Showing posts with label Human Trafficking. Show all posts
Showing posts with label Human Trafficking. Show all posts

Sunday, December 27, 2015

Combating Human Trafficking in the Sex Trade: Can Sex Workers Do It Better?

BACKGROUND:
The dominant anti-trafficking paradigm conflates trafficking and sex work, denying evidence that most sex workers choose their profession and justifying police actions that disrupt communities, drive sex workers underground and increase vulnerability.

METHODS:
We review an alternative response to combating human trafficking and child prostitution in the sex trade, the self-regulatory board (SRB) developed by Durbar Mahila Samanwaya Committee (DMSC, Sonagachi).

RESULTS:
DMSC-led interventions to remove minors and unwilling women from sex work account for over 80% of successful 'rescues' reported in West Bengal. From 2009 through 2011, 2195 women and girls were screened by SRBs: 170 (7.7%) minors and 45 (2.1%) unwilling adult women were assisted and followed up. The remaining 90.2% received counselling, health care and the option to join savings schemes and other community programmes designed to reduce sex worker vulnerability. Between 1992 and 2011 the proportion of minors in sex work in Sonagachi declined from 25 to 2%.

CONCLUSIONS:
With its universal surveillance of sex workers entering the profession, attention to rapid and confidential intervention and case management, and primary prevention of trafficking-including microcredit and educational programmes for children of sex workers-the SRB approach stands as a new model of success in anti-trafficking work.

Below:  Number of minors and unwilling adults identified by SRBs, 2001–11



Below:  SRB screening, 2009–11; minors, unwilling adults and willing adults



Below:  Proportion of minor girls and median age of sex workers in Sonagachi



Below:  A cycle of trafficking



Full article at:   http://goo.gl/2QjzrL

By:   Jana S1, Dey B1, Reza-Paul S2, Steen R1.
1Durbar Mahila Samanwaya Committee, Kolkata, West Bengal, India.
2Community Health Services, University of Manitoba, Manitoba, Canada.



Saturday, December 19, 2015

‘We are looked down upon and rejected socially’: A qualitative study on the experiences of trafficking survivors in Nepal

Background
The successful reintegration of sexual trafficking survivors into Nepalese society is challenging. This paper aims to explore the trafficking process, abuses faced during sexual slavery,and the challenges faced by women and girl survivors for successful reintegration.

Method
This exploratory study used qualitative methods to identify that poverty, illiteracy, lack of opportunities, and varied social stigma initiate the victimization process, and continuity of this vicious circle increases the risk for (re)entrapment.

Result
The reasons for sexual trafficking have also become the reasons for restricting survivors from opportunities for growth and mainstreaming.

Conclusion
Non-existent support systems, detachment from familial ties, being outcast by society, and an uncertain livelihood make reintegration difficult for survivors.

...Period of sexual slavery
The lives of the survivors during sexual slavery at the brothels speak of severe abuse. Arriving at a new place, without any acquaintances, and being subjected to continuous sexual slavery broke down the women. It was noted that the repeated physical violence and unwilling monotony of being just an object of sexual gratification caused the development of sudden suicidal tendencies in most of the trafficked survivors.

I landed in Hong Kong in the evening and was immediately taken to a hotel. After reaching the hotel, my passport was seized and then I was told that I had been sold for prostitution. At times, I used to hide in the warehouse filled with shoes and cover myself with the boxes. I felt that committing suicide was better than selling my body.

The survivors are cut off from the outside world and forced to live in conditions similar to a prison. The captors, on the other hand, use all kinds of methods to continue the enslavement of the trafficked; any documents of identification and money remaining to the survivors were immediately seized, and their movements were always monitored and restricted.

For three months, I didn't know that I had already been sold. There were almost seventy women from different countries in the building where I was kept. For three months, I kept nursing four to five children and learning the language. At the end of the three months, I was shifted to another room but in the same building. Since then, I had to offer sexual services to six to seven men during a day. After exactly a week, I thought of killing myself rather than living a life in hell. The living room of the house was ornamented with spears and swords; I managed to grab a spear and was determined to kill myself by plunging a spear in the electric circuit box. I remember waking up at the hospital with bandages below my waist. I stayed in the hospital for a month receiving treatments for my injuries and burns. After being discharged from the hospital, I was taken to the same house and kept under even stronger captivity on the twenty-fifth floor. I decided to escape using a rope made out of curtains, bedsheets, wire and quilt covers. I managed to reach the ground but my hands, knees, and legs were hurt badly and I was bleeding profusely. I walked into the Nepalese embassy, bleeding heavily with just a cloth wrapped around my body.

