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Problématique : Les femmes travailleuses du sexe (TS) constituent la population le plus à risque d’infection au VIH dans différents pays d’Afrique subsaharienne. Plusieurs interventions y ont ainsi été menées pour réduire le risque d’infection en influant sur les facteurs de risque. Parmi ces interventions, on peut citer la promotion de l’utilisation du préservatif de même que le dépistage et le traitement des infections sexuellement transmissibles (IST). Cependant, certaines composantes sont peu représentées dans ce panel d’interventions offertes aux femmes TS. Le conseil dépistage volontaire pourrait s’avérer une intervention utile de prévention primaire et secondaire pour cette population mais son acceptabilité est mal connue. Par ailleurs, en termes de surveillance de l’épidémie, l’évaluation de la validité de l’auto-rapport d’utilisation du préservatif, indicateur fréquemment utilisé lors d’enquêtes populationnelles serait souhaitable. Enfin, pour ce qui est de la prévention de l’infection dans cette population, l’effet du désir d’enfant sur l’utilisation non systématique du condom avec le principal partenaire régulier non payant est peu connu. Il en est de même pour la prévalence de certaines IST comme le VPH-16 et l’effet combiné de facteurs sociodémographiques, comportementaux et préventifs sur la présence de ces IST. Objectifs : Les objectifs de cette thèse sont 1) de mesurer l’acceptabilité et les conséquences du conseil dépistage volontaire du VIH chez les femmes TS de Conakry en Guinée; 2) d’évaluer la validité de l’auto-rapport de l’utilisation du préservatif dans cette population grâce à un indicateur biologique de présence de sperme, l’antigène spécifique de la prostate (PSA); 3) d’estimer la fréquence d’utilisation systématique du préservatif avec les partenaires clients et non-clients des femmes TS et d’étudier l’importance du désir d’enfant dans l’utilisation non systématique du préservatif avec le principal partenaire régulier non-client et 4) de mesurer la prévalence des IST et du VIH et d’étudier les facteurs sociodémographiques, comportementaux et préventifs qui y sont associés. Méthodologie : Nous avons mené une étude longitudinale dans la ville de Conakry en Guinée auprès de 421 femmes TS recrutées dans trois services de santé adaptés pour elles. Un devis mixte répété un an plus tard a permis de collecter des données quantitatives et qualitatives. Des analyses biologiques de dépistage des IST et du VIH ont été effectuées. Résultats : Le premier article de résultats présenté dans cette thèse montre que l’acceptabilité du conseil dépistage volontaire est élevée chez les femmes TS. En effet, les taux d’acceptation du test, de retour pour la prise de résultats et de notification du statut sérologique avoisinaient les 100%. Cette acceptabilité semblait être le fait d’une perception de risque d’infection élevé, mais aussi d’une pression sociale du milieu prostitutionnel pour effectuer le dépistage et révéler le statut sérologique. Les conséquences négatives au dépistage étaient rares. Le deuxième article montre que l’auto-rapport de l’usage récent du préservatif a une très faible sensibilité lorsque comparé à l’étalon d’or que constitue la PSA. Ainsi, la plupart des personnes chez qui la PSA était retrouvée ne rapportaient aucun rapport non protégé récent. La discordance entre l’auto-rapport d’utilisation récente du préservatif et la présence de PSA était associée à une perception de risque d’infection au VIH élevé. Enfin, la troisième section montre que si l’utilisation systématique du préservatif était très fréquente avec les clients, elle l’est beaucoup moins avec le principal partenaire régulier non-client. Le désir d’enfant de la femme TS contribue de manière significative à l’utilisation non systématique du condom avec ce type de partenaire. Des facteurs sociodémographiques, comportementaux et la coinfection par d’autres IST sont associés à la présence d’IST/VIH, ces dernières étant fréquentes dans la population des femmes TS malgré les nombreuses interventions qui y sont menées. Conclusion : En conclusion, l’on peut dire que la prévention du VIH chez les femmes TS constitue un défi nécessitant des interventions intégrées tenant compte du contexte commercial dans lequel ces interventions sont implantées et des aspirations des femmes TS en matière de reproduction. / Background: Female sex workers (FSW) constitute the population most at risk for HIV infection in many countries of Sub-Saharan Africa. Several interventions have been implemented in this population to reduce the risk of infection. These interventions include the promotion of condom use and the screening