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Presented by Dimitri Batras, Research Manager, Department of Health Social Science, Monash University, Melbourne. Presented by Dimitri Batras, Research Manager, Department of Health Social Science, Monash University, Melbourne. Using the classifieds to equitably target the delivery of sexual health services and health promotion initiatives. Shining a Rh. ED light: the 2011 Health and Sex Work Research Symposium, May 25 th. www. med. monash. edu

Purpose of this presentation • To promote equity in health, • To discuss research Purpose of this presentation • To promote equity in health, • To discuss research methods that could assist with target marketing for health, • To stimulate discussion amongst stakeholders about policy and program options, • Wish list: To motivate an organisation to ‘pilot’ these methods for equitably reaching sex workers. www. med. monash. edu 2

Context www. med. monash. edu 3 Context www. med. monash. edu 3

Context continued www. med. monash. edu 4 Context continued www. med. monash. edu 4

Themes • Legislative breaches (local, state, federal and international). • Ideologies and values: contentious Themes • Legislative breaches (local, state, federal and international). • Ideologies and values: contentious and emotive. • Human right to health and safety. • Segments of the community at greater risk. www. med. monash. edu 5

Key questions • What can we learn by monitoring and understanding the classifieds? • Key questions • What can we learn by monitoring and understanding the classifieds? • Can we systematically locate and target initiatives and services for ‘hard to reach’ and ‘vulnerable’ sex workers? www. med. monash. edu 6

Reading the classifieds Source: City Weekly, 28 April 2011 www. med. monash. edu 7 Reading the classifieds Source: City Weekly, 28 April 2011 www. med. monash. edu 7

Reading the classifieds continued Source: The Leader (Port Phillip), 3 May 2011 www. med. Reading the classifieds continued Source: The Leader (Port Phillip), 3 May 2011 www. med. monash. edu 8

Interpreting the classifieds • • • Legislation. Content and discourse analysis. Language, imagery and, Interpreting the classifieds • • • Legislation. Content and discourse analysis. Language, imagery and, meaning. Reading between the lines. Gathering data and building a profile over time. • Read multiple publications to gain the full picture. www. med. monash. edu 9

Interpreting the classifies continued EXAMPLE Same massage business: Publication number 1 - Business name, Interpreting the classifies continued EXAMPLE Same massage business: Publication number 1 - Business name, - Tag line mentions relaxation and hands, - Contact details and location. Publication number 2 - Business name, - Tag line mentions female therapists, - Contact details and location. www. med. monash. edu 10

Key questions • Can public health turn a blind eye on illegal brothels to Key questions • Can public health turn a blind eye on illegal brothels to provide a basic human right? • Could legal brothels become well recognised settings for health promotion? Illegal ones too? ? ? www. med. monash. edu 11

Policy and program options • Settings based health promotion. • Build on local and Policy and program options • Settings based health promotion. • Build on local and inter-state examples of sexual health service delivery. • Consider trialling new ways of targeting and reaching sex workers in need. • Scrutinise your proposed methods in partnership and consider tools such as Ef. HIA. www. med. monash. edu 12

Relevant journal articles Chen, M. Y. , Donovan, B. , Harcourt, C. , Morton, Relevant journal articles Chen, M. Y. , Donovan, B. , Harcourt, C. , Morton, A. , Moss, L. , Wallis, S. , Cook, K. , Batras, D. , Groves, J. , Tabrizi, S. N. , Garland, S. and Fairley, C. K. (2010), Estimating the number of unlicensed brothels operating in Melbourne. Australian and New Zealand Journal of Public Health, 34: 67– 71. Harcourt, C. , O'Connor, J. , Egger, S. , Fairley, C. K. , Wand, H. , Chen, M. Y. , Marshall, L. , Kaldor, J. M. and Donovan, B. (2010), The decriminalisation of prostitution is associated with better coverage of health promotion programs for sex workers. Australian and New Zealand Journal of Public Health, 34: 482– 486. www. med. monash. edu 13

Thank you! Contact details; Dimitri Batras Research Manager and Ph. D candidate Department of Thank you! Contact details; Dimitri Batras Research Manager and Ph. D candidate Department of Health Social Science, Monash University (Caulfield Campus) Tel: (03) 9903 1669 Email: dimitri. [email protected] edu www. med. monash. edu 14