The survivors were subjected to severe inhumane practices. The consequence of continued physical abuse and repeated abortions also increase health risks. The survivors have to remain at the mercy of their captors if they develop any known symptoms of diseases, and spending money for health checkups does not fall in the priority list for these captors.

After reaching Lebanon, my passport was immediately seized and I started living as a prisoner in a big house. Later on, I realized that I was in a house where I had to sexually serve the owner and guests visiting the house. I found out that I had been sold for $1000. I felt like killing myself when I had to sleep with the drunken Arab men, but the constant thought of my child back home stopped me from committing suicide. I got pregnant twice and both times I was taken to a hospital for abortions. Later on, I was sent back to Nepal after two years with nothing but a developing child in my womb...

Full article at:   http://goo.gl/wqvaio

1Department of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden
2Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal
*Correspondence to: Pranab Dahal, Department of Health and Caring Sciences, Linnaeus University, SE-391 82 Kalmar, Sweden, Email:es.unl@lahad.banarp
Responsible Editor: Isabel Goicolea, Umeå University, Sweden.
 


Sunday, November 8, 2015

Conflicting Rights: How the Prohibition of Human Trafficking and Sexual Exploitation Infringes the Right to Health of Female Sex Workers in Phnom Penh, Cambodia

While repressive laws and policies in relation to sex work have the potential to undermine HIV prevention efforts, empirical research on their interface has been lacking. In 2008, Cambodia introduced antitrafficking legislation ostensibly designed to suppress human trafficking and sexual exploitation

Based on empirical research with female sex workers, this article examines the impact of the new law on vulnerability to HIV and other adversehealth outcomes. Following the introduction of the law, sex workers reported being displaced to streets and guesthouses, impacting their ability to negotiate safe sex and increasing exposure to violence. Disruption of peer networks and associated mobility also reduced access to outreach, condoms, and health care. 

Our results are consistent with a growing body of research which associates the violation of sex workers' human rightswith adverse public health outcomes. Despite the successes of the last decade, Cambodia's AIDS epidemic remains volatile and the current legal environment has the potential to undermine prevention efforts by promoting stigma and discrimination, impeding prevention uptake and coverage, and increasing infections. Legal and policy responses which seek to protect the rights of the sexually exploited should not infringe the right to healthof sex workers.

Full article at: http://goo.gl/QS0P3s

  • 1Professor, Program Head and NHMRC Senior Research Fellow at the Kirby Institute for Infection and Immunity in the Faculty of Medicine at UNSW Australia in Sydney, Australia.
  • 2Student in the Faculty of Law at the University of Sydney in Sydney, Australia.
  • 3Anthropologist at the Royal University of Fine Arts in Phnom PenhCambodia.
  • 4Senior Lecturer in the Centre for Values, Ethics and the Law in Medicine at the University of Sydney in Sydney, Australia.
  • 5Academic Coordinator in Global Health Sciences at the University of California San Francisco, USA. Kimberly Page is Professor and Chief of Epidemiology in the Division of Biostatistics and Preventive Medicine at the University of New Mexico Health Sciences and Center in Albuquerque, New Mexico, USA.
  • 6Professor and Chief of Epidemiology in the Division of Biostatistics and Preventive Medicine at the University of New Mexico Health Sciences and Center in Albuquerque, New Mexico, USA. 


Monday, September 28, 2015

The Sexual Exploitation of Girls in the United States: The Role of Female Pimps

The role of women in the sex trafficking of minors in the United States has received limited research attention. 

Case study analysis of 49 female pimps from federal, state, and local cases were analyzed to explore whether there were differences in the penalties given to females when compared with their male co-defendants, and cross-case analysis was conducted to identify themes that represent female pimp typologies. 

Both prison sentence and probation sentences were significantly lower for female co-defendants when compared with their male co-defendants. Five discrete typologies were developed including 

  • Bottom, 
  • Madam/Business Partner, 
  • Family, 
  • Girilla, and 
  • Handler. 