and treatment of sexually transmitted infections (STI). However, some components are poorly represented among the interventions offered to FSW. Voluntary counselling and testing could be a useful intervention of primary and secondary prevention for this population but the acceptability of this intervention by FSW is little-known. In addition, in terms of surveillance of the epidemics, the evaluation of the validity of self-reported condom use is important as this indicator is frequently used in population surveys. More information is also needed about the importance of the desire for children in using inconsistently condoms with the main non-paying regular partner. Finally, the prevalence of STIs such as HPV-16 and the combined impact of sociodemographic, behavioural and preventive factors on HIV/STIs infection in this population need to be assessed. Objectives: The objectives of this thesis are 1) to measure the acceptability and the consequences of voluntary HIV counselling and testing among FSW in Conakry, Guinea; 2) to assess the validity of self-report condom use in this population through a biological indicator of semen, the prostate specific antigen (PSA); 3) to measure condom use with clients and non-client partners of FSW and to study the importance of the desire for children in inconsistent condom use with the main regular non-client partner and 4) to measure the prevalence of STIs and HIV and the socio-demographic, behavioural and preventive factors related to these infection outcomes. Methodology: We conducted a longitudinal study in the city of Conakry, Guinea among 421 FSW recruited in three health centers adapted for FSW. A longitudinal mixed design allowed for quantitative and qualitative data collections at baseline and one year later. Biological screening tests for STIs and HIV were performed. Results: The first article presented in this thesis showed that the acceptability of voluntary counselling and testing is high among FSW. The acceptance rate of testing, the return rate for results and disclosure of HIV status were close to 100%. This acceptability seemed to be the result of a high risk perception of HIV infection and of social pressure on FSW by the sex work stakeholders to undergo testing and to disclose their serostatus. Negatives consequences to VCT were rare. The second paper showed that self-reported recent condom use had a very low sensitivity when compared to the gold standard. Thus, most women in whom the PSA was found did not report any recent unprotected intercourse. The discrepancy between self-reported recent condom use and the presence of PSA was associated with a perceived high risk of HIV infection. The third section showed that while condom use was very common with clients, it was much less with non-client regular partners. The desire for pregnancy among SW contributed significantly to inconsistent condom use with this type of sexual partner. Socio-demographic characteristics, behavioural factors and co-infection with other STIs were associated with the presence of STIs and HIV, which were common despite all the interventions that were conducted in this population. Conclusion: In conclusion, HIV prevention among FSW is a challenge requiring the development of integrated strategies that take into account the commercial context in which these interventions are implemented but also FSW’s childbearing aspirations.

The reasons why African women become engaged in sex work have received little attention in academic research. While it is largely acknowledged that there exists a connection between entering the sex trade and poverty, not all women who are poor enter sex work. Through the use of life histories with 21 women between the ages of 18 and 42, this thesis explores the combination of factors that lead women and girls to become commercial sex workers in Nairobi, Kenya. This method provides a detailed look at initiation into sex work as it occurs over the life course for women and girls in this context. Additionally, this thesis examines how structural violence impinges on their lives, thereby increasing vulnerability to engagement in sex work. Examining the larger socio-political and economic contexts illustrates how issues such as HIV/AIDS, migrant labour, changing gender roles, the erosion of existing familial structures and gender inequities structure risk for suffering for women. These issues result in many girls losing caregiver support by being orphaned, while additionally, women are burdened with providing total economic and social support for the family in a society that has gendered economic opportunities. Both girls and women are left with few options other than the sex trade to survive.

