamics of the human immunodeficiency virus HIV epidemic, design operational intervention programmes to combat HIV and other sexually transmitted infections STIs and to adapt these programmes to the broad spectrum of sexual transactions in the CAR.

Keywords: female sex workers, classification, Central African Republic, risk factor, prevention programmes. Study population and methods Study design The study was a descriptive, quantitative, population-based cross-sectional survey, using a face-to-face questionnaire to collect data in among FSW populations living in Bangui.

Enrolment and Prostitutes Bangui criteria An empirical purposive sampling strategy was used Prostitutes Bangui select the study FSW population by which the representativeness of commercial sex work in Bangui was expected to be ensured Prostitutes Bangui the reasoned approach of our enrolment and selection protocol.

Late last year, the country held elections to replace the transitional government, seen as a welcome indicator of stability in the war-torn nation, although the majority of candidates alleged fraud and asked authorities to cease counting votes earlier this month.

Open in Prostitutes Bangui separate window. Study analysis The following variables were taken into consideration. Results Study population A Prostitutes Bangui of women received information about the objectives of the study and advice on sexual and reproductive health, as presented in the study flow chart Fig. Categorization of commercial sex Prostitutes Bangui Besides the professional sex workers, non-professional sex workers appeared clearly as a frequent secondary population of FSWs.

The third category of non-professional FSWs consisted of housewives Socio-demographic characteristics of the FSW population Table 1 depicts the characteristics of the FSW selected for study analysis.

A Bangui, les boîtes de nuit deviennent des boîtes de jour

Table 1. Characteristics of included women practicing paid sex and living in Bangui. Table 2. Principal similarities and differences characterizing the two main categories Prostitutes Bangui female sex workers FSW living Prostitutes Bangui Bangui, the capital city of the Central African Republic, according to recognition regarding having had paid sex during the last three months in order to obtain economic compensation with more than three sexual partners.

Table 3. Table 4. Principal similarities and differences Prostitutes Bangui the four main subgroups of nonprofessional, clandestine Prostitutes Bangui sex workers living in Bangui. Prostitutes Bangui Ahoyo A. Jr Combination HIV prevention for female sex workers: What is the evidence?

Lancet, 72— Comprendre et atteindre les jeunes travailleuses du sexe clandestines du Burkina Faso pour une meilleure riposte au VIH. Variations in the population size, distribution and client volume among female sex workers in seven cities of Pakistan. Sexually Transmitted InfectionSuppl. Sexually transmitted infections in young pregnant women in Bangui, Central African Republic.

Substance Use Misuse, — Underage and underserved: Reaching young women who sell sex in Zimbabwe.

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Heterogeneous and vulnerable: The health risks facing transnational female sex workers. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on AlcoholSuppl— Bringing sex workers to the centre of the HIV response. Lancet, 3—4. Systematic review of facility-based sexual and reproductive health Prostitutes Bangui for female sex workers in Africa.

Globalization and Health, Prostitutes Bangui transactional sex on the Northern Corridor highway in Kenya. Evaluation of a peer network-based sexual risk reduction Prostitutes Bangui for men in beer halls in Zimbabwe: Results from a randomized controlled trial.

AIDS and Behavior8— Seroprevalence of HIV-1 infections in patients consulting the clinic for sexually transmitted diseases in Bangui, Central African Republic. Journal of Acquired Immune Deficiency Syndromes, — Aids london, England, — The many faces of sex work.

Ironically, it is the civil servant and professionals who sanctioned the Prostitutes Bangui campaign who until recently refused to acknowledge that they were Prostitutes Bangui high risk of infection.

Only 1.

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Now this irreplaceable elite is dying. They include judges, Prostitutes Bangui chiefs and highly placed civil servants. The Prostitutes Bangui and high-profile funeral processions have probably done as much to change attitudes as anything else. But for the femmes libres, the high prevalence of seropositivity has prompted a swift change in behaviour. The existence of hundreds of prostitutes in Bangui is dictated by the pressures Prostitutes Bangui the economy.

With jobs unattainable, sex Prostitutes Bangui cheaper than a bottle of imported Evian water. Each session begins with a detailed but simple explanation of HIV, how it is spread and its sociological implications. The women take it in turns to lead the classes, illustrating their talk with a flip chart that graphically illustrates every aspect of AIDS.

PDF | Classification of professional and non-professional female sex workers (FSWs) into different categories, never previously reported in the Central | Find, read and cite all the research Estimated Reading Time: 7 mins. Most men think that street prostitutes work in a ghetto or certain streets but that isn’t the case in Manila. You can walk to a mall like Greenbelt and find prostitutes freelancing on the third floor in the late afternoon Or having a coffee in La Café to meet girls for sex. Those are just a few of the many pickup joints around Manila.

It ends with a Prostitutes Bangui that inevitably turns into a group support and counselling session. Today it is the turn of Natalie, a year-old with a year-old son. For the women, many of whom are school dropouts, the pathology of AIDS is difficult to comprehend.

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They listen intently as Natalie explains the first page. The left-hand panel shows a mud hut that gradually falls into disrepair to become an uninhabitable ruin. This is followed by page after page of sexually explicit explanations Prostitutes Bangui with compassionate and practical advice. How do you prevent AIDS from spreading?

Spread the word Prostitutes Bangui fidelity and condoms for sex. Natalie flips over to scenes of conjugal irreproachability. Here is a man with his wife and children. Here is another man with his wives and their children. Prostitutes Bangui do you treat people who are sick with AIDS? They are like other sick people.

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The panel that is the most disturbing for the women shows a mother with a sick child. Prostitutes Bangui that they always use condoms. I distribute condoms to the girls. Now men are coming to me and asking for them too. She shook her head. I told Prostitutes Bangui to keep on distributing condoms and teaching the Prostitutes Bangui. That way they are making the most of their lives. But a lot of them are feeling guilty and anxious. By Mary Anne Fitzgerald Bernadette carefully rolls Prostitutes Bangui condom down over a bottle while her audience nods in approval.

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Among educated adults, sex is common currency. The low prevalence of HIV among " pupulengue " may be likely explained by the fact that these FSW preferentially turn to rich, foreign and often White clients, thus selecting sexual partners with a priori lower risk for HIV infection.
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Prostitutes Bangui Bangui Bangui CF 4993 yes no
25.04.2004 YKEX YKEX no yes no YKEX
02.01.2015 YKEX yes 45 YKEX 23 no
A cross-sectional questionnaire survey was conducted to describe the spectrum of commercial sex work in Bangui among sexually active women. increased teenage prostitution in the capital, Bangui. Some girls had been forced by their parents to become prostitutes to earn money. house in La Gokunga, the red light district of Bangui, capital of The women insist they are not prostitutes but femmes libres who make.
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Central African Republic, Bangui, Bangui

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Forum: A red light against AIDS - Self-help among African prostitutes | New Scientist

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Bangui, Bangui, Central African Republic Latitude: 4.36.18.5596, Longitude: 5423.238985368

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The goal was to propose specific interventions targeting FSW according to each socio-behavioral category. Ironically, it is the civil servant and professionals who sanctioned the education Prostitutes Bangui who until recently refused Prostitutes Bangui acknowledge that they were at high risk of infection. World AIDS day report.

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Now this irreplaceable elite is dying. Retrieved 1 December She shook her head. On the other hand, previous observations in low-income countries showed that condom Prostitutes Bangui in FSW greatly reduced the expected monetary compensation, translating into financial losses [ 32 — 34 ]. Lancet, 72— Hidden categories: Use dmy dates Prostitutes Bangui February