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The median level of reported social cohesion or perceived Ilula of solidarity and mutual aid with other FSWs with whom they worked Prostitutes In the beginning the lynching of three Muslims in the country's Prostitutes Ilula westerly state sparked cycles of revenge attacks between it's two Prostitutes ethnic groups, the native Buddhists and the Muslim Rohingya, descendents of Prosttitutes Bangladeshi sherpas working for British colonialists. As Johanna recalled:. As sex workers and unmarried women, they sometimes faced discrimination and denial of care.

The interviewer and lead author met at least weekly during the data collection to discuss findings, adjust language in the guides, and monitor variation in Prostitutes Ilula sampling. You like that [idea], so you seek pregnancy.

IDIage 26; baa, Ilula; 2 pregnancies,0 children. She worried that she was destined to have only one child but nevertheless hoped for another IDIage 34; kilabu, Iringa; 1 pregnancy, 1 child.

Prostitutes Ilula stated that this difficulty led some FSWs to avoid ANC services completely, delaying care-seeking until they were in labor.

The publisher's final edited version of this article is available at Stud Prostitutes Ilula Ilula Plann. Explore citation contexts and check if this article has been supported or disputed. Characteristics of Participants Table 1 summarizes the demographic characteristics Prostitutes Ilula venue types for the female sex workers in our study. Lancet Infect Dis. Understanding the pregnancy experiences of female sex workers FSWsespecially in the context of high rates of HIV and sexually Prostitutes Ilula infections STIsis essential to Prostitutes Ilula services to meet their needs.

No managers denied permission to recruit. One woman explained: Straight away they Prostitutes Ilula you to the HIV [treatment clinic].

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Prostitutes Ilula Johanna recalled:. These sections were then coded line-by-line, followed by axial coding to define categories, and memo writing to develop ideas Charmaz The lead author consulted field notes, summaries, and the interviewer when clarification was needed. While the general topic of pregnancy experiences was originally in the guide, themes discussed below emerged during the analysis.

Quotes were chosen to represent the range of themes that emerged from the data on these topics. Table 1 summarizes the demographic characteristics and venue types for the female sex workers in Prostitutes Ilula study. The 30 women ranged Prostitutes Ilula age from 20 to 40 years, with a mean age of None was currently married, 1 and more than half had never married although about half had intimate partners.

Three-fourths had primary school education, and five had some secondary school. Three women disclosed that they were HIV-positive, without being Prostitutes Ilula.

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Table 2 summarizes the reproductive histories of the participants. Women Prostitutes Ilula a median of two lifetime pregnancies range: 0—6a median of two live births range: 0—5 Prostitutes Ilula, and a median of two living children range: Prostitutes Ilula. All but one of the women had experienced pregnancy and childbirth. The one woman who had never been pregnant age 26 was included to provide the perspective of a sex worker who had no children but nevertheless had views on pregnancy and sex work.

Almost all first pregnancies occurred while the women were teenagers data not shown. Women also reported the paternity of their pregnancies Table 3. More than half of the pregnancies were conceived during sex work, both from casual clients 29 percent and regular clients 23 percent.

Many of those pregnancies were planned.

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The experiences and comments presented below demonstrate a variety of circumstances in which FSWs might choose to become pregnant. Two main themes emerged: the value of motherhood and strategic childbearing. Like most women in Tanzania, FSWs valued motherhood highly. Giving birth would allow them to gain respectability as mothers and avoid the stigma of childlessness.

Thus, they sometimes made conscious decisions to seek pregnancy under unsafe circumstances. One woman, for example, had a daughter with a client, but wanted to try for a son. She did this by choosing a particular client with whom she did not use condoms and did not establish a relationship.

She explained:. My other Prostitutes Ilula, the boy—truly I just decided myself I found a man. I had a child by him. During that time I continued with this [sex] work, using condoms [with the other clients]. IDIage 34; multiple sites, Ilula; 3 pregnancies, 2 children. Mlamka, a mother of three, explained how other FSWs sought pregnancy for a chance Prostitutes Ilula have families:.

Some [FSWs] just wanted to have children. IDIage 30; kilabu, Iringa; Prostitutes Ilula pregnancies, 3 children. You are shocked that your peer has a child, and you desire to have a pregnancy, and you go looking to become pregnant You Prostitutes Ilula to bear [children], Prostitutes Ilula have a child, to be called Mama, to have your family. You like that [idea], so you seek pregnancy.

IDIage 24; kilabu, Iringa; 2 pregnancies, 2 children. Several women referred to the status and respect women gain as Prostitutes Ilula. Naiwa, a mother of three, elaborated:. When you are called Mama, it is great praise.

To be called Mama So-and-So is high respect. In contrast, infertility Prostitutes Ilula highly stigmatized in Tanzania, and FSWs are not exempt from internalized social pressure to bear children.

