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  • Brief created: 2021
  • For policymakers
  • India

Sex Workers, Stigma and Self-Image: Evidence from Kolkata Brothels

Based on:

Journal Article (2020)

Open access

 Self-worth training can support marginalised people to escape pschological aspects of the poverty trap, and needs to be considered alongside material aspects when designing programmes to alleviate poverty.

Brief by:
Senior Lecturer / Associate Professor | King’s College London
Research collaborators:
Sayantan Ghosal, Jana Smarajit, Mani Anandi, Mitra Sandip
Gender Equality

This research study shows how empowering discriminated groups can help them overcome the poverty trap. Considerable research has looked at the material aspects of poverty (which includes access to banks, healthcare etc), but alongside this there is also a psychological poverty trap, which is internalised as an outcome of material poverty, of belonging to a lower caste and social exclusion. A strategy needs to incorporate both aspects to alleviate the poverty trap.

This study compared a group of sex workers from 98 brothels who went through self-image building CBT training with a control group. At the beginning both groups had rock-bottom levels of self-worth and had internalised that they did not deserve dignity. However, for the group who went to the two-months workshops, aimed at building self-worth and reframing their role as ‘entertainment workers’ amongst other things, significant changes were observed.

 

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Roy, Sanchari. 'Sex Workers, Stigma and Self-Image: Evidence from Kolkata Brothels'. Acume. https://www.acume.org/r/sex-workers-stigma-and-self-image-evidence-from-kolkata-brothels/

Key findings

  • Many of the training group started making choices that benefitted their future.

    This was measured by them being significantly more likely to choose a fixed deposit (with higher returns in the long-term) than cash (more likely chosen by control group). Additionally, those who underwent training were more likely (by 10%) to visit a clinic for an additional preventive checkup, than those who didn't do training. These indicators show higher levels of empowerment amongst those who took the self-worth training - and upto 21 months later, it was observed that retention was high. Those who did training had a higher savings account balances 15 months later than those who did not.

  • The hypothesis of this research was that if these mental constraints are relaxed, then behaviour and life choices may be changes.

    Mental constraints can be relaxed by exposure to cognitive behavioural therapy (CBT) that’s strongly focused on building self-image and self-worth. And this was proven true.

Proposed action

  • When creating new and innovative poverty alleviation programmes, states should consider psychological self-worth training in tandem to traditional and material poverty alleviation strategies, such as skilling and cash transfers
  • Training workshops are a powerful tool to empower marginalised groups
  • Health clinics can use this strategy as a way to encourage at-risk sex workers to increase their visits

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Acknowledgements

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Sex Workers, Stigma and Self-Image: Evidence from Kolkata Brothels

Cite this brief: Roy, Sanchari. 'Sex Workers, Stigma and Self-Image: Evidence from Kolkata Brothels'. Acume. https://www.acume.org/r/sex-workers-stigma-and-self-image-evidence-from-kolkata-brothels/

Brief created by: Dr Sanchari Roy | Year brief made: 2021

Original research:

  • S. G., Roy, S., & et al., ‘Sex Workers, Stigma and Self-Image: Evidence from Kolkata Brothels’ https://doi.org/10.1162/rest_a_01013. – https://warwick.ac.uk/fac/soc/economics/research/centres/cage/publications/workingpapers/2016/sex_workers_stigma_and_self_image_evidence_from_kolkata_brothels/

Research brief:

Self-worth training can support marginalised people to escape pschological aspects of the poverty trap, and needs to be considered alongside material aspects when designing programmes to alleviate poverty.

This research study shows how empowering discriminated groups can help them overcome the poverty trap. Considerable research has looked at the material aspects of poverty (which includes access to banks, healthcare etc), but alongside this there is also a psychological poverty trap, which is internalised as an outcome of material poverty, of belonging to a lower caste and social exclusion. A strategy needs to incorporate both aspects to alleviate the poverty trap.

This study compared a group of sex workers from 98 brothels who went through self-image building CBT training with a control group. At the beginning both groups had rock-bottom levels of self-worth and had internalised that they did not deserve dignity. However, for the group who went to the two-months workshops, aimed at building self-worth and reframing their role as ‘entertainment workers’ amongst other things, significant changes were observed.

Findings:

Many of the training group started making choices that benefitted their future.

This was measured by them being significantly more likely to choose a fixed deposit (with higher returns in the long-term) than cash (more likely chosen by control group). Additionally, those who underwent training were more likely (by 10%) to visit a clinic for an additional preventive checkup, than those who didn’t do training. These indicators show higher levels of empowerment amongst those who took the self-worth training – and upto 21 months later, it was observed that retention was high. Those who did training had a higher savings account balances 15 months later than those who did not.

The hypothesis of this research was that if these mental constraints are relaxed, then behaviour and life choices may be changes.

Mental constraints can be relaxed by exposure to cognitive behavioural therapy (CBT) that’s strongly focused on building self-image and self-worth. And this was proven true.

Advice:

When creating new and innovative poverty alleviation programmes, states should consider psychological self-worth training in tandem to traditional and material poverty alleviation strategies, such as skilling and cash transfers

    • Begin with material, but add a psychological dimension.

Training workshops are a powerful tool to empower marginalised groups

    • Workshops should focus on changing a participants mindset towards “I can change my outcome and deserve a decent life”.

Health clinics can use this strategy as a way to encourage at-risk sex workers to increase their visits

Empirical Research: Quantitative
|
2020

"Sex Workers, Stigma and Self-Image: Evidence from Kolkata Brothels"

Cite paper

S. G., Roy, S., & et al., ‘Sex Workers, Stigma and Self-Image: Evidence from Kolkata Brothels’ https://doi.org/10.1162/rest_a_01013.

Published in Review of Economics and Statistics.
Peer Reviewed

DOI: 10.1162/rest_a_01013
🔗 Find full paper (Open access)
Methodology
This is a quantitative study.
randomised trial

Research used a randomised trial methodology. Brothels were randomly selected and exposed to the training programme. The question to be answered was do people exposed to training make different decisions afterwards that benefit them in the long run?

Groups were chosen by brothels rather than by individual. This was because pilot estimates showed that women within brothels interact with each other, but it is rare to see inter-brothel social interactions. 66 brothels were selected for the training group and 32 brothels were in the control group.

While it was a quantitative study, qualitative research offered context and layering.

However, of course a one-size fits all solution does not exist. While this study shows the importance of adopting psychological strategies for poverty alleviation, the material aspect cannot be ignored. Instead they should be paired together and considered in tandem.



Funding

This research was funded by the Economic Social Research Council (ESRC)

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