This project has been designed as a Program Science study and aims to understand how physical, organizational, social, and relational dimensions of ‘place’ shape ecologies of risk and safety in sex work locations for Adolescent girls and young women (AGYW), Female Sex Workers (FSW), Young women who sell sex (YWSS) and men in Nairobi County. Our goal is to generate contextualized knowledge for prioritizing sex work location-based strategies to optimize program coverage and address unmet needs.
Objectives
- Characterize sex work locations where AGYW, FSW, YWSS and men congregate for sexual partnerships.
a. Explore social and relational aspects of sex work location through peer-led ethnography.
b. Identify and describe physical and organizational aspects of sex work locations through programmatic mapping with location characterization.
2. Examine contextual factors shaping experiences of risk and safety for AGYW, FSW, YWSS and men congregating in sex work locations through a cross-sectional survey, with biological data collection.
a. Describe social support, economic security, unmet health needs, and experiences of gender-based violence.
b. Compare and contrast characteristics of affiliation network structure between AGYW, FSW, YWSS and men.
c. Measure prevalence of STBBI, including HIV, among AGYW, FSW, YWSS and men.
3. Estimate and describe STBBI program coverage among AGYW, FSW, YWSS and men across sex work locations using the effective program coverage framework through a cross-sectional survey.
Project Initiated 2024
The study was initiated in 2024 and the duration is 5 years.
Funders
Institute for Global Public Health, University of Manitoba, Winnipeg, Canada