‘If you have children, you have responsibilities’: motherhood, sex work and HIV in southern Tanzania

Culture, Health and Sexuality

Volumn 17, Issue 2, 2015, Pages 165-179

  Beckham, Sarah W ^a   Shembilu, Catherine R ^b   Winch, Peter J ^a   Beyrer, Chris ^a   Kerrigan, Deanna L ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES   (Tanzania)

Author keywords

gender; HIV AIDS; motherhood; power; sex work

Indexed keywords

ADULT; BEHAVIOR; FEMALE; HIGH RISK BEHAVIOR; HIV INFECTIONS; HUMAN; MOTHER; PROSTITUTION; PSYCHOLOGY; QUALITATIVE RESEARCH; SAFE SEX; TANZANIA; YOUNG ADULT;

ADULT; FEMALE; HIV INFECTIONS; HUMANS; MOTHERS; POWER (PSYCHOLOGY); PROSTITUTION; QUALITATIVE RESEARCH; RISK-TAKING; SAFE SEX; SEX WORKERS; TANZANIA; YOUNG ADULT;

EID: 84914694933     PISSN: 13691058     EISSN: 14645351     Source Type: Journal    
DOI: 10.1080/13691058.2014.961034     Document Type: Article

References (48)

1. Akujobi, R.2011. “Motherhood in African Literature and Culture.” CLCWeb: Comparative Literature and Culture13 (1). http://docs.lib.purdue.edu/clcweb/vol13/iss1/2.
2. Alexander, P.1998. “Sex Work and Health: A Question of Safety in the Workplace.” Journal of the American Medical Women's Association53 (2): 77–82.
3. Amadiume, I.1987. Male Daughters, Female Husbands: Gender and Sex in an African Society. London: Zed Books.
4. Arendell, T.2000. “Conceiving and Investigating Motherhood: The Decade's Scholarship.” Journal of Marriage and Family62 (4): 1192–1207.
5. Aubé-Maurice, J., M.Clément, J.Bradley, C. M.Lowndes, K.Gurav, and M.Alary. 2012. “Gender Relations and Risks of HIV Transmission in South India: The Discourse of Female Sex Workers' Clients.” Culture, Health & Sexuality14 (6): 629–644.
6. Baral, S., C.Beyrer, K.Muessig, T.Poteat, A. L.Wirtz, M. R.Decker, S. G.Sherman, and D.Kerrigan. 2012. “Burden of HIV among Female Sex Workers in Low-income and Middle-income Countries: A Systematic Review and Meta-analysis.” The Lancet Infectious Diseases12 (7): 538–549.
7. Barrington, C., C.Latkin, M. D.Sweat, L.Moreno, J.Ellen, and D.Kerrigan. 2009. “Talking the Talk, Walking the Walk: Social Network Norms, Communication Patterns, and Condom Use among the Male Partners of Female Sex Workers in La Romana, Dominican Republic.” Social Science & Medicine68 (11): 2037–2044.
8. Basu, A., and M. J.Dutta. 2011. “‘We are Mothers First’: Localocentric Articulation of Sex Worker Identity as a Key in HIV/AIDS Communication.” Women & Health51 (2): 106–123.
9. Beckham, S. W., C. E.Kennedy, H.Brahmbhatt, and D.Kerrigan. 2013. Strategic Assessment to Define a Comprehensive Response to the HIV/AIDS Epidemic in Iringa, Tanzania: Research Brief: Female Sex Workers. Baltimore, MD: USAID | Project Search: Research to Prevention, http://www.jhsph.edu/r2p.
10. Castañeda, X., V.Ortíz, B.Allen, C.García, and M.Hernández-Avila. 1996. “Sex Masks: The Double Life of Female Commercial Sex Workers in Mexico City.” Culture, Medicine and Psychiatry20 (2): 229–247.
11. Charmaz, K.2006. Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London: Sage Publications.
12. Chersich, M. F., S.Luchters, I.Ntaganira, A.Gerbase, Y. R.Lo, F.Scorgie, and R.Steen. 2013. “Priority Interventions to Reduce HIV Transmission in Sex Work Settings in Sub-Saharan Africa and Delivery of These Services.” Journal of the International AIDS Society16 (1): 17980.
