 There's this idea of prostitution in one of our most relations of what it is. So that common use is much lower with their regular partners or their husbands than it is with their clients. But actually, what's surprising about this is that this is inconsistent common use for their clients. So even when they're married, they still have a lower insistence common use for their clients. So that's something to look more into. Alcohol, all of you, ever being sex trafficked is actually about seven times more likely to ever have been sex trafficked. They had lower common use because of that. And why do you think that could be more damaging for reasons? Is this right for me? Yes, so the forced coercion of being trafficked and the effect was common use. But even currently, so there might be some trauma as a result of that. So why is it that currently they're still having a different insistence common use? Or are they currently still forced and forced in their work? Follow co-workers advice and use common use. So peer support imagines support associated with more consistent common use as well as getting information from medical personnel. Okay, so for condom negotiation, which is similar to different, I get frequency of substance use. Everything trafficked 13 times higher to not have negotiated condoms if they were ever trafficked. So again, so your point, they may have less ability to negotiate if they're being forced and forced. Worker had sex without common use to make more money. And worker had sex without common use as none was developed. And those were strongly associated with common non-negotiations. Okay, so that part of the assessment informs the actual intervention. So sexual risks are common along with the bar entertainers. However, it's not 100%. It's about 30% said that they actually engaged in sex work. I don't know. But in terms of other sex work, that sexual risk is common use of non-negotiations. Terrorists do a lot of associating factors in the environment. So that's not all involved. It's sometimes more than the individual. It's highly reported. However, what limitation might be that they don't believe in substance use? Because their trust is a really big thing. And that if you sit down and you think it's a good question, they may not have a problem with the importance of substance use. And findings suggest they need to involve sex workers, peer contractors, electric personnel's entry points, which I think has to be at a certain stage. And lastly, policy-driven activities, mobilization strategies are needed. So this is actually an area that I'm most excited about. And I'm excited to do more work in this around the criminal mobilization. So in terms of intervention development, that's kind of, it's really the stage that I'm in right now is designing this incident. So I just went back to the Philippines last month and held some community advisory board meetings and focus groups to talk about what really should be part of this incident. And because I have this very exciting peer-driven organization that has a lot of former sex workers who had found out of sex work and they're now part of this peer organization where a lot of them are all charities going out and doing outreach in their communities. And so it's very inspiring because they're not even getting paid to do this. They're going out and trying to recruit other members into their organization to help them also get out of sex work or just to have a healthier range of intervention. So, and I just want to give an example. I was really inspired by this one. There's actually a lot of them who are queer sex workers that's supposed to be queer sex workers. And there's many of them who are also gender-absent with men. So like I said, that's going to be the highest-risk movement right now. So what actually was this queer sex worker is more of a youth organization through kids by getting out of sex work to be part of this organization and he actually got elected recently to the city government. What I really inspired down is that in my years of doing sex work it's really tough to make a difference to get this peer-driven organization to make it a lot easier and they're very enthusiastic about doing this kind of thing. So one thing that's important for them is that they take this dream building or this dream building and community building intervention where they have to come up with actual goals for themselves and also for their community and for their work. And so then after, so I think this is how, for this example at this point, youth companies don't get out of sex work because it's kind of a community building process and intervention. Any of them are being maybe just among the venue-based sex workers. We have an estimate of what the portion of them actually has to be involved with sex workers to get a professional or a portion of them or we have to see if it's the best alternative. So a lot of them are very young and these venue-based or even on the street. On the street a lot of them are runaways. For the venue-based they were recruited from the rural areas and they're still from most part of the rural areas. A lot of times they thought they were kind of descending to be working in houses or they heard a friend hold his job where he could make some money from this and it's far and that way you can support your child. So this one woman went upstairs she was in a high school in 18 she had a son and she doesn't have any way to feed him. She said he's now staying with a mother but in order to make sure that he gets fed she's not working in the city at this time. Over and over she would say that she wanted to know of other options and she didn't really know for one thing she didn't really know Manila that well and being in this targeted bar she actually lived in a bar so she basically went straight there and she doesn't really go anywhere else she just stays there and then she goes home sometimes to the province but she didn't know about other options and when you say the term intervention so we have to check on what you know we have to check ourselves if we're talking to them so she would talk about what she needs and basically she doesn't know that there's peer educated jobs I mean the problem is that the economy is bad and there's no jobs and that's why a lot of people get the nursing degrees they are going out of the country and of course it goes out of the country for jobs but there aren't jobs so even though it's a highly educated population there aren't enough jobs