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Despite the difficult social context in which the project is embedded, it has since expanded to several other Kenyan cities [], has been defined as “a collective process through which the structural constraints to health, human rights and well-being are addressed by sex workers to create social and behavioural changes, and access to health services” (p.

19) [] note: The Indian project’s relative success was facilitated (1) by a more stable and supportive social, material and political context, and (2) by a community development ethos which devoted significant resources to sex workers’ involvement, ownership and empowerment, as opposed to a biomedical approach which marginalized sex workers’ concerns (p.123).

The training program reported in this article aimed at working with sex workers as peer educators to develop and pilot an innovative intervention targeted at their workplace as well as their intimate partnerships.

Evidence related to the effectiveness of community empowerment interventions with sex workers was compiled to guide the development of the program and developed in consultation with the community partners on the research team.

The Pumwani Majengo project, in Nairobi, Kenya, also based on community empowerment and peer engagement principles, has faced political and financial constraints throughout its existence, but is supported by strong evidence that indicates its important role in preventing STBBIs among sex workers.

Most useful for this qualitative exploration of community mobilization and structural change were conceptual discussions and frameworks that unpacked the concept of community empowerment and provided useful domains [] learning theory that identifies seven learning tasks related to transformative learning: 1) Challenging ideologies: where people challenge values, beliefs, myths, explanations, and justifications embedded in language, social habits, and cultural forms; 2) Contesting hegemony: where people challenge the conditions that serve those in power; 3) Unmasking power: where people recognize how power is exercised in social interactions and relations; 4) Overcoming alienation: where people develop a sense of agency and are able to be themselves in an authentic way; 5) Learning liberation: where people learn to escape ideological domination; 6) Reclaiming reason: where people apply reason to examine how their lives our shaped by the lifeworld; and 7) Practicing democracy: where people use rational discourse, pay attention to ideal speech conditions, and pay attention to power structures related to diversity.

The community empowerment frameworks and Brookfield’s leaning theory helped us to interpret our pilot findings presented below.

This organization and the lead author have been involved in community-academic research initiatives for over 20 years.

The size of the local sex work population is unknown but in any 1 year perhaps 1000 adults sell sexual services on a full or part-time basis.