In sub-Saharan Africa, young women ages 15–24 have more than twice the risk of acquiring HIV as their male counterparts. A growing body of epidemiological evidence suggests that the practice of “transactional sex” (TS) may contribute to this disparity.
Over the last 15 years, the social sciences have contributed significantly to understanding the meaning of and motivations for this practice. The findings from these studies are rich, but varied, rendering lessons difficult to navigate for intervention and further research. This paper contributes a historically-grounded, comprehensive literature review on the nature and motivations for women's participation in TS in sub-Saharan Africa.
Drawn from over 300 studies (through 2014) the literature review:
Main paradigms
Implications for defining TS
Any one paradigm taken alone provides an incomplete view of the practice, which is particularly important to highlight given the dominance of the vulnerable victim perspective among programmes and donors. This review offers a conceptual framework that unifies the paradigms by highlighting a common set of broad structural forces that shape each of them, and by introducing a series of continua that stretch across them:
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Implications for HIV interventions with young women
Women should not be reduced to helpless victims, nor to immoral social climbers.