I mean they are almost all at 8 or 9th grade or in high school education so that's the question so there's been other strategies such as there's movement to legalize sex work in other countries and for example in India they're unionized and you know they're a lot different models for the Philippines the peer educated model has a real potential to make a new path and the 100% economies policy that was started in Thailand that's also part of this but I want to go beyond that and look at community mobilization and the peer educated model anybody have other ideas right so that's sex work is illegal right so first of all the police have even been trained a lot to have been sensitized and trained around HIV prevention and condoms should be promoted but if these rates are still something so they're saying that police from other areas even other cities who are sometimes coming in so it's really hard to control police behavior and this is seen also in Russia and Mexico now this is seen also a lot of times the bars they'll pay the police and in order for them not to get raided so if they don't pay the police then they get raided so that's going on too but they want to pay that for safety but I've heard more because they don't want to be raided it's just it's a very underground activity so on the surface anybody can go in and just it's a karaoke bar massage parlor so that's why it's very illegal but the owners will say that it's not happening or they don't encourage it right so the HIV rates right so actually there's a lot of fear of being tested or they say they're afraid of needles but also just they're afraid that they might have an STI in HIV but they're afraid of getting help because somebody might say something afraid to know so I think with the low prevalence it's going hard to tell because people are not getting tested or not it's a stigma but also for women it's hard to do sometimes but then when the woman ends but also what they remember about is she went back she went back to St. Louis and she did do pure housing and associations so that the woman could take care of the medication and then there was a cure counseling and admin training groups that received both and that would actually be the most successful in terms of it's actually more effective than pure only so if there's minimal funding then this says that maybe you should you should train the managers so that they'll train the peer the sex workers would have been however I'm really excited about doing more of the trainings with the sex workers so I'm trying to take both and possibly with the hard interventions for them to be together I have a problem so how often are the managers also because she would be married and then secondly how many maybe there's an average how many female sex workers is reported to 100 that's the ratio so that it could be a management management program and they're more responsible for so there's floor supervisors and then there's managers and then there's bar owners and it depends on the type of establishment but I don't hear of that many husbands and their wives are much more it's more I think that their husbands are at home and a lot of times right a lot of times the main thing that they don't want to happen is the families to find out about their work it could be parents children husbands a lot of them are young and they don't have their parents should I have some of the strategies that are going on families families families families families families so to negotiate with families that's the main the other four interventions that would be one of the main public health interventions the strategies that's a very good qualitative study to go more in depth about the strategies but I know in the condom negotiation it was how often did you or when a client refused to use the condom did you refuse to use the condom did you try to convince them to use the condom I mean did you refuse sex did you try to convince them to use the condom did you have sex anyway so that's how the measure came over the measure about condom negotiation or not condom negotiation so sometimes the board managers are supportive and sometimes they're not around that issue as well so some will say straight out that doesn't happen in their establishment but others will say that they advise to use condoms and then others will even charge a fine for them to go out with their workers so there's a lot of those variations so sometimes the money will go towards the manager as well there's also a question about what your manager is talented to do is that customers of Jesus can use the condom so there's variations do you have one in that first slide where you had the sex filter and the non-sex filter and you were collecting different fruits if I remember correctly you had also collected income but you came in and I was wondering if you remember that's where I found the mirror that's because you're economics that makes sense we actually find that our sex filters have been much minuscary to that standard well there's a huge variation in how much they make there's a huge variation gone and there's a question about how how much for had sex without a condom to make more money so I'm going to look at that now that you asked me because I don't remember on that I think that's where they said maybe this is a social desire but to us they were saying that they really found something to augment what they're doing to make more money for something else so it's kind of an arbitration it's actually a part of the conference it's a metro mineral it's kind of like L.A. County where you have a lot of different cities L.A. cities actually so in case that city is actually the largest city of Manila so when I was there doing my master's I actually just said that they were considering I think it was stopped during Q.R.S. because having sex at these publishers was a case to have their money to our colleges, is that correct and then there wasn't a huge support with recommendations from other sex workers that made condoms is that correct is there a reason because it seems kind of contradictory that since condoms can be used with evidence or fear being caught using condoms as an establishment in place to our society you know what these were my ideas of what all my things were and maybe they had more positive attitudes but the older we were the more there was more notice working in there so it's something that takes more and since you see that contract you know from the law it's a little bit more beautiful though