On Tensions and Opportunities: Building Partnerships Between Government and Sex Worker-Led Organizations in Kenya in the Fight Against HIV/AIDS

Stapele, Naomi van; Nencel, Lorraine; Sabelis, I.H.J.

doi:10.1007/s13178-018-0337-x

Cited by 6 publications

(12 citation statements)

References 24 publications

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“…It is also an opportunity to reconsider what kind of knowledge counts. Van Stapele et al (2019) have called for other forms of knowledge and knowledge development—especially experience-based and ad hoc knowledge about IST populations, which greatly complicates collaboration between government and IST aid organizations. In this regard, the pandemic is an opportunity to adopt an intersectional lens and develop a holistic perspective based on knowledge of IST and aid workers, who are often as marginalized as their clients.…”

Section: Discussionmentioning

confidence: 99%

Helping individuals in the sex trade during COVID-19: The perspectives of Israeli aid organizations.

Lahav-Raz¹,

Prior²,

Shilo³

et al. 2022

American Journal of Orthopsychiatry

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The coronavirus disease (COVID-19) pandemic has had a collateral effect on marginalized populations, including individuals in the sex trade (IST). In addition, the literature of the past year has documented a significant impact of the pandemic on healthcare providers. However, there is a lack of research on the new challenges and existing hardships facing aid organizations working with IST populations. This naturalistic qualitative study used semi-structured interviews with 33 IST aid organization workers in Israel between May and July 2020 to capture their perceptions and experiences within broader social-relational contexts. Data analysis revealed that the pandemic impacted three different arenas: The assistance systems and the quality of care; The relationship between aid organizations and state authorities; and The intraorganizational and interorganizational relationship. These findings add to the knowledge about the impacts of the COVID-19 pandemic on aid organizations, particularly the need for greater collaboration between aid organizations during health crises and governmental support for these organizations. In addition, the study highlights the opportunities that a global and local health crisis can create advancing new knowledge and practices used by aid organizations in their work to assist IST populations. Public Policy Relevance StatementTo date, most of the research has focused on how the coronavirus disease (COVID-19) pandemic revealed the lack of protection for individuals in the sex trade (IST). However, little is known about the effects of the COVID-19 pandemic on aid organizations working with IST populations. This qualitative study aimed to assess the perceptions and experiences of IST aid organization workers in Israel during the pandemic. The pandemic revealed the strengths of organizational stability. But it also impaired the ability of aid organizations to help the IST population and forced them to quickly adapt to the new reality. We call upon policymakers to use the COVID-19 pandemic as an opportunity to reconsider evidencebased reforms to existing laws and policies regarding IST aid organizations. aaa O n March 11, 2020, the World Health Organization (WHO) officially declared the coronavirus disease (COVID-19) outbreak to be a global pandemic. Since then, countries worldwide have faced four "waves" of the pandemic, with a total death rate (to date) of over 4.5 million people. According to Zhang et al. (2020), the health hazards posed by COVID-19 have led to the introduction of strict quarantine policies, movementrestrictions, and social distancing to prevent it from spreading. These have had an unprecedented impact on people of various social strata-both financially and in terms of numerous social and psychological challenges such as anxiety, severe stress, uncertainty, and poor mental health (

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Section: Discussionmentioning

confidence: 99%

Helping individuals in the sex trade during COVID-19: The perspectives of Israeli aid organizations.

Lahav-Raz¹,

Prior²,

Shilo³

et al. 2022

American Journal of Orthopsychiatry

View full text Add to dashboard Cite

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“…Most articles included in this review were primary studies ( n = 17), while others involved the review of existing literature and policies ( n = 1) and routinely collected data ( n = 1). Of the 19 articles included, 12 employed quantitative methods ( n = 12), 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 5 used qualitative approaches ( n = 5) 24 , 25 , 26 , 27 , 28 ; only one study ( n = 1) 29 employed mixed methods approaches while yet another study comprised a review of literature and policy documents collectively ( n = 1). 30 Most studies ( n = 6) were conducted in the United States of America, 12 , 13 , 17 , 22 , 26 , 28 while others were conducted in China ( n = 5), 14 , 15 , 16 , 21 , 23 Kenya ( n = 2), 18 , 24 South Africa ( n = 1), 20 Mozambique ( n = 1), 29 Nigeria ( n = 1), 25 Botswana ( n = 1) 27 and New Guinea ( n = 1).…”

