Structural Violence in Health Care: Lived Experience of Street-Based Female Commercial Sex Workers in Kathmandu

Qualitative Health Research
Iccha Basnyat

Abstract

Thirty-five in-depth, semi-structured interviews were conducted with female, street-based, commercial sex workers in Kathmandu, Nepal. The framework of structural violence guided this study in identifying the structural context that impacts the female sex workers' lives and may cause harm to their health. Structural violence in health care was revealed through thematic analysis as (a) discrimination, (b) forced choice, and (c) limitations to health information sources. Lived experiences highlight how the sex workers engaged with structural limitations in health care access, services, and utilization. Structural violence conveys a message about who is entitled to health care and what a society emphasizes and expects regarding acceptable health behavior. Examining the structural violence highlighted how the sex workers negotiated, understood, and engaged with structural limitations in health care access, services, and utilization.

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Citations

May 12, 2018·Qualitative Health Research·Ximena Briceño MoralesCarlos Enrique Yepes Delgado
Aug 11, 2018·International Journal of Health Services : Planning, Administration, Evaluation·Fernando De Maio, David Ansell
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Jul 3, 2021·International Journal of Environmental Research and Public Health·Gloria MacassaJoaquim Soares

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Methods Mentioned

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