WJA  Vol.3 No.1 , March 2013
Disease, Death and Dhandha: Gharwali’s Perspectives on the Impact of AIDS on Devadasi System and the Sex Work in South India
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. We 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.


Cite this paper
K. Gurav and J. Blanchard, "Disease, Death and Dhandha: Gharwali’s Perspectives on the Impact of AIDS on Devadasi System and the Sex Work in South India," World Journal of AIDS, Vol. 3 No. 1, 2013, pp. 26-32. doi: 10.4236/wja.2013.31004.
References

[1]   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

[2]   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

[3]   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

[4]   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.

[5]   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

[6]   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.

[7]   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

[8]   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

[9]   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

[10]   J. Lugalla, M. Emmelin, A. Mutembei, M. Sima, G. Kwesigabo, J. Killewo and L. Dahlgren, “Social, Cultural and Sexual Behavioral Determinants of Observed Decline in HIV Infection Trends: Lessons from the Kagera Region, Tanzania,” Social Science & Medicine, Vol. 59, No. 1, 2004, pp. 185-198. doi:10.1016/j.socscimed.2003.10.033

[11]   I. Luginaah, D. Elkins, E. Maticka-Tyndale, T. Landry and M. Mathui, “Challenges of a Pandemic: HIV/AIDS-Related Problems Affecting Kenyan Widows,” Social Science & Medicine, Vol. 60, No. 6, 2005, pp. 1219-1228. doi:10.1016/j.socscimed.2004.07.010

[12]   Q. Gausset, “AIDS and Cultural Practices in Africa: The Case of the Tonga (Zambia),” Social Science & Medicine, Vol. 52, No. 4, 2001, pp. 509-518. doi:10.1016/S0277-9536(00)00156-8

[13]   S. Jogan, “Devadasi Cult: A Sociological Analysis,” Ashish Publication House, New Delhi, 1990.

[14]   K. C. Tarachand, “Devadasi Custom: Rural Social Structure and Flesh Markets,” Stosius Inc., New Delhi, 1991.

[15]   T. Rhodes and M. Simic, “Transition and the HIV Risk Environment,” British Medical Journal, Vol. 331, No. 7510, 2005, pp. 220-223. doi:10.1136/bmj.331.7510.220

[16]   Family Health International (FHI), “Mapping of Commercial Sex Access Points and Relevant Service Outlets in Maharashtra,” North Carolina, 2001.

[17]   O. D. Heggade, “A Socio-Economic Strategy for Rehabilitating Devadasis,” Social Welfare, February-March 1983.

[18]   S. Bharat, P. Aggleton and P. Tyrer, “India: HIV and AIDS-Related Discrimination, Stigmatization and Denial,” Joint United Nations Programme on HIV/AIDS, Geneva, August 2001, pp. 5-66.

[19]   C. H. Logie, L. James, W. Tharao and M. R. Loutfy, “HIV, Gender, Race, Sexual Orientation, and Sex Work: A Qualitative Study of Intersectional Stigma Experienced by HIV-Positive Women in Ontario, Canada,” PLoS Medicine, Vol. 8, No. 11, 2011, Article ID: e1001124. doi:10.1371/journal.pmed. 1001124

[20]   J. Gu and N. Renwick, “China’s Fight Against HIV/AIDS,” Journal of Contemporary China, Vol. 17, No. 54, 2008, pp. 85-106. doi:10.1080/10670560701693096

[21]   M. Ntumbanzondo, R. Dubrow, L. M. Niccolai, K. Mwandagalirwa and M. H. Merson, “Unprotected Intercourse for Extra Money among Commercial Sex Workers in Kinshasa, Democratic Republic of Congo,” AIDS Care, Vol. 18, No. 7, 2006, pp. 777-785. doi:10.1080/09540120500412824

[22]   E. Reed, J. Gupta, M. Biradavolu and K. M. Blankenship, “Migration/Mobility and Risk Factors for HIV among Female Sex Workers in Andhra Pradesh, India: Implications for HIV Prevention,” International Journal of STD & AIDS, Vol. 23, No. 4, 2012, pp. e7-e13. doi:10.1258/ijsa.2009.009421

[23]   S. Jana, I. Basu, M. J. Rotheram-Borus and P. A. Newman, “The Sonagachi Project: A Sustainable Community Intervention Program,” AIDS Education & Prevention, Vol. 16, No. 5, 2004, pp. 405-414. doi:10.1521/aeap.16.5.405.48734

 
 
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