Each of these had unique features regarding violence toward their minor victims, co-defendants, actions during the sexual exploitation of the minor, and sentencing outcomes. Implications for practice and future research were recommended.


Via: http://ht.ly/SMr3W Purchase full article at: http://goo.gl/c1EiMJ

  • 1Arizona State University, Phoenix, AZ, USA
  • 2Phoenix Police Department, AZ, USA.
  • 3Arizona State University, Phoenix, AZ, USA.
  • 4University of Sussex, UK.

Tuesday, September 22, 2015

Exploitation, Violence, and Suicide Risk Among Child and Adolescent Survivors of Human Trafficking in the Greater Mekong Subregion

Human trafficking and exploitation of children have profound health consequences. To our knowledge, this study represents the largest survey on the health of child and adolescent survivors of human trafficking.

To describe experiences of abuse and exploitation, mental health outcomes, and suicidal behavior among children and adolescents in posttrafficking services. We also examine how exposures to violence, exploitation, and abuse affect the mental health and suicidal behavior of trafficked children.

A survey was conducted with 387 children and adolescents aged 10 to 17 years in posttrafficking services in Cambodia, Thailand, or Vietnam, which along with Laos, Myanmar, and Yunnan Province, China, compose the Greater Mekong Subregion. Participants were interviewed within 2 weeks of entering services from October 2011 through May 2013.

Depression, posttraumatic stress disorder, anxiety, suicidal ideation, self-injury, and suicide attempts.

Among the 387 children and adolescent study participants, most (82%) were female. 
  • 12% had tried to harm or kill themselves in the month before the interview. 
  • 56% screened positive for depression, 33% for an anxiety disorder, and 26% for posttraumatic stress disorder. 
  • Abuse at home was reported by 20%. 
  • Physical violence while trafficked was reported by 41% of boys and 19% of girls. 
  • 23% of girls and 1 boy reported sexual violence. 
  • Mental health symptoms were strongly associated with recent self-harm and suicide attempts. 
  • Severe physical violence was associated with depression, and suicidal ideation. 
  • Sexual violence while trafficked was associated with depression and suicidal ideation.

Children and adolescents in posttrafficking care showed high symptom levels of depression, anxiety, and posttraumatic stress disorder, which are strongly associated with self-harm or suicidal behaviors. Mental health screening and reintegration risk assessments are critical components of posttrafficking services, especially in planning for family reunification and other social integration options.


Via:  http://ht.ly/SxM77 Purchase full article at: http://goo.gl/420OmW

By: Kiss L1, Yun K2, Pocock N1, Zimmerman C3.

  • 1Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, England.
  • 2PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
  • 3Reader in Gender Violence and Health, Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, England.

Sunday, September 6, 2015

Human Trafficking & Health: A Cross-Sectional Survey of NHS Professionals’ Contact with Victims of Human Trafficking

Below: Opinions about identifying and responding to trafficked people (n=782) (NHS, National Health Service)


Below: Perceived knowledge of human trafficking (n=782)


Participants

782/892 (84.4%) NHS professionals participated, including from emergency medicine, maternity, mental health, paediatrics and other clinical disciplines.

Results

13% participants reported previous contact with a patient they knew or suspected of having been trafficked; among maternity services professionals this was 20.4%. However, 86.8% (n=679) reported lacking knowledge of what questions to ask to identify potential victims and 78.3% (n=613) reported that they had insufficient training to assist trafficked people. 71% (n=556), 67.5% (n=528) and 53.4% (n=418) lacked confidence in making appropriate referrals for men, women and children, respectively, who had been trafficked. 95.3% (n=746) of respondents were unaware of the scale of human trafficking in the UK, and 76.5% (n=598) were unaware that calling the police could put patients in more danger. Psychometric analysis showed that subscales measuring perceived knowledge, actual knowledge and confidence to respond to human trafficking demonstrated good internal consistency (Cronbach's αs 0.93, 0.63 and 0.64, respectively) and internal correlations.

Conclusions

NHS professionals working in secondary care are in contact with potential victims of human trafficking, but lack knowledge and confidence in how to respond appropriately. Training is needed, particularly for maternity staff, on how to identify and respond to victims’ needs, including through making safe referrals.

More at:  https://twitter.com/hiv_insight