Section: Review Findingsmentioning

confidence: 99%

“…Of the 19 articles included, 12 employed quantitative methods ( n = 12), 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 5 used qualitative approaches ( n = 5) 24 , 25 , 26 , 27 , 28 ; only one study ( n = 1) 29 employed mixed methods approaches while yet another study comprised a review of literature and policy documents collectively ( n = 1). 30 Most studies ( n = 6) were conducted in the United States of America, 12 , 13 , 17 , 22 , 26 , 28 while others were conducted in China ( n = 5), 14 , 15 , 16 , 21 , 23 Kenya ( n = 2), 18 , 24 South Africa ( n = 1), 20 Mozambique ( n = 1), 29 Nigeria ( n = 1), 25 Botswana ( n = 1) 27 and New Guinea ( n = 1). 19 The remaining studies were unaccounted for in terms of country and region, as these were document reviews conducted on regional policies and research.…”

Section: Review Findingsmentioning

confidence: 99%

“…Based on the articles reviewed, most studies reported on interventions directed towards MSM ( n = 11). 12 , 13 , 16 , 17 , 18 , 20 , 23 , 25 , 26 , 28 The remaining studies reported on recommendations and interventions directed towards female sex workers ( n = 7), 14 , 15 , 19 , 24 , 27 , 29 , 30 and drug users ( n = 1). 21 It was interesting to note that there were no studies reporting on the transgender population.…”

Section: Review Findingsmentioning

confidence: 99%

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Fast-track interventions for HIV and AIDS epidemic control among key populations: A rapid review

Luvuno,

Wiafe,

Mpofana

et al. 2024

African Journal of Primary Health Care & Family Medicine

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Background Targeted interventions for key populations remain critical for realisation of epidemic control for human immunodeficiency virus (HIV) infection because of the causal relationship between HIV infection in the general population and among key population groups. Aim To consolidate evidence on the fast-track interventions towards achieving HIV epidemic control among key populations. Methods A rapid scoping review was conducted using the methodological framework by Arksey and O’ Malley. The Population, Intervention, Context and Outcome (PICO) framework was used to identify relevant studies using key words with Boolean operators in electronic data bases, namely CINHAL, Web of Science, Psych Info and Sabinet. Studies were extracted using a modified data extraction tool, and results were presented narratively. Results A total of 19 articles were included in this review. Most articles were primary studies ( n = 17), while another involved the review of existing literature and policies ( n = 2) and routinely collected data ( n = 1). Most studies were conducted in the United States of America ( n = 6), while another were conducted in China, Kenya, Botswana, South Africa and Mozambique. All studies revealed findings on tested interventions to achieve HIV epidemic control among key populations. Conclusion Effective interventions for HIV epidemic control were stand-alone behavioural preventive interventions, stand-alone biomedical preventive strategies and combination prevention approaches. Furthermore, the findings suggest that effective activities to achieve HIV epidemic control among key populations should be centred around prevention. Contribution The findings of this study have policy and practice implications for high HIV burden settings such as South Africa in terms of interventions to facilitate realisation of the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95-95 targets, thereby contributing to HIV epidemic control.

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“…Although SWs in Kenya continue to be a marginalised population, since 2009, Kenya's SWLOs have gained prominence in the national HIV response (van Stapele et al, 2018). They have used this political space to collaborate with national government bodies such as the National Aids Control Council (NACC) and the National AIDS & STI Control Programme (NASCOP) to develop SWfriendly policies and guidelines.…”

Section: Settingmentioning

confidence: 99%

Taking small steps: Sensitising the police through male sex workers’ community-led advocacy in Nairobi, Kenya

Woensdregt

Nencel

2021

Global Public Health

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Kenyan sex worker-led organisations (SWLOs) often play a key role in the national HIV response. Accounts of these organisations frequently focus on their community-led approaches to promote sexual health. This paper addresses sensitisation, an underexplored but significant activity in the political agency of sex workers (SWs). Drawing on ethnographic fieldwork in a male SWLO in Nairobi, we examine how male SWs strategically use their position in the national HIV response to create spaces of police sensitisation. Taking police sensitisation as a manifestation of community-led advocacy and a 'politics of small steps', we examine how SWs respond to, resist and remake the political landscape of police violence. The strategy supports SWs in changing existing power relationships between themselves and the police, albeit within the confines of a criminalising legal system. The analysis of sensitisation practices supports a reimagining of SWLOs that stresses their political agency in the production of new political spaces and expands the focus on African SWLOs beyond HIV work to their political activities, which advance SWs' health, rights and social justice.

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On Tensions and Opportunities: Building Partnerships Between Government and Sex Worker-Led Organizations in Kenya in the Fight Against HIV/AIDS

Cited by 6 publications

References 24 publications

Helping individuals in the sex trade during COVID-19: The perspectives of Israeli aid organizations.

Helping individuals in the sex trade during COVID-19: The perspectives of Israeli aid organizations.

Fast-track interventions for HIV and AIDS epidemic control among key populations: A rapid review

Taking small steps: Sensitising the police through male sex workers’ community-led advocacy in Nairobi, Kenya

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