Background: Prostitution has been documented in most societies, although the context in which it occurs may vary greatly. In Queensland, Australia, sex workers can operate from legal brothels or privately but all other sectors of the sex industry are prohibited. It is assumed that regulation of the sex industry through legalization leads to better health and social outcomes for sex workers and their clients. However, this assumption has rarely been subjected to empirical scrutiny. Aims: This research examined the occupational health and safety of female sex workers in Queensland and explored the relationship between legislative change, workplace violence, mental health and job satisfaction. Sex workers interviewed in 2003 (after legalisation) were compared to a prior study of this population conducted in 1991 (before official regulation of the sex industry). Further, in-depth analysis of the 2003 cohort compared sex workers employed in legal and illegal sectors, to assess violence, health status and job satisfaction. Methods: Cross-sectional, convenience sampling was used to collect data from female sex workers in 2003. This data was compared with data collected earlier (in 1991) and explored differences in the two samples using bivariate analysis. Similar recruitment strategies on both occasions were used to recruit women from all known sectors of the Queensland sex industry. The 1991 comparison sample (Boyle et al. 1997) included 200 women (aged between 16 and 46 years), and in 2003, 247 women (aged 18 to 57) participated. The 2003 sample included workers from legal brothels (n=102), private sole-operators (n=103) and illegal street-based sex workers (n=42). Using data collected in 2003, this study assessed the relationship between physical and mental health and job satisfaction and two main independent variables, i.e., current work sector and recent workplace violence. Bivariate analysis of physical health and independent variables showed no significant relationships and therefore further analysis was not undertaken. However, analysis of mental health and job satisfaction showed complex interactions between multiple variables and therefore linear modeling was performed to adjust for confounding. Results: Analysis of the 1991 and 2003 samples showed little apparent change over time in self-reported sexually transmitted infections (STIs). There were substantial changes over time in the types of sexual services being provided to clients, with the 2003 sample more likely to provide 'exotic' services. Violence experienced ever in their lifetime differed; in 1991, 29% reported having ever been raped compared with 42% in 2003 (p= &lt0.01). In 2003, 50% of illegal sex workers reported having ever been raped by a client compared with 12% of private sex workers and 3% of brothel-based sex workers (p=&lt0.01). Overall, the sex workers reported roughly equivalent job satisfaction to Australian women. A desire to leave the sex industry was most strongly correlated with reduced job satisfaction (p=&lt0.01). Satisfaction was also relatively low among those whose family was not aware of their sex work (p=&lt0.01). Similarly, the mental and physical health of this sample was comparable to age-matched women from the general population. Wanting to leave the sex industry was most strongly associated with poor mental health (p=&lt0.01), as was recent sexual or physical assault by a client (p=0.06) and the woman's main work sector (p=0.05). Illegal sex workers reported substantially lower mental health scores than their counterparts in legal sex work. Conclusions: Self-reported STI diagnosis was high in these samples but the prevalence appears not to have changed over time. Comparing 2003 to 1991, there were trends towards safer and more diverse sexual practices. It is likely the sex industry has 'professionalized' and now includes more sex workers providing specialist, 'exotic' services. This sample of female sex workers reported high rates of violence, with those working illegally at greatest risk. Analysis suggests a complex interaction between variables contributing to mental health and job satisfaction. In general, it appears that the majority of sex workers enjoyed at least as much job satisfaction as women working in other occupations. It also appears that this sample had equivalent mental health to women from the general population, although the sub-group of illegal workers generally had poorer health. Job satisfaction and the extent of workplace hazards (especially risk of violence) were also strongly associated with different sectors of the sex industry. It is probable that legalisation has benefited some (perhaps most) but there are health and safety concerns for those outside the legal framework. Legislative reform should focus on violence prevention, promoting reporting of violent events to police, and further exploration of the impact of legislation on the health of workers in the sex industry.

