Exploration of HIV/AIDS Risk Factors among FSWs in Hotspot Areas of Nepal

Abstract

Risk reduction of high risk group like FSWs (female sex workers) as bride population of HIV transmission from high risk group to low risk population still has been seen problematic in Nepal. This research paper explores the key socio-economic and cultural issues of HIV/AIDS risk factors among FSWs in hotspot areas of Nepal. A qualitative data were collected from the districts (hotspot areas) of Chitawan, Nawalparasi and Rupendehi. Altogether seven FSWs were recruited to interview and successfully completed the interviews. Narratives emerged from the FSWs to their HIV/AIDS issues in different contexts. Despite the decreasing trend of HIV/AIDS among FSWs in hotspot areas, the high risk behaviors of HIV/AIDS, poor negotiation or financial influence on sexual behaviour, alcohol drinking and unwanted sexual acts that put FSWs most at risk. The major reasons behind high risk behaviors are political, economic, legal, access to services and socio-cultural dimensions. The study indicates that it is necessary to develop and implement the HIV/AIDS initiatives among FSWs to address the risk factors HIV prevention from the cultural perspectives.