context continuities of hiv risk behaviour a multi-methodological study of urban and rural female...
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CONTEXT CONTINUITIES OF HIV RISK BEHAVIOURA multi-methodological study of urban and rural female sex workers in Indonesia
THE GAPKNOWLEDGE VS BEHAVIOUR
Figure 1: Knowledge about the protective effects of condoms and consistent condom use in commercial sex, female sex workers, BSS 1996 - 2000
69.976.1 78.9
84.377.8
10.7 10 10.1 12.3 12.1
0
10
20
30
40
50
60
70
80
90
1996 1997 1998 1999 2000
BSS year
Pe
rce
nt
dis
trib
uti
on
(%
)
Know that consistent condom use prevents HIV
Always use a condom in commercial sex
THE QUESTION
The problem: Persistent gap between AIDS awareness and HIV preventive
behaviour
Underlying assumption: Health knowledge does not necessarily translate into
healthy behaviours
Primary question: Why do/don’t female sex workers adopt risky HIV-
associated behaviour (condom non-use) in sex work?
THE SAMPLE POPULATION
Fixed locations: brothel complexes (lokalisasi), both official and unofficial; massage parlours (panti pijat); brothel houses (rumah bordil, lokalisasi)
Entertainment establishments: nightclubs (klub malam); salons (salon kecantikan); discotheques (disko); call-girl establishments; lobbies, bars and coffee shops of certain hotels
Independent operators: call-girls (wanita panggilan) who cater to the upper-class market; streetwalkers (wanita jalanan) who cater to the lower to middle-class market; perek (experimental girls); ABGs (precocious teenagers)
CRITERIA
THE SAMPLING STRATEGY RESPONDENT-DRIVEN
SAMPLING
Essential elements of RDS:
Documentation of who recruited whom must be tracked generally through a coupon system;
Recruitment must be rationed with generally no more than three coupons allotted per ‘seed‘;
Information on personal network size must be gathered and recorded;
Recruiters and recruits must know one another (i.e. have a preexisting relationship)
Figure x: Example of a Respondent Driven Sample ‚tree‘ (Source:)
THE WOMENINDRAMAYU
“People would say we are exaggerating.
‘Oh, we‘re not Africa,
We‘re not Thailand, we‘re different‘.
It‘s that denial thing. Even now.“ Nafsiah Mboi, HIV/AIDS activist.
“People would say we are exaggerating.
‘Oh, we‘re not Africa,
We‘re not Thailand, we‘re different‘.
It‘s that denial thing. Even now.“ Nafsiah Mboi, HIV/AIDS activist.
THE WOMENINDRAMAYU
“People would say we are exaggerating.
‘Oh, we‘re not Africa,
We‘re not Thailand, we‘re different‘.
It‘s that denial thing. Even now.“ Nafsiah Mboi, HIV/AIDS activist.
“People would say we are exaggerating.
‘Oh, we‘re not Africa,
We‘re not Thailand, we‘re different‘.
It‘s that denial thing. Even now.“ Nafsiah Mboi, HIV/AIDS activist.