13. Choi, S. Y. P., and E.Holroyd. 2007. “The Influence of Power, Poverty and Agency in the Negotiation of Condom Use for Female Sex Workers in Mainland China.” Culture, Health & Sexuality9 (5): 489–503.
14. Connell, R. W.1987. Gender and Power: Society, the Person and Sexual Politics. Redwood City, CA: Stanford University Press.
15. Connell, R.2002. Gender. Cambridge: Polity.
16. Delacoste, F., and P.Alexander. 1987. Sex Work: Writings by Women in the Sex Industry. San Francisco, CA: Cleis Press.
17. Fischer, G.2014. “Tanzanian Women's Move into Wage Labour: Conceptualizing Deference, Sexuality and Respectability as Criteria for Workplace Suitability.” Gender, Work & Organization21 (2): 135–148.
18. Friese, S.2011. Qualitative Data Analysis with Atlas.ti. Thousand Oaks, CA: Sage Publications.
19. GofURT (Government of the United Republic of Tanzania). 1981. Tanzania Penal Code Chapter 16 of the Laws (Revised) (Principal Legislation). http://www.lrct.go.tz.
20. Haram, L.2003. “‘Prostitutes’ or Modern Women? Negotiating Respectability in Northern Tanzania.” In Re-thinking Sexualities in Africa, edited by S.Arnfred, 211–229. Uppsala: Nordic Africa Institute.
21. Haws, R. A.2009. “Women's Experiences of Stillbirth and Other Reproductive Disruptions and Their Social Consequences in Southern Tanzania.” PhD dissertation, The Johns Hopkins University.
22. Jana, S., I.Basu, M. J.Rotheram-Borus, and P. A.Newman. 2004. “The Sonagachi Project: A Sustainable Community Intervention Program.” AIDS Education and Prevention16 (5): 405–414.
23. Katapa, R. S.2006. “A Comparison of Female- and Male-headed Households in Tanzania and Poverty Implications.” Journal of Biosocial Sciences38 (3): 327–339.
24. Kerrigan, D., J. M.Ellen, L.Moreno, S.Rosario, J.Katz, D. D.Celentano, and M.Sweat. 2003. “Environmental-structural Factors Significantly Associated with Consistent Condom Use among Female Sex Workers in the Dominican Republic.” AIDS17 (3): 415–423.
25. Kerrigan, D. L., V. A.Fonner, S.Stromdahl, and C. E.Kennedy. 2013. “Community Empowerment among Female Sex Workers is an Effective HIV Prevention Intervention: A Systematic Review of the Peer-reviewed Evidence from Low- and Middle-income Countries.” AIDS & Behavior17 (6): 1926–1940.
26. Kerrigan, D., L.Moreno, S.Rosario, and M.Sweat. 2001. “Adapting the Thai 100% Condom Programme: Developing a Culturally Appropriate Model for the Dominican Republic.” Culture, Health & Sexuality3 (2): 221–240.
27. Kiaga, A. K.2007. “Blaming the Other Woman: Rural Housegirls and Urban Employers on Identity, Labor, and Migration in Tanzania.” PhD dissertation, University of Minnesota.
28. Maharaj, Z.1995. “A Social Theory of Gender: Connell's ‘Gender and Power’.” Feminist Review49 (1): 50–65.
29. McMahon, E.2005. “Becoming Pemban: Identity, Social Welfare and Community during the Protectorate Period.” PhD dissertation, Indiana University.
30. Murray, L., and MODEMU. 2002. Laughing on the Outside, Crying on the Inside [Rien Mis Labios Llora Mi Alma]. 2nd ed.Santo Domingo: Movimiento de Mujeres Unidas.
31. NACP (National AIDS Control Programme). 2012. HIV Behavioural and Biological Surveillance Survey among Female Sex Workers in Dar es Salaam, 2010. Dar es Salaam: Ministry of Health, the United Republic of Tanzania.
32. NBS (National Bureau of Statistics). 2011. Tanzania Demographic & Health Survey, 2010. Dar es Salaam: National Bureau of Statistics.
