Knowledge, attitudes, practices and behaviour of female sex workers in Port Moresby, Papua New Guinea

Bruce, Eunice; Bauai, Ludwina; Yeka, William; Sapuri, Mathias; Keogh, Louise; Kaldor, John; Fairley, Christopher K.

doi:10.1071/sh09089

Cited by 7 publications

(7 citation statements)

References 3 publications

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“…Throughout the literature included in this review, women were mostly studied in groups depending upon a role they held in society: women who sell or exchange goods for sex [12,30,50-55], young women [13,56] and women as mothers/carers [57,58]. These roles were often the criteria for inclusion in a study.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of women who sell sex or exchange sex for goods know HIV transmission occurs through sexual intercourse [50,58,66,67], although some young people lack adequate knowledge of HIV, including not knowing HIV is an STI that can occur within marriage or a stable relationship [13,56]. HIV is associated with sex and referred to as sik blong koap (which translates as ‘sexually transmitted infection’) [56].…”

Section: Resultsmentioning

confidence: 99%

“…Women seen as responsible for the spread of HIV in the literature are mostly women who sell sex based in the Highlands and PNG’s capital, Port Moresby [30,50,53,61]. Women who sell sex are known as pamuk meri or pasin pamuk (prostitute) or tukina meri (literally a woman who sells sex for 2 Kina, the currency of PNG) [54].…”

Section: Resultsmentioning

confidence: 99%

“…This retribution can take the form of social, cultural or spiritual isolation and, on occasions, physical punishment. [30,50,53,62]. Women living with HIV are also often accused of being a pasin pamuk or pamuk meri [55].…”

Section: Resultsmentioning

confidence: 99%

“…These include: encouraging young people to adhere to kastom and church requirements [13,34]; patrolling the community and figuratively “building a wall” around an area [62,63]; and, increasing HIV education opportunities and access to condoms [30,50,53]. Seeley and Butcher discuss an example of increased economic and social agency of women and how this may reduce risk of HIV acquisition, because of women’s enhanced bargaining position within the household.…”

Section: Resultsmentioning

confidence: 99%

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Women and HIV in a moderate prevalence setting: an integrative review

et al. 2013

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BackgroundAlmost 32,000 people are living with human immunodeficiency virus (HIV) in Papua New Guinea (PNG). The primary route of transmission in this moderate prevalence setting is through heterosexual sex. Thus a gendered understanding of HIV is required to inform HIV prevention, treatment and care options. The aim of this review is to investigate understandings specifically about women and HIV in PNG and to identify gaps in the literature to inform future HIV research.MethodsAn integrative review of literature about women, HIV and PNG was conducted using a systematic search of online databases, including book chapters and grey literature. Prior to inclusion, literature was assessed using inclusion and exclusion criteria, and the Critical Appraisal Skills Programme (CASP) appraisal tool. Selected articles, book chapters and reports were coded and a constant comparative method of analysis used to construct a series of themes.ResultsThe 26 articles, book chapters and reports included in the review were predominantly descriptive, original research (23/26 pieces of literature). Six themes were identified in the literature: economic, social and cultural factors (including mobility); gender issues (including violence against women); knowledge about HIV (including perception of risk of HIV); religious beliefs about HIV; women perceived as responsible for HIV transmission; and prevention of HIV. Literature about women and HIV in PNG is predominantly focussed upon women who sell sex, women as mothers or young women. Women are usually represented as either victims of HIV or responsible for transmitting HIV. Anthropological and social research has described the economic, social and cultural context along with the lived experience of HIV in PNG, but there is limited operations research or implementation research available.ConclusionsThe literature reviewed has highlighted the importance of a gendered analysis of HIV prevention, care and treatment in PNG. There is an opportunity for operations, implementation and health systems research about HIV in PNG to shift research from description to action.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Women and HIV in a moderate prevalence setting: an integrative review

et al. 2013

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Anal Sex, Vaginal Sex and HIV Risk Among Female Sex Workers in Papua New Guinea

et al. 2013

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Female sex workers (FSW) are considered one of the key affected populations in Papua New Guinea at risk of acquiring HIV. An integrated bio-behavioral survey of sex workers in Port Moresby was conducted to determine the nature and extent of this risk. About half (51.1 %) of the 411 FSW who reported having any sexual intercourse with clients had engaged in both anal and vaginal intercourse with clients in the last 6 months. In spite of having poorer HIV knowledge (OR95 % CI = 0.14-0.34), FSW who had anal intercourse with clients were significantly more likely to have used a condom at the last vaginal intercourse with a client (OR95 % CI = 1.04-2.87). Similarly, FSW who had anal intercourse with regular and casual partners were significantly more likely to have used a condom at the last vaginal intercourse. Those who engaged in both anal and vaginal intercourse with clients had similar condom use for both vaginal and anal intercourse, with the majority (78.1 %) using a condom at the last occasion for both vaginal and anal intercourse. These FSW may have different risk and protective factors that affect their use of condom during sexual intercourse. Further research is needed to investigate this difference between those who practice anal intercourse and those who do not in order to provide evidence for better programming.

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