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The modes of operation and HIV-vulnerabilities of sex work settings identified in this paper have important implications for the local programme.Approximately 2.4 million people are living with HIV in India [1].The review also discussed three other documented sex work settings: parlour girls, agricultural workers involved in sex work, and phone-based sex work.Using data from Integrated Biological and Behavioural Assessment (IBBA) among Karnataka sex workers, we examined the extent to which the NACO typology predicts HIV risk.An attempt was made to select four participants from each type of context, resulting in a total of fifty in-depth interviews with sex workers (Exceptions: 2 interviews with parlour girls, 3 with phone-based and home-based sex workers, and 5 with brothel-to-brothel and street-to-lodge sex workers.).

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Women working in brothels, lodges, dhabas, and on highways describe factors that put them at high HIV risk.

The study aimed to examine HIV-related vulnerabilities across “all” sex worker categories, including those not represented in previous IBBA surveys.

Based on discussions with programmers from the local NGOs, Karnataka Health Promotion Trust (KHPT) and Belgaum Integrated Rural Development Society (BIRDS), thirteen sex work settings (distinguished largely but not wholly by place of solicitation and place of sex) were identified: brothel, lodge, street-to-brothel, street-to-lodge, street-to-street, street-to-rented-room, street-to-home, home, phone-network, parlour, dhaba, highway and agricultural workers.

Participants were recruited with the help of peer educators and other BIRDS staff, or by using the researchers’ contacts in the sex work industry.

The peer educators told women in the community about the study and asked for volunteers.

The women willing to participate were introduced to the interviewer.

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