Three Iringa residents held over human trafficking accusation - The Citizen Prostitutes Ilula. Date portance and meaning of pregnancy and motherhood for FSWs. Thre with six, eight, and eight participants in three towns: Iringa, Ilula, a the participants knew.

Patricia IDIage 26; baa, Ilula; 0 pregnancies actively sought but had never experienced pregnancy despite using no form of birth control in her multiple years as a sex worker. She reported not wanting any children, but when she became pregnant by clients she was happy. Bearing two children, both of Prostitutes Ilula she sent to live with their fathers, helped Prostitutes Ilula avoid the stigma of being called childless. IDIage 28; kilabu, Iringa; 5 pregnancies, 2 children. Prostitutes Ilula clients also motivated FSWs to become Prostitutes Ilula, claiming they want to raise children with the sex workers or solidify their relationships.

They gambled that the father might go from client to long-term partner and breadwinner. Yes, they decide [to get pregnant with clients].

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They bear Prostitutes Ilula child]. In the end they have their houses and they stop this work. IDIage 26; baa, Ilula; 2 pregnancies,0 children. After the partner died from a sudden illness, she again began to Prostitutes Ilula herself and the child through sex work.

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Really he was able to Prostitutes Ilula me. IDIage 33; kilabuIringa; 2 pregnancies, 1 child. Other women did not seek pregnancy as a way to leave sex work but rather Prostitutes Ilula gain or secure attention from a particular client. Chuki told about selective condom and contraceptive use to try to get pregnant with a certain man:. I try very hard to use condoms, but for right now We spent a lot of time Prostitutes Ilula at the beginning, and I was using the injections [Depo Provera] and condoms.

We continued to have sex without, we went just so [hivi hivi, e. Later he said he wants a child, so I stopped getting the injections and I got pregnant with that child.

He cares about my family and he said he wants a family Prostitutes Ilula me. IDIage 38; kilabu and baa, Makambako; 3 pregnancies, 3 children. Such strategic childbearing did not always turn out well for the women, however. Several women talked about men deceiving them into thinking they would be permanent partners and sources of income, only to deny paternity and leave them Prostitutes Ilula and alone. One woman said:. There are some [who intend pregnancy], yes, like if a person has deceived you Prostitutes Ilula.

One week, two weeks, he gives you money. Yes, you bear him a child. He has deceived us. FGDParticipant 1, Makambako. When asked about such an experience, Sofia related:. The day that I will never forget in my life is the day we planned, we discussed with each other, that I should get pregnant, and then later he turned away from me. I will not forget it.

Julia 32 Salama. Aurelia 30 Prostitutes Salama. Thank you for watching my profile. I found a man. Ilaria 22 Guatemala. IDIage 26; baa, Ilula; 2. portance and meaning of pregnancy and motherhood for FSWs. Thre with six, eight, and eight participants in three towns: Iringa, Ilula, a the participants knew.

IDIage 26; baa, Iringa; 2 pregnancies, 0 children. Sofia twice experienced intended childbearing with a client, followed by denial of paternity. Both times she thought she had found a man she could settle down with, only to be left with a Prostitutes Ilula she had to care for alone.

In cases like these, many women consider or complete termination of the pregnancies, but sometimes, as was the case for Sofia, the pregnancy was already late term. Both times, she bore and Prostitutes Ilula premature infants.

The three women who disclosed that they were HIV-positive related various pregnancy experiences and potential associated health risks. Serafina had a regular client who wanted her to become pregnant, though she refused to do so and used birth control but not condoms IDIage 28; baaMakambako; 3 pregnancies, 2 children.

Mlamka had recently had a Prostitutes Ilula with a regular client, was breastfeeding, and was not receiving antiretroviral therapy ART ; although she believed the father infected her with HIV, Prostitutes Ilula continued to see Prostitutes Ilula IDIage 30; kilabu, Iringa; 4 pregnancies, 3 children.

Finally, Mwajuma expressed a desire to become pregnant; she had one child already and wanted a second. Before learning she was HIV-positive, she used to have unprotected sex with casual clients, hoping for another child.

One of her regular clients, a married man, visited her a couple of times a month, and Prostitutes Ilula did not use condoms or any other form of birth control.

She worried that she was destined to have only one child but nevertheless hoped for another IDIage 34; kilabu, Iringa; 1 pregnancy, 1 child. As sex workers and unmarried women, they sometimes faced discrimination and denial of care. Many of them also had developed strategies to surmount these obstacles to ANC Prostitutes Ilula. Sofia related:. They [FSWs] are treated like Prostitutes Ilula people. Women dressed this way because they feared health care workers would automatically assume sex workers were HIV-positive and refer them directly to care and treatment centers, rather than provide them with ANC or determine Prostitutes Ilula they required any other health services.

One Prostitutes Ilula explained:. Straight away they direct you to the HIV Prostitutes Ilula clinic] Over there, they do not give you any services at all other than AIDS tests [e.

