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A theory-based intervention Our 4-h pilot single-session intervention adapted a Community Life Competence Process CLCP type approach to community mobilization, with theoretical groundings in Empowerment Theory Beeker et al. The participants were assigned a number to match their pre-test surveys with their post-test surveys for purposes of analysis. This study describes the results of a pilot intervention in terms of its impact on knowledge and on feasibility of implementation. Many in the sex trade solely support family. Those who engaged in commercial sex in the past 6 months were invited. The intervention aligns with global priorities to integrate violence prevention into other health platforms World Health Organization, the United Nations Office on Drug and Crime, and the United Nations Development Programme
The CLCP builds on the strengths of a community by bringing them together in a visioning workshop that enables them to voice their deep concerns and hopes for the future to arrive at sustainable solutions The Constellation Methods A single-armed design was used to evaluate a one-session 4-h intervention, using pre- and post-test survey assessments administered on the same day as the intervention. This study finds that the community empowerment process is particularly effective with sex workers, and integrates well with human rights education. Recruitment Participants were recruited August—November from Cubao in Quezon City, a large suburb of Metro Manila, known for its high volume of male and female street sex workers and entertainment venues. These collaborative-informed interventions were based on formative epidemiological and qualitative research. Ten male sex workers inadvertently left at the conclusion of the intervention before answering the self-administered post-test surveys and, therefore, were not included their baseline characteristics did not differ significantly. All, however, answered the baseline surveys their characteristics were compared. The publisher's final edited version of this article is available at Int J Public Health Abstract Objectives This study evaluated a brief human rights-focused HIV community mobilization intervention for sex workers in the Philippines, a country with one of the fastest rising number of HIV cases worldwide. A theory-based intervention Our 4-h pilot single-session intervention adapted a Community Life Competence Process CLCP type approach to community mobilization, with theoretical groundings in Empowerment Theory Beeker et al. Facilitators described each act and facilitated a discussion about their implications for the participants or for women they knew e. The Act guarantees in a country where abortion is illegal universal access to non-abortifacient reproductive health care RA , including sex education in the schools, access to condoms, and aims to raise public awareness on how to protect against sexual abuse and violence Official Gazette ; Urada For male sex workers, e. Empowerment theory posits that community mobilization requires investment in community development Beeker et al. The participants were assigned a number to match their pre-test surveys with their post-test surveys for purposes of analysis. Studies have documented human rights violations faced by sex workers worldwide, especially among substance users, including unlawful arrest and detention, physical and sexual violence including homicide , forced HIV testing, and discrimination when accessing health services El-Bassel and Strathdee ; Shannon et al. Abused FSWs in Bangladesh had more mental and substance use disorders if they were in sex work to support their family or to pay off personal debts Hengartner et al. Detailed descriptions of STI types with photos e. Each participant gave informed consent and received an equivalent of U. Intervention design The intervention included the following: The first qualitative ethics research study Urada and Simmons a , b was conducted in Manila with venue-based sex workers and venue-based managers, following an epidemiological study Urada et al. The investigator also observed group participants during the interventions and analyzed open-ended survey question responses and intervention transcripts. However, male sex workers, MSM, and Transgender females, e. This study adapts principles used in the CLCP and adds to a growing body of the literature that seeks to position human rights as a central component of HIV prevention and treatment interventions for sex workers. Those who engaged in commercial sex in the past 6 months were invited. The research team, including PAMACQ team members, guided participants in self-administering the pre-and post-tests by reading them aloud or assisting them individually.
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