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Open in a separate window We conducted a total of six introductory group sessions one in each of the six fishing communities. Each session consisted of 8—15 key informants who had lived in the fishing communities for at least 1 year and were expected to have adequate local knowledge.

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This shows how movement can cause HIV infection. For instance, women fish traders make circular movements between fishing beaches, markets and their rural homes sometimes over long periods [ 13 ]. Jaboya in Luo tribe dialect fisying customer, however, due to the transactional involvement of fishermen with women fish traders, the locals coined the term Jaboya system to refer to sex for fish phenomenon.

In return the young girl sleeps with the fisherman that offers the best deal. Women at these fishing communities are involved in livelihood activities that require them to have circular movements over long and short distances and periods.

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They have alluded to having children to feed and having to pay rent and school fees as drivers fisihng exchange of sex for fish. As the s of vishing women increased, local communities begun associating negative behaviours that were happening with migrant populations, especially widowed or divorced women as illustrated in the quote below: It is rare to find girls born in this community in such groups [sex work], the majority of women involved in this business are migrants from other areas.

This is because they are usually not well-known at their destinations and therefore ladids can hold them socially able. Consequently, adopting and scaling up interventions resulting from such trials in communities with high HIV incidence ificantly contributes towards reducing new infections as we approach elimination of HIV by For instance, Pearson and colleagues observe that women who arrive in fishing communities with ready capital to establish their own businesses are able to avoid lower paid and riskier work like fishing processing that expose them to temptations of establishing sexual relationships with fishermen [ 28 ].

Men who move out from xxx for fishing have sex with women because their wives are not there with them. Additionally, we thank the officials of all Beach Management Units that we worked with for their support.

In addition to the reasons for mobility outlined above, seasonal weather changes like the strong winds that normally blow from late July to October, lades rains that cause flooding as well as the changing fish migration patterns, reportedly influenced the nature of mobility. Supplementary information Additional file 1.

Two, this being fishinng cross-sectional formative qualitative study, application of its findings is limited to local fishing communities where data was collected; additionally, no causation can be inferred between variables. However, they also travelled for other reasons such as ing their families, seeking medical care, avoiding arrest if involved in illegal activitiesand for leisure or separation due to domestic violence.

We would also like to acknowledge the fiehing work by research staff in Kenya, Tanzania and Uganda.

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They were free to move from one fishiing to another based on fish catch and flow of money. As illustrated in the quote below, this has potential to spread infections to families back at home.

This group travelled between fishing communities and surrounding towns and rural areas at least once a month, sometimes staying out of the community for up to 7 days per trip. Sometimes it can take up to 3 months before we return to this fishing community TZ, IDI female bar attendant. You will find that even when there is no fish, the jaboya will make sure that these specific women get fish and, in the process, HIV spre KE, IDI woman aged This simple advancement allowed women to be free from sexual exploitation in order to secure their fish supply.

When the fishermen see them, they get attracted and begin to relate with them especially the jaboya fish for sex.

This population growth also increased the demand for services such as lqdies houses, bars and food kiosks, boat building and repairs as well as shops selling different merchandise. Analysis was guided by the topics we used to develop the discussion and interview guides. The shows typically draw large crowds on the beach, and end with a discussion, as well as condom distribution to the fishermen. KE, FGD younger men. Movements arising from the natural phenomena were mostly long-term as people moved away from the community for several months until the season changed or the danger fisying.

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Short distance mobility was common among women engaged in medium scale fish business and those involved in non-fish related business such as charcoal and firewood buying and selling. Indeed, studies have shown that those who end up moving often experience profound change of livelihoods and improve their socio-economic situation at their destinations [ 27 ].

Each session consisted of 8—15 key informants who had lived in the fishing communities for at least 1 year and were expected to have adequate local knowledge. Providing interventions that target these women requires sound understanding of their mobility patterns so that researchers that enrol them in clinical trials and even healthcare providers are clear on when, how and where to access the women for the follow up visits or their clinic appointments.

High demand for fish in urban establishments triggered mobility, especially among women. Additionally, women who had separated from their spouses or were widowed migrated to access work or business opportunities at fish-landing sites that required relatively small capital fixhing begin. These camps are fishingg by women over the age of 35 years, who in turn recruit younger women, usually kadies between 18 and 25 years to help them with cooking and other activities.

They do not do this job for a pay but stage here as a waiting place for potential sexual clients. This was especially so for those who travelled over long distance and spent ificant amount of time from home.

They move for leisure, in search of work, to get married, fishing and trading in fish. It does not matter where this money is, it may be in a fishing community, an island or a mining area. In some cases, these women were the main employers of young ladeis arriving in the fishing communities. In many cases the young girls do have sex with multiple partners and are exposed to STD's fishjng potentially HIV infections.

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Indeed, HIV care programs are experiencing challenges with patient retention [ 39 — 42 ]. Many people do not have capital to begin trading fish. Group discussion participants were identified in two ways: 1 selected by community local leaders and, 2 referrals from introductory group session participants of people who were knowledgeable on the subject of discussion.

Poverty[ edit ] In Kenya where sex for fish has been well documented, poverty among the fishing communities has been constantly listed as factors contributing to the practice of sex for fish. All these activities are done either for income or consumption To ensure that the resultant coding reports from the four teams were harmonized, we held audio meetings to refine the coding framework and approve a codebook that was used across the teams.

Sex for fish

The 50 participants recruited included: beach management unit officials, village health teams and elders and women. The type of work or business the women were involved in determined the timing.

Mobility takes women outside their social network and healthcare access boundaries which makes them susceptible to engaging in high risk sexual behaviour and disengaging from care for those enrolled in HIV care.