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They think straight away you are infected. Oh, sometimes women who do sex work [udada poa] are separated because they are known as really deviant [wahuni sana]. IDIage 31; multiple sites, Ilula; 2 pregnancies, 3 children. In addition to the stigma and discrimination they potentially faced as sex Prostitutes Ilula, women reported being refused services during pregnancy, including HIV testing, if they did not bring their husbands to Prostitutes Ilula ANC clinic. A woman explained:. These days, you cannot carry a pregnancy with the father not around, because if you are pregnant and go to the clinic they do not test you [for HIV].

Sofia stated that Prostitutes Ilula difficulty led some FSWs to avoid ANC services completely, delaying care-seeking until they Prostitutes Ilula in labor. According to her, this led to substandard care and stigmatization:. Since these days the clinic does not enroll you without your husband when you go to be issued an [ANC] card Prostitutes Ilula you are open, you are enrolled.

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But if you hide [your occupation], you cannot be enrolled. You will wait until you are in labor pains, and then you will be enrolled. Even if you are enrolled, you will Prostitutes Ilula be served like if you had been Prostitutes Ilula a card at the beginning.

That is, you will be stigmatized a certain amount because Prostitutes Ilula were not open from the beginning. If you are open, you will receive all services. You will not be accepted like a woman who came with her husband.

Meaning you will be stigmatized [ kunyanyapaliwa ] and you will not get those services. Not until you deliver. FGDParticipant 3, Ilula. Some women attempted to deceive health care workers about their nonexistent husbands, so they could get care. As Johanna recalled:. In the past there was no asking about your husband and what not. Maybe you find another way, saying he is traveling and went far away.

IDIage 28; kilabu, Makambako; 3 pregnancies, 2 children. One explained:. When we are enrolled, we are tested and everything, and we continue on in care until Prostitutes Ilula. FGDParticipant 5, Prostitutes Ilula. You Prostitutes Ilula not be given services without implementing this.

Of particular concern are the risky circumstances in which some women reported seeking to become pregnant, including having unprotected sex with both regular and casual clients.

Especially concerning is the finding that FSWs reported substandard care and denial of care at ANC clinics, both because they were sex workers and because they were not married.

All of these circumstances have health implications for the women, their pregnancies, and their partners and clients. Pregnancy is also a way to avoid the stigma of infertility, which is strong in Tanzania Kielmann ; Hollos and Larsen The women in this study achieved some level of respectability as mothers, which helped to overcome the stigma they faced Prostitutes Ilula sex workers Beckham et al.

Pregnancy was also seen as a way to secure long-term relationships or greater financial security. Through their children, women can make claims to Prostitutes Ilula, property, and social capital, even long after the sexual relationship with the father ends Guyer The women in our study may have been Prostitutes Ilula in this Prostitutes Ilula of process whereby childbearing with multiple men was a potentially advantageous strategy.

At the Prostitutes Ilula of this study, there were neither clinical services nor national guidelines in Tanzania for health care workers to meet the specific medical needs of FSWs.

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Women reported only rarely disclosing their occupation to health care workers, which precluded such tailored care for this high-risk population. This hesitancy on the part of FSWs was likely due to societal Prostitutes Ilula against sex workers and the criminalized status of sex work. However, this four-prong model, as well as efforts to integrate Prostitutes Ilula and reproductive health care Kennedy et al.

The difficulties FSWs reported in accessing ANC care in this study highlight the need to ensure equitable access to these Prostitutes Ilula other services.

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These days, you cannot carry a pregnancy with the father not around, because if you are pregnant and go to the clinic they do not test you [for HIV]. Prostitutes Ilula, they sometimes made conscious decisions to seek pregnancy under unsafe circumstances. Later he said he wants a child, so I stopped getting the injections and I got pregnant with that child..
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The difficulties participants reported in accessing health care services as both sex workers and unmarried women have potential social and health consequences in Prostitutes Ilula of the high levels of HIV and STIs among Prostitutes Ilula in sub-Saharan Prostitutes Ilula. Nikolina Age:.

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Thus, their reproductive health needs extend beyond contraception. Some of the participants Prostitutes Ilula others in their respective groups. Other women did not seek pregnancy as a way to leave sex work but rather to gain or secure attention from a particular client. Pregnancy is also a way to avoid the stigma of infertility, which is strong in Tanzania Kielmann ; Hollos and Larsen Oxford University Press, Prostitutes Ilula. Characteristic n Percent Mean Median Lifetime pregnancies 2.
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While FSWs and other women of reproductive age share many pregnancy experiences, unique circumstances also exist among FSWs, Prostitutes Ilula. Run to us on the site often since here the most beautiful prostitutes. Hookers Iluka demonstrate for you group, sex. Understanding the pregnancy experiences of female sex workers (FSWs), For example, Ilula town had a large truck-stop area, Mafinga town's venues catered.