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Background

‘Fuck-Shit-Hole’, ‘Lèche – Lèche’ , Prostitution and ‘Love’: A qualitative Study of Sexual Networks in Cameroonian Prisons HERZIG, S., Noeske, J., Mbondi, S. GTZ – German Technical Cooperation Cameroon. Background. 72 Prisons – 24,000 inmates Health threats: TB (2-3.5%); HIV (7-8.5%)

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Background

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  1. ‘Fuck-Shit-Hole’, ‘Lèche – Lèche’, Prostitution and ‘Love’: A qualitative Study of Sexual Networks in Cameroonian Prisons HERZIG, S., Noeske, J., Mbondi, S. GTZ – German Technical Cooperation Cameroon

  2. Background • 72 Prisons – 24,000 inmates • Health threats: TB (2-3.5%); HIV (7-8.5%) • HIV: Women 10-12.5%; Men 5-8% • Homosexuality or MSM non-existent • Sex with a person of the same sex is illegal • GTZ Prison Health Program Objective of the study • Investigate reasons for increasing HIV incidence • Understand the sexual networks – prevention and control

  3. Key Findings (12 Focus Group Discussions, 12 in-depth Interviews (3 Prisons) ) • « Fuck-Shit-Hole » • Prostitution and blackmail (old/new prisoner relationship, hunger, poverty, boredom, power politics in prison) • MSM – consensual sex (identity, boredom, sexual need/‘relieving oneself’) • ‘Rape’ (drugs, minors/young prisoners) • « Lèche-Lèche » • Prostitution (male prisoners, guards, men outside prisons) • ‘Love’

  4. Implications • HIV Epidemic • High turn over of prisoners (8-10 months medium IP) • Networks in and beyond prisons • GTZ – Prevention Strategies • Focus on women (prevalence, networks outside prisons) • Gender sensitisation (training of guards) • Policy level (advocacy: MSM, women, minors) • Peer education programs (education, condoms) • Research • Data: quantitative and qualitative Challenges/Controversies • Law and public discourse on homosexuality • Political will

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