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CPD-UNFPA Programme on Population and Sustainable Development

Paper 11 (Summary)
 
Socio-Economic Profile of Sex Workers of Chittagong

Irshad Kamal Khan


INTRODUCTION

The population of sex workers existing in the urban centres in Bangladesh, although small in number, represents a crucial aspect of our society. Much of our future may depend on how we shape our attitude towards this community. The existence of a fairly sizeable population of "floating" sex workers on the streets of Chittagong is a fairly recent phenomenon. This physically visible but socially hidden population poses the possibility of some serious social problems that should be faced now. The present conditions of existence of this population can be a real threat to society in the context of an impending STD/HIV/AIDS epidemic. The subculture associated with such populations substantially magnifies the dangers faced by society from drug abuse, addiction, and drug and sex-related crimes. Society cannot remain indifferent to the human rights abuses constantly being faced by this community.

OBJECTIVE OF THE STUDY

The fundamental aim of the present study is to present a socio-economic profile of sex workers in Chittagong. The more specific objectives are to obtain information about the individual and social background of sex workers; living and housing conditions of sex workers; the circumstances of entrance into the sex industry; sex workers' incomes and expenditure; the nature of sex worker activities; health conditions of sex workers; sex workers' awareness about sex-related social problems including the use of condoms and awareness about AIDS/HIV; and sex workers' own perceptions about the profession. The study is based on a survey covering a sample of 200 sex workers of Chittagong city.

FINDINGS OF THE STUDY

Individual and Social Background of Sex Workers

There is a significant presence of child sex workers within the community of sex workers. The growth of the sex worker population seems to have become faster in recent years and recruitment seems to be on the rise. There is a general pattern of predominance of illiteracy and lack of education among sex workers. Birth rates among sex workers seem to be fairly low and a large proportion are childless. Sex workers live as social outcasts with a minimal level of bonds and ties with their natural (biological) and conjugal families. The incidence of dead parents among sex workers is fairly high. Sex workers come from social backgrounds typical of the most populous sections of Bangladesh's population. This implies that recruitment into the sex industry is fed by most sections of the general population; it is not just some particular sections of our society which are at risk. Living conditions of sex workers are deplorable by the lowest of standards. Most sex workers consider themselves permanent residents of Chittagong.

Circumstances of Entry into the Sex Worker's Profession

Sex workers have a fairly low duration of experience in the profession, especially in comparison to the duration of their stay in the city. They do not become sex workers immediately on arrival in the city. The dalal (pimp) plays a major role in the initial recruitment of the sex worker; many sex workers blame themselves for entering the profession. Poverty, trickery, abuse, coercion and rape can be identified as the main circumstances of entrance into the sex industry.

Incomes and Expenditure of Sex Workers

Sex workers apparently have high average daily income levels in comparison to the poorest sections of society, but they do not work all days of the week. The main items of sex workers' expenditure in order of importance are food, clothing, cosmetics, entertainment, transport and house rent. Although sex workers report savings from their incomes, these are actually not very large, are sustained for only short durations and are quickly exhausted in times of need.

Nature of Sex Worker Activities

The main off-time activities of sex workers are physical rest and sleep, watching movies and adda (gossiping with peers). In spite of some advantages of working with dalals (pimps), the great majority of sex workers do not consider them necessary. The most frequently used places for sexual services are clients' premises, hotels or boarding houses, train wagons, roadsides, abandoned and isolated places and neighbourhood clubs. Sex workers consider police action and mastaan (musclemen/ hoodlums) interference as the main hindrances of sex worker activity. Sex workers are fairly well acquainted with experiences of jail or police custody. They accept it as an inevitable though unpleasant part of life. Sex workers describe their clients as both educated and uneducated; belonging to all classes, but especially the poor and the middle classes; of all ages, but mostly young and middle aged. The significant involvement of young people in the sex industry should be of concern to society.

Sex Workers' Health Issues

Almost all sex workers claim to have daily baths and use soap. However, the water used for drinking and bathing has a high level of contamination. The level of discharge of human excreta in open spaces also appears to be extremely dangerous. There is a significant lack of medical attention among sex workers. The incidence of STDs among sex workers is also dangerously high, with inadequate treatment. The adoption of birth control measures (including male condoms) among sex workers is not high enough and there is cause for social concern in this area.

Sex Workers' Awareness of Sex-related Social Problems

Frequency of condom use among clients is irregular. Most sex workers do not urge clients to use condoms, although more than 70% do prefer condom use. A little less than half of the sex workers are not aware of the role of condoms in preventing STDs. There is widespread lack of knowledge among sex workers about the existence of a device for the prevention of STD/AIDS. Many sex workers have no knowledge whatsoever that they are at risk of contracting STDs. Most sex workers have never even heard of AIDS. The extent of the awareness among sex workers being at risk of contracting HIV/AIDS is limited to only a tenth of the sex workers.

Perceptions of Sex Workers about Problems of the Sex Industry

Although a majority of sex workers claimed satisfaction with their present occupation, most would prefer to switch to other occupations, given the opportunity. Sex workers do not show any preference for their children to become sex workers. Many would like to have their children educated. The response to prospective rehabilitation initiatives is very positive. Sex workers resist initiatives which are high handed and do not take into account their own perceptions. A court ruling has proclaimed the eviction of brothel inmates "unlawful". Sex workers perceive poverty, fate, trickery, family dissatisfaction, their own mistakes, abuse and coercion as the main reasons for entry into the profession. The prevalence of tobacco, drugs and alcohol use is very high among sex workers. There is a linkage between the sex industry and substance use. Ganja is the drug of choice. Prevalence of drug abuse among the male members of sex worker groups is probably very high.

POLICY RECOMMENDATIONS

· The findings of this study call for a variety of actions targeting the sex worker population. The government has a role to play, especially in formulating the general framework of policy and in drawing up priorities. However, the actual implementation of policy and a gradual evolution of practical programmes based on real experience have to be executed by forums created from within the community. This is where voluntary welfare organisations, grassroots institutions, human rights organisations and NGOs can and should play a positive role.
· Positive social action is called for in the areas of medical attention to sex workers, especially in the diagnosis and treatment of STDs. Also, it would be useful to promote the use of female condoms both for the prevention of unwanted pregnancies and STD/HIV/AIDS. Such action might warrant the formulation of adequate public policies and their implementation through mass participation and NGO activities.
· There is an urgent need to raise awareness among sex workers about the role of condoms in preventing STD/AIDS. Sex workers need to be educated about the association of sex and STDs. AIDS awareness needs to be spread among sex workers. All this calls for awareness-raising components within social action programmes associated with sex workers.
· Sex workers' perceptions show that they would be receptive to social initiatives to provide education to their children. This is an area requiring motivated social action. Social initiatives to rehabilitate sex workers into mainstream society, that take into account their own sensitivities, preferences, inclinations and democratic participation in the decision-making process can be worthwhile.

To obtain the full text of this report please contact:

Centre for Policy Dialogue
Dialogue and Communication Division
House No 40/C, Road No 11, Dhanmondi R/A, Dhaka-1209 GPO Box 2129, Dhaka-1000, Bangladesh
Tel: (+880 2) 8124770,9141734,9141703; Fax: (+880 2) 8130951
E-mail: cpd@bdonline.com

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Pages: 44