Unpacking the 'structural' in a structural approach for HIV prevention among female sex workers: a case study from China

Global Public Health
Yingying HuangSuzanne Maman

Abstract

Interventions for HIV prevention among female sex workers (FSWs) in China focus on HIV/sexually transmitted infection (STI) and individual behaviour change. An occupational health framework facilitates intervention across an array of health issues FSWs face including HIV/STI, violence, reproductive health, stigma and substance use. Through a case study of a community-based Jiaozhou (JZ) FSW programme, we developed a conceptual framework incorporating global discussions of structural approaches to HIV prevention with the specific social and structural contexts identified among FSWs in China. Based on ethnographic fieldwork between August 2010 and May 2013, we describe the evolution of this programme to its current occupational health focus and unpack the intervention strategies. We describe the critical features of the programme that have fostered success among FSWs including high-quality clinical services provided within a welcoming setting, responsive outreach work through staff and trained FSW peers, interpersonal and community-level engagement aimed at changing the local social and structural environments of sex work and tailored health education materials. This intervention differs from other projects in China by adopting a...Continue Reading

References

Dec 20, 2005·Lancet·Michael L Rekart
Feb 27, 2007·Lancet·Zunyou WuRoger Detels
Aug 9, 2008·Lancet·Geeta Rao GuptaAjay Mahal
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Mar 26, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Adaora A Adimora, Judith D Auerbach
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