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Promoting condom-only brothels through solidarity and support for brothel managers.

Abstract：

:Brothel workers in Thailand are at high risk of HIV infection but they alone do not have adequate bargaining power to insist on condom use with all clients. Brothel managers, on the other hand, are a source of influence over both clients and their workers and can promote universal condom use in their establishments. To test whether brothel managers in Khon Kaen City would adopt and successfully implement a condom-only policy in their establishments, all 24 brothel managers in Khon Kaen City attended a meeting on the dangers of HIV and benefits of an all-condom policy. Ideas on how to implement the policy were discussed. Follow-up visits were made once a month to brothels to resupply condoms, provide reinforcement and to collect data. All brothel managers approved of the condom-only in principle and are now implementing the policy. Results of the evaluation of condom use and degree of solidarity in these 24 brothels are available for the AIDS prevention programme. However, a condom-only policy in brothels can only succeed if managers and brothel workers show solidarity in rejecting all non-condom using clients. Laws to promote condom use may not be needed if brothels are given the opportunity to implement a condom-only policy using their own resourcefulness and determination. :Although brothel workers in Thailand are at high risk of HIV infection, they do not have adequate bargaining power to insist upon condom use with all clients. Brothel managers, however, are in a position to influence the behavior of both their workers and clients. These managers can do much to promote universal condom use in their establishments. All 24 brothel managers in Khon Kaen City attended a meeting on the dangers of HIV and the benefits of implementing and maintaining a policy of universal and consistent condom use in their establishments. Ideas on how to implement the policy were discussed. Follow-up visits were then made once per month to brothels to resupply condoms, provide reinforcement, and to collect data. All of the managers approved of the condom-only principle and are now implementing the policy. This condom-only policy in brothels can succeed only if managers and brothel workers show solidarity in rejecting all non-condom using clients. Laws to promote condom use may not be needed if brothels are given the opportunity to implement such policy on their own.

journal_name

Int J STD AIDS

journal_title

International journal of STD & AIDS

authors

Sakondhavat C,Werawatanakul Y,Bennett A,Kuchaisit C,Suntharapa S

doi

10.1258/0956462971918751

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

40-3

issue

eissn

0956-4624

issn

1758-1052

journal_volume

pub_type

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Promoting condom-only brothels through solidarity and support for brothel managers.