1 / 21

MAPPING TRANSACTIONAL SEX ON THE TRANS-AFRICA HIGHWAY

MAPPING TRANSACTIONAL SEX ON THE TRANS-AFRICA HIGHWAY. Alan Ferguson 1 Chester Morris 2 1 Constella-Futures and University of Manitoba 2 University of Manitoba. Vulnerable people and vulnerable places. Even in generalized epidemics, vulnerable groups disproportionately affected

kaden
Download Presentation

MAPPING TRANSACTIONAL SEX ON THE TRANS-AFRICA HIGHWAY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MAPPING TRANSACTIONAL SEX ON THE TRANS-AFRICA HIGHWAY Alan Ferguson1 Chester Morris2 1 Constella-Futures and University of Manitoba 2 University of Manitoba

  2. Vulnerable people and vulnerable places • Even in generalized epidemics, vulnerable groups disproportionately affected • Where epidemic has peaked, re-concentration of infection in vulnerable groups • Increasing evidence of locations that make people vulnerable to HIV

  3. OBJECTIVES • Measure volume and characteristics of highway-based transactional sex on section of Trans-Africa highway • Identification of ’Hot Spots’ • Risk-avoidance practices and un-met needs • Client characteristics • Use of GIS in visualization and planning

  4. 1. GIS METHODS GPS mapping of stopovers between Mombasa and Kampala Mapping of aggregate data at national / regional level

  5. METHODS 2. Sex Worker Diaries (n=578) • Completed for 28 consecutive days • Permit calculation of: • No. partners, liaisons, sexual acts • Condom use • Occupation of client • Sex during menses • Mobility

  6. METHODS • Truckers FGDs (6) • Truckers surveys (4) • Sex Worker FGDs (22) • Truck Census (all stopovers) • Bar census / survey (1,007)

  7. Basic results

  8. Stopover points

  9. Mean nos. overnight trucks

  10. Mean no. trucks / FSW estimates

  11. Truck and sex worker volumes: Uganda sector

  12. Example of thematic map of single hot spot

  13. Mean levels of transactional sex

  14. Variations in mean monthly # sexual acts

  15. Transactional sex by type of partner

  16. Condom use per liaison by type of client

  17. Client occupations

  18. HIV Transmission • Using AVERT model, estimated that 3,200 – 4,200 new infections per annum from transactional sex on highway • Raising condom use to 90% would avert almost 2/3 of these new infections

  19. CONCLUSIONS • High levels of highway-based transactional sex in E. Africa • Despite high levels of condom use, HIV transmission significant • Client base much wider than expected suggesting a ‘vulnerable places’ approach to programming • Both FSWs and truckers socially marginalized

  20. CONCLUSIONS - Methodology • GIS proved to be effective in visualization and advocacy • Diaries are flexible and efficient means of generating data where recall and social desirability biases are present

  21. THANKS TO

More Related