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Int J Public Health. 2016 Nov;61(8):945-957. Epub 2016 Sep 6.

A human rights-focused HIV intervention for sex workers in Metro Manila, Philippines: evaluation of effects in a quantitative pilot study.

Author information

1
Department of Medicine/Division of Global Public Health, Center on Gender Equity and Health, University of California San Diego, 9500 Gilman Drive, MC 0507, La Jolla, CA, 92093-0507, USA. lurada@sdsu.edu.
2
College of Health and Human Services, School of Social Work, San Diego State University, 5500 Campanile Dr, San Diego, CA, 92182, USA. lurada@sdsu.edu.
3
National Development and Research Institutes, Inc., 71 W 23rd St, New York, NY, 10010, USA.
4
Department of Medicine/Division of Global Public Health, Center on Gender Equity and Health, University of California San Diego, 9500 Gilman Drive, MC 0507, La Jolla, CA, 92093-0507, USA.
5
Woodwater Center for Healing, 8 Nicanor Reyes St, Loyola Heights, Quezon City, Philippines.
6
Department of Behavioral Sciences, University of the Philippines, Manila, Rizal Hall, Padre Faura Street, Ermita, Manila, Philippines.
7
College of Arts and Science and College of Public Health, University of the Philippines, Manila, Rizal Hall, Padre Faura Street, Ermita, Manila, Philippines.

Abstract

OBJECTIVES:

This study evaluated a brief human rights-focused HIV community mobilization intervention for sex workers in the Philippines, a country with one of the fastest rising number of HIV cases worldwide.

METHODS:

Five single-session group interventions to reduce sexual risk and increase HIV testing among 86 sex workers in Manila were evaluated with pre-post-test data via Wilcoxon's signed-ranks and Mann-Whitney tests. The 4-h intervention, Kapihan (August-November, 2013), integrated human rights with HIV skill-building. Demographic data, violence/trafficking victimization, human rights knowledge, and intentions to HIV test and treat were collected.

RESULTS:

Participants were median aged 23; female (69 %); had children (55; 22 % had 3+ children); used drugs (past 3 months: 16 %); sexually/physically abused by clients (66 %); 20 % street sex workers ever took an HIV test. Pre-post-test scores significantly improved in knowledge of HIV (z = -8.895, p < 0.001), reproductive health (z = -3.850, p < 0.001), human rights (z = -4.391, p < 0.001), ethical rights of research participants (z = -5.081, p < 0.001), and intentions to HIV test (z = -4.868, p < 0.001).

CONCLUSIONS:

Integrating human rights into HIV interventions may empower sex workers to address their health and human rights and test for HIV.

KEYWORDS:

Community mobilization; Empowerment; HIV/AIDS; Human rights; Men who have sex with men (MSM), female sex workers; Sex work; Trafficking; Transactional sex; Violence

PMID:
27600733
PMCID:
PMC5226624
DOI:
10.1007/s00038-016-0875-z
[Indexed for MEDLINE]
Free PMC Article

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