Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex

Female Sex Workers are a core population in the HIV epidemic, and interventions such as conditional cash transfers (CCTs), effective in other health domains, are a promising new approach to reduce the spread of HIV. Here we investigate how a population of Tanzanian female sex workers, though constra...

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Main Authors: Cooper, Jan E., Dow, William H., de Walque, Damien, Keller, Ann C., McCoy, Sandra I., Fernald, Lia C.H., Balampama, Marianna P., Kalolella, Admirabilis, Packel, Laura J., Wechsberg, Wendee M., Ozer, Emily J.
Format: Journal Article
Published: Elsevier 2018
Subjects:
Online Access:http://hdl.handle.net/10986/29518
id okr-10986-29518
recordtype oai_dc
spelling okr-10986-295182021-05-26T09:05:19Z Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex Cooper, Jan E. Dow, William H. de Walque, Damien Keller, Ann C. McCoy, Sandra I. Fernald, Lia C.H. Balampama, Marianna P. Kalolella, Admirabilis Packel, Laura J. Wechsberg, Wendee M. Ozer, Emily J. STIs SEXUALLY TRANSMITTED INFECTION INCENTIVES GENDER EMPOWERMENT CONDITIONAL CASH TRANSFERS FEMALE SEX WORKERS CONDOMS Female Sex Workers are a core population in the HIV epidemic, and interventions such as conditional cash transfers (CCTs), effective in other health domains, are a promising new approach to reduce the spread of HIV. Here we investigate how a population of Tanzanian female sex workers, though constrained in many ways, experience and use their power in the context of a CCT intervention that incentivizes safe sex. We analyzed 20 qualitative in-depth interviews with female sex workers enrolled in a randomized-controlled CCT program, the RESPECT II pilot, and found that while such women have limited choices, they do have substantial power over their work logistics that they leveraged to meet the conditions of the CCT and receive the cash award. It was through these decisions over work logistics, such as reducing the number of workdays and clients, that the CCT intervention had its greatest impact on modifying female sex workers’ behavior. 2018-03-27T15:38:06Z 2018-03-27T15:38:06Z 2017-05 Journal Article Social Science and Medicine 0277-9536 http://hdl.handle.net/10986/29518 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Elsevier Publications & Research :: Journal Article Publications & Research Africa Sub-Saharan Africa Tanzania
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic STIs
SEXUALLY TRANSMITTED INFECTION
INCENTIVES
GENDER
EMPOWERMENT
CONDITIONAL CASH TRANSFERS
FEMALE SEX WORKERS
CONDOMS
spellingShingle STIs
SEXUALLY TRANSMITTED INFECTION
INCENTIVES
GENDER
EMPOWERMENT
CONDITIONAL CASH TRANSFERS
FEMALE SEX WORKERS
CONDOMS
Cooper, Jan E.
Dow, William H.
de Walque, Damien
Keller, Ann C.
McCoy, Sandra I.
Fernald, Lia C.H.
Balampama, Marianna P.
Kalolella, Admirabilis
Packel, Laura J.
Wechsberg, Wendee M.
Ozer, Emily J.
Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex
geographic_facet Africa
Sub-Saharan Africa
Tanzania
description Female Sex Workers are a core population in the HIV epidemic, and interventions such as conditional cash transfers (CCTs), effective in other health domains, are a promising new approach to reduce the spread of HIV. Here we investigate how a population of Tanzanian female sex workers, though constrained in many ways, experience and use their power in the context of a CCT intervention that incentivizes safe sex. We analyzed 20 qualitative in-depth interviews with female sex workers enrolled in a randomized-controlled CCT program, the RESPECT II pilot, and found that while such women have limited choices, they do have substantial power over their work logistics that they leveraged to meet the conditions of the CCT and receive the cash award. It was through these decisions over work logistics, such as reducing the number of workdays and clients, that the CCT intervention had its greatest impact on modifying female sex workers’ behavior.
format Journal Article
author Cooper, Jan E.
Dow, William H.
de Walque, Damien
Keller, Ann C.
McCoy, Sandra I.
Fernald, Lia C.H.
Balampama, Marianna P.
Kalolella, Admirabilis
Packel, Laura J.
Wechsberg, Wendee M.
Ozer, Emily J.
author_facet Cooper, Jan E.
Dow, William H.
de Walque, Damien
Keller, Ann C.
McCoy, Sandra I.
Fernald, Lia C.H.
Balampama, Marianna P.
Kalolella, Admirabilis
Packel, Laura J.
Wechsberg, Wendee M.
Ozer, Emily J.
author_sort Cooper, Jan E.
title Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex
title_short Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex
title_full Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex
title_fullStr Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex
title_full_unstemmed Female Sex Workers Use Power Over Their Day-to-Day Lives to Meet the Condition of a Conditional Cash Transfer Intervention to Incentivize Safe Sex
title_sort female sex workers use power over their day-to-day lives to meet the condition of a conditional cash transfer intervention to incentivize safe sex
publisher Elsevier
publishDate 2018
url http://hdl.handle.net/10986/29518
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