Examining the intersection of prostitution, HIV/AIDS transmission, and stigma in conflict-affected areas: The case of Bahir Dar city
Abstract
Home-based commercial sex workers are vulnerable to HIV/AIDS transmission due to their isolation from support networks, limited access to healthcare services, and economic pressure that often lead to risky sexual practices. This study investigates the role of home-based commercial sex workers in the transmission of HIV/AIDS in Bahir Dar city, focusing on the socio-demographic characteristics and living conditions of this vulnerable group. Utilizing a household survey, key informant interviews, focus group discussion, and case studies, data were collected from 180 participants. The findings reveal that a significant proportion of home-based commercial sex workers were young women under 30, often driven into sex work due to limited educational and economic opportunities. Alarmingly, 69.3% of the participants reported that they were HIV-positive, with inconsistent condom use exacerbating health risks. The ongoing armed conflict has intensified these challenges, increasing the demand for sex work while limiting access to healthcare. Despite facing stigma and discrimination, some women are beginning to engage in community support initiatives. The study highlights the urgent need for comprehensive interventions, including educational programs, accessible healthcare, and community support networks, to improve the lives of home-based sex workers and reduce HIV transmission rates.
Keywords: HIV/AIDS, home-based commercial sex workers, stigma, socio-demographic factors, Bahir Dar
Copyright (c) 2025 Addisie Kindu Amogne, Tsegaye Eskezia Almaw

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