The reasons why African women become engaged in sex work have received little attention in academic research. While it is largely acknowledged that there exists a connection between entering the sex trade and poverty, not all women who are poor enter sex work. Through the use of life histories with 21 women between the ages of 18 and 42, this thesis explores the combination of factors that lead women and girls to become commercial sex workers in Nairobi, Kenya. This method provides a detailed look at initiation into sex work as it occurs over the life course for women and girls in this context. Additionally, this thesis examines how structural violence impinges on their lives, thereby increasing vulnerability to engagement in sex work. Examining the larger socio-political and economic contexts illustrates how issues such as HIV/AIDS, migrant labour, changing gender roles, the erosion of existing familial structures and gender inequities structure risk for suffering for women. These issues result in many girls losing caregiver support by being orphaned, while additionally, women are burdened with providing total economic and social support for the family in a society that has gendered economic opportunities. Both girls and women are left with few options other than the sex trade to survive.

Sex work is a highly debatable subject in the field of psychology but little has been said about sex work and resilience. Challenges associated with criminalisation of sex work are rife but sex work continues to exist. This study explored the ability of heterosexual street based female sex workers (FSW) to ‘bounce back’ from challenges they face. The study employed qualitative paradigm and a transcendental phenomenological design was used. Snowballing sampling was used to select twelve FSW who participated in semi structured interview. Thematic analysis was used to extract recurrent themes across participants. Participants reported being victimised and physically and verbally abused by clients and the public. FSW showed their resilience by rationalising their role with having a purpose in working as FSW, obligation as bread winners and regarding sex work as legitimate work. They adopted psychological survival techniques and used various safety techniques to cope. The results emphasised importance of employing resilience and strength based approaches in researching and developing training and psychological programmes for sex workers. / Psychology / M.A. (Psychology)

In the subject of prostitution there has been a growing trend towards a sex work discourse, where the selling of sex and sexual services is regarded as a form of emotional and erotic labor. The discourse emerged in response to the self-organization of sex workers into labor unions and citizenship rights groups. In Argentina the first steps towards self-representation of sex workers’ interests were taken in the early 1990s. Gradually the sex workers’ social movement has grown into the labor union Ammar (La Asociación de Mujeres Meretrices de Argentina), which actively seeks recognition for sex workers’ economic rights, labor rights and social rights. Although the selling and buying of sexual services has been legal since the early 20th century prostitutes’ rights have been suppressed hitherto. In 2008 Argentina enacted the United Nation’s Convention to combat human trafficking, Palermo Protocol, as federal law 26.364. The law re-enforced the state’s abolitionist policies towards prostitution, which consequently further marginalized the sex workers’ plight. Connecting their services with human trafficking schemes heightened the social stigmatization of sex workers. To contest the institutional violence and social discrimination Ammar presented a law proposal in 2013. The reform asks the state of Argentina to recognize sex work as a legitimate form of labor, thus insuring the sex workers’ labor and social rights. This paper contributes to the aforementioned sex work discourse by analyzing the self-agency of Argentine sex workers. Based on qualitative fieldwork studies I conducted in 2014 in Argentina and employing a feminist methodology my object is to study how sex workers’ counter hegemonic movement redefines their citizenship. To construct a theoretical framework for the case study I will utilize Giorgio Agamben’s paradigm of ‘state of exception’ and compliment Agamben’s shortcomings by advancing feminist- and queer theories, which have radically revaluated the concept of citizenship. The conclusion is that, even though Argentinian sex workers’ requirement for equal rights may be embryonic, it addresses an urgent inclusion of different kinds