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For this essay, Adrienne Germain draws from her professional life, especially her interactions with female sex workers in the Indian subcontinent. The author details how action around sex workers is often centred on “rehabilitation” and “relocation” as though all women in sex work had been “forced” into it by circumstance. Germain believes that this position deprives these women of their agency and fails to respect their autonomy as individuals.
The central theme of the essay is the difference of opinion among feminists, and between some feminists and the sex workers’ movement, on if sex work is or can be an autonomous choice by women, or is always and only a form of violence and exploitation of women. Another important theme dealt with in the essay is the interface of sex work and HIV, where policy makers often see sex workers only as a vector of the disease with programmatic interventions often not recognizing these workers as agents of change themselves. She mentions her engagement with several non-governmental organizations in India that led her to realize the need to establish and implement sex workers’ labour rights.
The author also discusses her positionality and mentions the emotive barriers or discomforts that still remain for her around sex work, which she attributes to differences in life experience. She describes these “emotive barriers” as stemming from the fact that she cannot fully imagine the choices, as much as she respects their right to sex work. In addition to general opposition to defending the rights of women in sex work, she discusses how many women perceive these sex workers as a direct threat to themselves, to their marriages, or to a social order in which they feel “safe”. The author states that in the broadest sense, both feminist and sex workers’ movement are founded on the commitment to women’s autonomy especially control of their bodies. She concludes with a call for solidarity and for women to unite across diversities to mitigate the challenges around sex work.
This essay puts forward a study, conducted across four states, that brings out the challenges faced by seventeen Dalit women when availing health services in government and private medical institutions. These accounts are placed next to interrelated and essential elements of the right to health, allowing the reader to understand the different forms of medical negligence faced by these women.
The essay shows that both private and public health-care systems position Dalit women at the periphery for reasons of caste, class, and gender. The narratives cover cases where women approached medical institutions with their ailments and also situations where medical practitioners coerced them into family planning operations. The authors note that these narratives are a telling comment on the way government medical state treats Dalit women patients in contrast to non-Dalit patients. The manifestations of the negligence faced by the former group include long waiting periods, indifferent verbal responses, rude verbal responses and refusal of treatment.
The authors argue that the negligence has had consequences on other spheres of these women’s lives: economic, psychological, and personal (their identities as Dalits and women), and this make them more vulnerable to discrimination. The conclusion of the essay shows the reader medical negligence from a systemic angle, by examining the social and political positions of the medical personnel, their value systems, geographical settings and underlying power equations.
'HIV and Women in the Northeast' explores the feminization of the HIV/AIDS epidemic in the northeastern states of India. Shyamala Shiveshwarkar illustrates the reason behind the growing epidemic in the Northeast—that the virus has been extending its reach with high-risk sub populations like injected drug users (IDUs) as well as making inroads with the general population—and focuses on how it is impacting women detrimentally. The region has seen the HIV/AIDS epidemic primarily driven by IDUs; states are combating the double dilemma of drugs and AIDS. Transmission of the virus from IDUs to spouses, sexual partners and children has also been established, which has led to statistical increases in sero-positivity. Given that the “Northeast” is a homogenizing misnomer, the author uses tracking mechanisms to outline how differences in socio-economic and anthropological dynamics contribute to different prevalence rates and changes in infected populations over time.
Shiveshwarkar establishes and elaborates on the critical linkages between drugs, violence, and gender inequalities at the individual, family, and societal levels to establish women’s increasing vulnerability to HIV/AIDS. She asserts that regardless of whether they are affected or infected, women are being forced to take on a greater share of the socio-economic and psychological burdens of stigma and discrimination, violence, caring for the sick and providing for their families. Many women, including young girls who are forced to drop out of school, are made to work to cover the medical expenses of sick spouses or to repay debts. The author takes care to outline the intersection of these vulnerabilities with the political insurgency in these states and explores the problems with existing treatment and care of HIV/AIDS—focusing primarily on its inadequacy and male-centricism, which severely limits women’s access to prevention and care
In her conclusion, Shiveshwarkar, insists on the need to recognize that accessibility is a web of socio-economic, cultural and physical geographical factors: for women, the presence of services alone is insufficient. The author argues that what is needed is holistic reform which includes addressing the drug problem in these states, demanding state-sponsored medical interventions and gender sensitive medical environments.
Sahba Husain, in her capacity as a consultant with Oxfam, worked in Kashmir at a time when the conflict was already 15 years old. This essay discusses her experiences as a part of the Violence Mitigation and Amelioration Project, where her task was to examine the psychological impact of violence on people's lives as well as the echoes of such violence. It brings to the forefront the increasing rates of psychological disorders and cases of suicide, and the utter paucity of resources for dealing with the deteriorating mental health situation in the region. The essay’s observations on trauma and health stem from the author's empirical study of the population of Kashmir, for whom life has been rendered uncertain. Husain explores how faced with loss, suffering and prolonged stress, women in the region have become susceptible to depression and anxiety too, but often cannot seek treatment due to social constraints. By capturing certain experiences of the people, the essay evokes the drastic transition that has taken place in their lives after militancy and has left Kashmir in the dark. The refrain of fear that is pervasive in the region only affirms that no one, irrespective of age, gender or class, has escaped the massive impact that militancy and the AFSPA have had. Husain's piece is a reflective one as she discusses the challenges she faced during her work, which were integral to her subsequent disillusionment with the Indian state . Her essay, too, shatters a certain monolithic image of Kashmir and sheds light on the psychological trauma and health issues that people from the Valley face. It is, finally, a reminder of the patience, endurance and strength that women have displayed in their desire for justice, and above all, peace.
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