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Authors:
Dr. Smarajit Jana, Dr. Protim Ray, Dr. Soma Roy, Ms. Mousumi Chowdhury, Mr. Subharanjan Sinha, Miss Samaita Jana, India
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Abstract:
A feasibility study on oral Pr EP was undertaken in So nag chi, a red-light district in Kolkata, to assess acceptability, accessibility and deliverability among the female sex workers as well as to find out the underlying factors that might play a critical role in influencing decisions of sex workers in accessing Pr EP, including adherence to medicine. The study includes both quantitative and qualitative tools and methodologies. 95% of sex workers who showed interest in taking Pr EP and expressed willingness to take part in the forthcoming Pr EP demonstration project. Majority of them shared that they will continue to enforce condom use by their clients while taking Pr EP. Participants coined Pr EP as means for 'double protection'. Respondents shared that sometimes they had to travel outside of their brothels to entertain clients, and in those unknown cruising sites, it become more difficult to enforce condom use. In many such difficult circumstances use of Pr EP could provide a sense of assurance and protection. The use of Pr EP, they believe, would alleviate their fear and anxieties in getting HIV infection. One of the participants shared that Pr EP would empower them and provide a sense of freedom. Most of the sex workers who participated in the study shared that being in this sex profession, they always live in fear and apprehension in getting HIV infection. Pr EP would reduce this anxiety and provide peace in minds. Anything that reduces the chances of transmission of HIV in sex work settings is always welcome by them. They expressed their willingness to take the medicine along with the consistent use of condoms.
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