of sexualities and gender balances to the citizenship discourse. / En el tema de la prostitución, es cada vez más importante la tendencia hacia un discurso sobre el trabajo sexual, donde la venta de sexo y servicios sexuales  se consiederan como una forma de trabajo erótico y emocional. El discurso emergió como consecuencia de la organización de las trabajadoras sexuales dentro de sindicatos y grupos de derechos ciudadanos. En Argentina, los primeros pasos hacia la representación de los intereses de las trabajadoras sexuales, fueron a principios de la década de los 90. Gradualmente, el movimiento social de las trabajadoras sexuales ha crecido dentro del sindicato Ammar (Asociación de Mujereres Meretrices de Argentina) que activamente busca reconocimiento por los derechos económicos, laborales y sociales de las trabajadoras. Aunque la compra-venta de servicios sexuales es legal desde principios del siglo XX, los derechos de las prostitutas han sido reprimidos hasta ahora. En 2010, Argentina promulgó el Protocolo Palermo, como ley federal 26.364, en la Convención de las Naciones Unidas, para combatir el tráfico de humanos. La ley reafirmó las políticas encaminadas a la abolición de la prostitución, que sistemáticamente marginalizó la mala situación del colectivo. Relacionar sus servicios con el contexto del tráfico humano ha agudizado la estigmatización social de las trabajadoras sexuales. Para luchar contra la violencia institucional y la discriminación social, Ammar presentó un proyecto de ley el 2013. La reforma pide al Estado de Argentina que reconozca el trabajo sexual como una forma legítima de trabajo, asegurando así, los derechos laborales y sociales de las trabajadoras sexuales. Esta tesis contribuye al discurso mencionado anteriormente sobre el trabajo sexual, analizando la agnecia de las trabajadoras sexuales argentinas. Basado en estudios de campo cualitativos, llevado a cabo en 2014 en Argentina y utilizando metodología cualitativa y feminista, mi objetivo es estudiar como el movimiento contra-cultural de las trabajadoras sexuales redefine su ciudadanía. Para construir un marco teórico para el caso de estudio, voy a utilizar el paradigma de Giorgio Agamben sobre el “estado de excepción” y complementar sus aportaciones con teoría feminista, que ha reevaluado radicalmente el concepto de ciudadanía. La conclusión es que, aunque los requerimientos de las trabajadoras sexuales argentinas para la igualdad de derechos pueden ser incipientes, reclaman la urgente inclusión de diferentes tipos de sexualidad y articulación de género al discurso de ciudadanía.

This master thesis examines two novels which depict affairs between female teachers and male secondary school students: Notes on a Scandal by Zoë Heller and Tampa by Alissa Nutting. In the theoretical part, female sex offenders, erotic age-preferences, child sexual abuse, and educator sexual misconduct are discussed. In the practical part, the two novels are analyzed in relation to the scholarly findings presented in the theoretical part. Despite the great differences between the two fictional depictions of educator sexual misconduct, both novels contain numerous parallels to real cases. The most notable difference between them is their approach to gender stereotypes. Although Notes on a Scandal allows an alternative reading, it more or less reinforces stereotypes, while Tampa has the clear objective to conquer them. KEYWORDS female sex offenders, child sexual abuse, educator sexual misconduct, hebephilia, stereotypes, English literature, American literature

Problématique : Les femmes travailleuses du sexe (TS) constituent la population le plus à risque d’infection au VIH dans différents pays d’Afrique subsaharienne. Plusieurs interventions y ont ainsi été menées pour réduire le risque d’infection en influant sur les facteurs de risque. Parmi ces interventions, on peut citer la promotion de l’utilisation du préservatif de même que le dépistage et le traitement des infections sexuellement transmissibles (IST). Cependant, certaines composantes sont peu représentées dans ce panel d’interventions offertes aux femmes TS. Le conseil dépistage volontaire pourrait s’avérer une intervention utile de prévention primaire et secondaire pour cette population mais son acceptabilité est mal connue. Par ailleurs, en termes de surveillance de l’épidémie, l’évaluation de la validité de l’auto-rapport d’utilisation du préservatif, indicateur fréquemment utilisé lors d’enquêtes populationnelles serait souhaitable. Enfin, pour ce qui est de la prévention de l’infection dans cette population, l’effet du désir d’enfant sur l’utilisation non systématique