Disease, Death and <i>Dhandha: Gharwali’s</i> Perspectives on the Impact of AIDS on <i>Devadasi</i> System and the Sex Work in South India
- 1 Karnataka Health Promotion Trust, Bangalore, India
- 2 Centre for Global Public Health, Department of Community Health Sciences, Winnipeg, Canada.
Abstract
Traditional Devadasi system based sex work ( dhandha ) is practiced inIndia. The communities that practice this system are affected severely by AIDS epidemic. Through this paper we present the views of gharwalis (brothel madams) regarding the impact of AIDS on the traditional system ( Devadasi system ) of initiating girls as sex workers ( Devadasis ) and on the practice of sex work ( dhandha ) associated with that system. Qualitative in-depth interviews were conducted with twelve gharwalis as a follow-up of a cohort study , which investigated the patterns and determinants of sex worker migration from northern Karnataka to southern Maharashtra, in India. According to gharwalis , the disease (AIDS) consequences; death, fear and stigma affected dhandha operations, changed the attitude of the Devadasi community against the practice of dhandha and the Devadasi system, besides, influenced the community to take actions to stop the practice of dhandha and the Devadasi system. The findings suggest that the interplay between the disease consequences and the community’s response to those consequences contribute to transition dhandha and the Devadasi system . W e discuss our findings, describe the transition and the consequent risk enhancing conditions. Finally, highlight the need to address these conditions to reduce Devadasis risk and vulnerability to HIV infection.
- S. Asthana and R. Oostvogels, “Community Participation in HIV Prevention: Problems and Prospects for Community-Based Strategies among Female Sex Workers in Madras,” Social Science & Medicine, Vol. 43, No. 2, 1996, pp. 133-148. doi:10.1016/0277-9536(95)00348-7
- J. O’Neil, T. Orchard, R. C. Swarankar, K. Gurav, et al., “Dhanda, Dharma and Disease: Traditional Sex Work and HIV/AIDS in Rural India,” Social Science & Medicine, Vol. 59, No. 4, 2004, pp. 851-860. doi:10.1016/j.socscimed.2003.11.032
- J. F. Blanchard, J. O’Neil, B. M. Ramesh, P. Bhattacharjee, T. Orchard and S. Moses, “Understanding the Social and Cultural Contexts of Female Sex Workers in Karnataka, India: Implications for Prevention of HIV Infection,” The Journal of Infectious Diseases, Vol. 191, No. 1, 2005, pp. S139-S146. doi:10.1086/425273
- T. M. Okeyo and A. K. Allen, “Influence of Widow Inheritance on the Epidemiology of AIDS in Africa,” African Journal of Medical Practice, Vol. 1, No. 1, 1994, pp. 20-25.
- C. Evans and H. Lambert, “Health-Seeking Strategies and Sexual Health among Female Sex Workers in Urban India: Implications for Research and Service Provision,” Social Science & Medicine, Vol. 44, No. 12, 1997, pp. 1791-1803. doi:10.1016/S0277-9536(96)00288-2
- P. N. Nkwi, “The Impact of Cultural Practices on the Spread of HIV/AIDS: An Anthropological Study of Selected Countries in Sub-Saharan Africa,” Discovery & Innovation, Vol. 17, No. 2, 2005, pp. 21-35.
- T. R. Orchard, “Girl, Woman, Lover, Mother: Towards a New Understanding of Child Prostitution among Young Devadasis in Rural Karnataka, India,” Social Science & Medicine, Vol. 64, No. 12, 2007, pp. 2379-2390. doi:10.1016/j.socscimed.2007.02.031
- B. M. Ramesh, S. Moses, R. Washington, S. Isac, B. Mohapatra, S. B. Mahagaonkar, R. Adhikary, G. N. Brahmam, R. S. Paranjape, T. Subramanian, J. F. Blanchard and IBBA Study Team, “Determinants of HIV Prevalence among Female Sex Workers in Four South Indian States: Analysis of Cross-Sectional Surveys in Twenty-Three Districts,” AIDS, Vol. 22, No. 5, 2008, pp. S35-S44. doi:10.1097/01.aids. 0000343762.54831.5c
- M. L. Becker, S. Mishra, Satyanarayana, K. Gurav, M. Doshi, R. Buzdugan, G. Pise, S. Halli, S. Moses, L. Avery, R. G. Washington and J. F. Blanchard, “Rates and Determinants of HIV-Attributable Mortality among Rural Female Sex Workers in Northern Karnataka, India,” International Journal of STD & AIDS, Vol. 23, No. 1, 2012, pp. 36-40. doi:10.1258/ijsa.2011.011017