title: 'There is fear but there is no other work': a preliminary qualitative exploration of the experience of sex workers in eastern Democratic Republic of Congo.
abstract: Two decades of conflict and insecurity have had a devastating impact on many in the Democratic Republic of Congo (DRC), including marginalised groups such as sex workers. In the province of North Kivu, many residents face desperate conditions that render them vulnerable to exploitation and abuse. As a result, many turn to the sex trade in what can often be described as 'survival sex'. This small-scale qualitative study explores the experience of urban sex workers in the eastern region of the DRC. Sex workers were recruited at their place of business and asked to participate in a semi-structured interview. Eight participants were recruited, including seven women and one man. Our analysis identified several themes: (1) economic hardship as a catalyst for joining the sex trade, (2) significant work-related violence and (3) a paucity of available resources or assistance. Responses to specific prompts indicated that sex workers do not trust law enforcement and there are significant barriers to both medical care and local resources. Further studies of this vulnerable population and its needs are encouraged in order to develop programmes that provide the means to manage the hazards of their work and obtain an alternative source of income.
authors.affiliation: a Georgetown University School of Medicine , Washington , USA.
authors.forename: Brendan
authors.initials: B
authors.lastname: Kiernan
authors.affiliation: b Global Health Initiatives, Department of Family Medicine , Georgetown University School of Medicine , Washington , USA.
authors.forename: Ranit
authors.initials: R
authors.lastname: Mishori
authors.affiliation: c Department of Family Medicine , Heal Africa Hospital , Goma , Democratic Republic of Congo.
authors.forename: Maurice
authors.initials: M
authors.lastname: Masoda
mesh_terms: D000328:Adult; D015023:Democratic Republic of the Congo; D005239:Fear; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D035846:Law Enforcement; D008297:Male; D011203:Poverty; D036301:Qualitative Research; D060386:Sex Workers; D014505:Urban Population; D014754:Violence; D055815:Young Adult
keywords: Democratic Republic of Congo; Sex workers; gender-based violence; sexual violence; violence