33. O'Malley, G. E.2002. “Marriage and Morality: Negotiating Gender and Respect in Zanzibar Town.” PhD dissertation, University of Washington.
34. Pack, A. P., K.L'engle, P.Mwarogo, and N.Kingola. 2014. “Intimate Partner Violence against Female Sex Workers in Mombasa, Kenya.” Culture, Health & Sexuality16 (3): 217–230.
35. Pettifor, A., C.MacPhail, A. D.Anderson, and S.Maman. 2012. “‘If I Buy the Kellogg's then He Should [Buy] the Milk’: Young Women's Perspectives on Relationship Dynamics, Gender Power and HIV Risk in Johannesburg, South Africa.” Culture, Health & Sexuality14 (5): 477–490.
36. Reed, E., J. G.Silverman, B.Stein, J. T.Erausquin, M.Biradavolu, A.Rosenberg, and K. M.Blankenship. 2012. “Motherhood and HIV Risk among Female Sex Workers in Andhra Pradesh, India: The Need to Consider Women's Life Contexts.” AIDS & Behavior17:543–550.
37. Riedner, G., O.Hoffmann, M.Rusizoka, D.Mmbando, L.Maboko, H.Grosskurth, J.Todd, R.Hayes, and M.Hoelscher. 2006. “Decline in Sexually Transmitted Infection Prevalence and HIV Incidence in Female Barworkers Attending Prevention and Care Services in Mbeya Region, Tanzania.” AIDS20 (4): 609–615.
38. Rivers-Moore, M.2010. “But the Kids are Okay: Motherhood, Consumption and Sex Work in Neo-liberal Latin America.” The British Journal of Sociology61 (4): 716–736.
39. Sandelowski, M.1995. “Sample Size in Qualitative Research.” Research in Nursing & Health18 (2): 179–183.
40. Scambler, G., and F.Paoli. 2008. “Health Work, Female Sex Workers and HIV/AIDS: Global and Local Dimensions of Stigma and Deviance as Barriers to Effective Interventions.” Social Science & Medicine66 (8): 1848–1862.
41. Scorgie, F., M. F.Chersich, I.Ntaganira, A.Gerbase, F.Lule, and Y. R.Lo. 2012. “Socio-demographic Characteristics and Behavioral Risk Factors of Female Sex Workers in Sub-Saharan Africa: A Systematic Review.” AIDS & Behavior16 (4): 920–933.
42. Shillington, K.2005. History of Africa. 2nd Revised ed.New York: St. Martin's Press.
43. TACAIDS (Tanzania Commission for AIDS), Zanzibar AIDS Commission (ZAC), National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and ICF International. 2013. Tanzania HIV/AIDS and Malaria Indicator Survey 2011–12. Dar es Salaam: TACAIDS, ZAC, NBS, OCGS, and ICF International.
44. Wayal, S., F.Cowan, P.Warner, A.Copas, D.Mabey, and M.Shahmanesh. 2011. “Contraceptive Practices, Sexual and Reproductive Health Needs of HIV-positive and Negative Female Sex Workers in Goa, India.” Sexually Transmitted Infections87 (1): 58–64.
45. WHO (World Health Organization). 2012. Prevention and Treatment of HIV and Other Sexually Transmitted Infections for Sex Workers in Low- and Middle-income Countries: Recommendations for a Public Health Approach. Geneva: World Health Organization. http://www.who.int/hiv/pub/guidelines/sex_worker/en/.
46. Wight, D., M. L.Plummer, G.Mshana, J.Wamoyi, Z. S.Shigongo, and D. A.Ross. 2006. “Contradictory Sexual Norms and Expectations for Young People in Rural Northern Tanzania.” Social Science & Medicine62 (4): 987–997.
47. Wingood, G. M., and R. J.DiClemente. 2000. “Application of the Theory of Gender and Power to Examine HIV-related Exposures, Risk Factors, and Effective Interventions for Women.” Health Education & Behavior27 (5): 539–565.
48. Zalwango, F., L.Eriksson, J.Seeley, S.Nakamanya, J.Vandepitte, and H.Grosskurth. 2010. “Parenting and Money Making: Sex Work and Women's Choices in Urban Uganda.” Wagadu8 (Fall): 71–92.