du condom avec le principal partenaire régulier non payant est peu connu. Il en est de même pour la prévalence de certaines IST comme le VPH-16 et l’effet combiné de facteurs sociodémographiques, comportementaux et préventifs sur la présence de ces IST. Objectifs : Les objectifs de cette thèse sont 1) de mesurer l’acceptabilité et les conséquences du conseil dépistage volontaire du VIH chez les femmes TS de Conakry en Guinée; 2) d’évaluer la validité de l’auto-rapport de l’utilisation du préservatif dans cette population grâce à un indicateur biologique de présence de sperme, l’antigène spécifique de la prostate (PSA); 3) d’estimer la fréquence d’utilisation systématique du préservatif avec les partenaires clients et non-clients des femmes TS et d’étudier l’importance du désir d’enfant dans l’utilisation non systématique du préservatif avec le principal partenaire régulier non-client et 4) de mesurer la prévalence des IST et du VIH et d’étudier les facteurs sociodémographiques, comportementaux et préventifs qui y sont associés. Méthodologie : Nous avons mené une étude longitudinale dans la ville de Conakry en Guinée auprès de 421 femmes TS recrutées dans trois services de santé adaptés pour elles. Un devis mixte répété un an plus tard a permis de collecter des données quantitatives et qualitatives. Des analyses biologiques de dépistage des IST et du VIH ont été effectuées. Résultats : Le premier article de résultats présenté dans cette thèse montre que l’acceptabilité du conseil dépistage volontaire est élevée chez les femmes TS. En effet, les taux d’acceptation du test, de retour pour la prise de résultats et de notification du statut sérologique avoisinaient les 100%. Cette acceptabilité semblait être le fait d’une perception de risque d’infection élevé, mais aussi d’une pression sociale du milieu prostitutionnel pour effectuer le dépistage et révéler le statut sérologique. Les conséquences négatives au dépistage étaient rares. Le deuxième article montre que l’auto-rapport de l’usage récent du préservatif a une très faible sensibilité lorsque comparé à l’étalon d’or que constitue la PSA. Ainsi, la plupart des personnes chez qui la PSA était retrouvée ne rapportaient aucun rapport non protégé récent. La discordance entre l’auto-rapport d’utilisation récente du préservatif et la présence de PSA était associée à une perception de risque d’infection au VIH élevé. Enfin, la troisième section montre que si l’utilisation systématique du préservatif était très fréquente avec les clients, elle l’est beaucoup moins avec le principal partenaire régulier non-client. Le désir d’enfant de la femme TS contribue de manière significative à l’utilisation non systématique du condom avec ce type de partenaire. Des facteurs sociodémographiques, comportementaux et la coinfection par d’autres IST sont associés à la présence d’IST/VIH, ces dernières étant fréquentes dans la population des femmes TS malgré les nombreuses interventions qui y sont menées. Conclusion : En conclusion, l’on peut dire que la prévention du VIH chez les femmes TS constitue un défi nécessitant des interventions intégrées tenant compte du contexte commercial dans lequel ces interventions sont implantées et des aspirations des femmes TS en matière de reproduction. / Background: Female sex workers (FSW) constitute the population most at risk for HIV infection in many countries of Sub-Saharan Africa. Several interventions have been implemented in this population to reduce the risk of infection. These interventions include the promotion of condom use and the screening and treatment of sexually transmitted infections (STI). However, some components are poorly represented among the interventions offered to FSW. Voluntary counselling and testing could be a useful intervention of primary and secondary prevention for this population but the acceptability of this intervention by FSW is little-known. In addition, in terms of surveillance of the epidemics, the evaluation of the validity of self-reported condom use is important as this indicator is frequently used in population surveys. More information is also needed about the importance of the desire for children in using inconsistently condoms with the main non-paying regular partner. Finally, the prevalence of STIs such as HPV-16 and the combined impact of sociodemographic, behavioural and preventive factors on HIV/STIs infection in this population need to be assessed. Objectives: The objectives of this thesis are 1) to measure the acceptability and the consequences of voluntary HIV counselling and testing among FSW in Conakry, Guinea; 2) to assess the validity of self-report condom use in this