title: HIV prevention while the bulldozers roll: exploring the effect of the demolition of Goa's red-light area.
abstract: Interventions targeting sex-workers are pivotal to HIV prevention in India. Community mobilisation is considered by the National AIDS Control Programme to be an integral component of this strategy. Nevertheless societal factors, and specifically policy and legislation around sex-work, are potential barriers to widespread collectivisation and empowerment of sex-workers. Between November 2003 and December 2005 we conducted participatory observation and rapid ethnographic mapping with several hundred brief informant interviews, in addition to 34 semi-structured interviews with key-informants, 16 in-depth interviews with female sex-workers, and 3 focus-group-discussions with clients and mediators. This provides a detailed examination of the demolition of Baina, one of India's large red-light areas, in 2004, and one of the first accounts of the effect of dismantling the red-light area on the organisation of sex-work and sex-workers' sexual risk. The results suggest that the concentrated and homogeneous brothel-based sex-work environment rapidly evolved into heterogeneous, clandestine and dispersed modes of operation. The social context of sex-work that emerged from the dust of the demolition was higher risk and less conducive to HIV prevention. The demolition acted as a negative structural intervention; a catastrophic event that fragmented sex-workers' collective identity and agency and rendered them voiceless and marginalised. The findings suggest that an abolitionist approach to sex-work and legislation or policy that either criminalises this large group of women, or renders them as invisible victims, will increase the stigma and exclusion they experience. For the targeted HIV prevention approaches advocated by the National AIDS Control Programme to be effective, there is a need for legislation and policy that supports sex-workers' agency and self-organisation and enables them to create a safer working environment for themselves.
authors: University College London, London WC1E 6AU, United Kingdom. bamaryjoon@yahoo.co.uk
authors: Maryam
authors: M
authors: Shahmanesh
authors: Sonali
authors: S
authors: Wayal
authors: Gracy
authors: G
authors: Andrew
authors: Vikram
authors: V
authors: Patel
authors: Frances M
authors: FM
authors: Cowan
authors: Graham
authors: G
authors: Hart
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D000328:Adult; D000884:Anthropology, Cultural; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control*; D006291:Health Policy; D006801:Humans; D007194:India; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D012111:Residence Characteristics; D012309:Risk-Taking; D011477:Sex Work / Q000331:legislation & jurisprudence; D012725:Sexual Behavior; D017132:Workplace; D055815:Young Adult