Direct Sex Work: Direct Female Commercial Sex Workers

1. Direct female commercial sex workers (CSWs) refer to sex work can be classified as “direct” (open, formal).They described ‘direct’ sex work as sexual services in which the primary purpose of the interaction is to exchange sex for a fee; women involved in direct sex work typically rely on this as their primary source of income. Working in a brothel is the most common and well known example of involvement in direct sex work.

Sex worker are considered a high risk group for transmitting HIV and other sexually transmitted infections (STIs). Women who sell sex work in a variety of environments. They solicit sex from different venues (e.g., brothels, bars, streets) or through different mediums (e.g., pimps, classified ads, telephone-serviced)

Indirect female commercial sex workers (CSWs) refer to indirect

Sex Workers differ from Direct Sex Workers in the sense that sex work is a supplementary income generating activity. Indirect Sex Workers work mainly in the entertainment/hospitality industry- in cafes, karaoke bars, clubs, and massage parlors carrying out sex work sporadically and under different conditions to direct sex work.

As these women are not self-identified, they are reluctant to concede that they may support themselves through sex work, outreach work is sometimes difficult with our outreach workers adapting and innovating HIV/STI prevention communication techniques to suit their information needs.

Indirect FSW is women for whom sex work is not the first source of income. They may work as waitresses, hairdressers, tailors, massage girls, street vendors, or beer promotion girls and supplement their income by selling sex on a regular basis or occasionally. They do not consider themselves as sex workers and often work outside of known venues for sex work. Therefore they are even more difficult to reach than women known as direct sex workers. As a consequence, the absolute size of the FSW population remains largely

Female commercial sex workers have the highest risk for infection. Sentinel HIV-1surveillance shows that HIV-1 prevalence is higher among direct commercial sex workers (those working in establishments that provide sexual services only, predominantly brothels) as compared with indirect sex workers (those working in establishments that provide a variety of services-including sexual contact if desired-such as bars, clubs, and massage parlors).

Male clients at sexually transmitted infections (STIs) clinics. Sexually transmitted infections (STIs), also known as Sexually Transmitted Diseases (STDs), are caused by bacteria, viruses or parasites that are transmitted through unprotected sex (vaginal, anal, or oral) and skin to skin genital contact. Zika Virus can also be sexually transmitted.

Bacterial infections include bacterial vaginosis, chlamydia, gonorrhea, Lyphogranuloma venerum (LGV) and syphilis. Viruses cause genital herpes, Hepatitis B, Human Papillomavirus (HPV) and Human Immunodeficiency Virus (HIV). Parasites are responsible for trichomoniasis and pubic lice.

STIs occur worldwide, but some infections like chancroid, LGV, and Granuloma inguinale are more common in less industrialized