population through a biological indicator of semen, the prostate specific antigen (PSA); 3) to measure condom use with clients and non-client partners of FSW and to study the importance of the desire for children in inconsistent condom use with the main regular non-client partner and 4) to measure the prevalence of STIs and HIV and the socio-demographic, behavioural and preventive factors related to these infection outcomes. Methodology: We conducted a longitudinal study in the city of Conakry, Guinea among 421 FSW recruited in three health centers adapted for FSW. A longitudinal mixed design allowed for quantitative and qualitative data collections at baseline and one year later. Biological screening tests for STIs and HIV were performed. Results: The first article presented in this thesis showed that the acceptability of voluntary counselling and testing is high among FSW. The acceptance rate of testing, the return rate for results and disclosure of HIV status were close to 100%. This acceptability seemed to be the result of a high risk perception of HIV infection and of social pressure on FSW by the sex work stakeholders to undergo testing and to disclose their serostatus. Negatives consequences to VCT were rare. The second paper showed that self-reported recent condom use had a very low sensitivity when compared to the gold standard. Thus, most women in whom the PSA was found did not report any recent unprotected intercourse. The discrepancy between self-reported recent condom use and the presence of PSA was associated with a perceived high risk of HIV infection. The third section showed that while condom use was very common with clients, it was much less with non-client regular partners. The desire for pregnancy among SW contributed significantly to inconsistent condom use with this type of sexual partner. Socio-demographic characteristics, behavioural factors and co-infection with other STIs were associated with the presence of STIs and HIV, which were common despite all the interventions that were conducted in this population. Conclusion: In conclusion, HIV prevention among FSW is a challenge requiring the development of integrated strategies that take into account the commercial context in which these interventions are implemented but also FSW’s childbearing aspirations.

MA (Youth in Development) / Institute for Gender and Youth Studies / Commercial sex work (CSW) has turned out to be a subject of concern in most societies. CSW occurs in most countries of the world, and has existed since ancient times. Different nations have different viewpoints with regards to prostitution. In some nations it is illegal while in others it is legal. Prostitution is regarded as a social problem that offends culture, societal morals and values and leads to the spread of Sexually Transmitted Infections (STIs). In most studies about sex work, male counterparts receive little attention but they play a role in the industry. In light of the profiled background context of the problem, this study explored the experiences of female sex workers (FSWs) at Ngundu Growth Point in Zimbabwe. This study endeavored to examine the circumstances that drive women into CSW and the impact of prostitution on the wellbeing of FSWs. The study further examined the role played by government, Non-Governmental Organizations (NGOs) and health professionals towards service delivery to CSWs. In order to understand the experiences of sex worker intersectionality and feminist standpoint theories were deployed. A case study approach involving Ngundu growth point in Masvingo was utilized. The choice of Ngundu emanated from the fact that it is located along the highway that connects South Africa with Zimbabwe, Zambia and Democratic Republic of Congo and as a result, it experiences varying prostitution encounters. Methodologically, the study followed a qualitative research path involving the use of open-ended interviews as data collection methods. A total of nine participants were interviewed that includes sex workers as well as the key informants. Data analysis was done using thematic analysis. The overall study finding was that prostitution at Ngundu is proliferating due to economic hardships where most people are unemployed and living in poverty. From the field interviews with those involved in the prostitution business, it emerged that the socioeconomic situation in the country is forcing women to be in the sex industry. The recommendation proffered is that is that the government should create employment opportunities for the people, open vocational training centres and there should be awareness campaigns targeting sex workers. / NRF