Buying Ecstasy Tegucigalpa

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Buying Ecstasy Tegucigalpa

I recently returned from another inspirational trip to Honduras. It is always good to visit with Linda Coello, her blood relatives and her extended family that comprise the organization of which she is president — CEPUDO. They are the people who do a great job of distributing the goods that we send for that country and who are our partners in projects that include the building of houses and water wells for the poor. These projects include tilapia and shrimp farming, animal husbandry projects and agricultural projects. Here the community had been giving a 20 acre piece of land and the government of the time had started to build cement ponds for the farming of fish. The funds ran out and the project was abandoned. The community waited and waited for help to continue the project, but the only thing they got was empty promises. Along comes our caring donor and friend, Chris Cotter, and his generous contribution delivers the people from their year bondage. We inaugurated the project that day and we released 20, fingerlings into each of the new ponds. The fingerlings will mature in months. I discovered that when the project is fully functional, it will produce 24, lbs. Chris also funded a third pond, connected to the two huge ones, which would serve as a catchment area for the water running off the fish ponds, containing the waste from the tilapia. This catchment pond would then feed a canal system that would in turn irrigate and fertilize a few acres of agricultural land that would be planted out with vegetables of different types. The men of the community would take care of the tilapia farming, while the women would be in charge of the agricultural part. We presented the women with a gas tiller and they were thrilled. They all looked so empowered. The second stop was in Comayagua, in the neighborhood called La Isla. Here we saw an amazing pig project also funded through the generosity of our donors. Ten families in this community were selected for this project and each of them had two cement pig-pens built in their back yards. They were each given 20 high quality piglets to raise for meat. When the pigs reached pounds each, they would be sold. The family would then replace the 20 pigs sold with piglets, keep the profit, and start the business cycle again. Our partners from Taiwan took care of the training and the butchering. What a great transformation, coming from extreme poverty to become self-sustainable entrepreneurs. There was another aspect from this project that truly appealed to my environmentalist side. I was shown, first hand, how the waste from the pens would be washed, three times per day, into two large plastic containers. These containers would be rigged with a plastic tube that led out of the containers and into the house. The captured pig feces would produce the gas methane, which would travel through the tube and into the little kitchen. Here it would be connected to a stove and to a lamp, and so the methane would allow them both to cook and to see at night. I was amazed. Nothing was wasted — not even the waste! The mother of the household was kind enough to cook some tortillas on the griddle with the methane gas and to demonstrate the use of the lamp. She explained that at any time they have a supply of methane that can last them in excess of seven hours. I left La Isla feeling so good about our work and so thankful that we have caring donors who really want to transform the lives of those whom they may never meet. By far, our most emotional activity was the inauguration of two bedroom homes in the municipality of Danli, in the area called San Marcos de Abajo in the department of El Paraiso. In August of , a number of communities of that area that were located by the side of the river because of the easy proximity to water, were severely affected by a two hour flash flood that caused the river to rise and devastated the entire community, damaging many homes and completely sweeping away houses, leaving a large number of people homeless and six families mourning the loss of life of their loved ones. The country responded with an unprecedented display of collaboration — the Honduran Red Cross responded to the devastation, while the firefighters, the police, the boy scouts, the church and many other agencies, organizations and individuals responded with kindness. The mayor of the city went all out in his efforts to help and the municipality donated land on a beautiful mountain in the area. Our donors again came to the rescue and raised the funds needed to build 80 two-bedroom homes. We were then able to build the homes needed to help ease the emotional trauma suffered by our brothers and sisters there. I walked around talking to the families that would soon be enjoying their new homes and their stories were heartbreaking. One woman survived with her 3 children — one was blind and a paraplegic; the other was going blind and losing her ability to walk; the third did not have disabilities. I met another family where the mother grabbed the two younger children and told the older daughter that she would have to do her best to fend for herself. She worried that she would never see her again and through tears explained that God had saved her older daughter, as she was lifted unto the back of a crowded pick- up truck as she was attempting to save herself. The Vice President of Honduras attended the event. The mayor of Danli had us all in tears as he broke down emotionally himself when he addressed the crowds. The mayor of Tegucigalpa gave a warm tribute to the donors of Food For The Poor, without whom that inauguration would not have been possible — especially in less than one year since the disaster. I was moved and humbled by the poor, who displayed such patience, faith and strength. Also by our staff, by our partners, and particularly by our donors who never disappoint us in our greatest times of need. We made another visit in an area a good hours drive out of Tegucigalpa. Here we met a dynamic Italian priest, Fr. Ferdinanado, who had served the poor for years in Africa and was now devoting his time and efforts in helping the destitute in Honduras. A strong devotee of Padre Pio, he credited what he had been able to accomplish there to his miraculous interventions. Single-handedly, he raised the money from family and friends in Italy for a magnificent hospital that he has built in an area where there are no medical services. He has designed it with huge hallways where he will put cots so that the family of those who are ill can stay close to their loved ones. Only one problem, the hospital was completely bare of furnishings. He asked for our help. Again, one of our gifts-in-kind donors has come to the rescue and we will be sending him container loads of hospital room suites to properly furnish this magnificent structure that will do such good for the poor of that area. As you might imagine, Fr. Ferdinando is very happy! After touring the hospital, he took us to meet some of the people of the nearby communities that he has helped with housing, a home for the aged, and a center for troubled youth. But he also wanted us to meet some of the ones that he had not been able to help. He took us to the home of Antonio Alvarez, a good husband and father of eight. Every day he goes out to the fields looking for work, but most days he returns home feeling defeated as he is not able to find any. On the few days when someone gives him employment he earns less than a dollar an hour. The oldest daughter, Maria Ester, is sixteen and takes care of the 3 youngest siblings who are yet not of age to attend school — Onaida Jocelyn, Maria Guadalupe, and the baby, Leonidas Ferdinando yes, named after their beloved priest! We asked Antonio for the other kids, and he replied that two were running errands and the other two were playing with neighborhood friends. Their adobe shack was truly wretched, but they made every effort to make it a home. I wondered how they could afford to send the oldest five to school, as on one of the walls they had end-of-year photos of all the kids. Antonio showed me that with pride. I looked up at the corners of the walls, near the roof, and was horrified to see huge termite mounds inside their tiny home. On the termite mounds there were a number of cockroaches crawling around. We enquired after the mother. The father was hesitant to answer. When Antonio was out of earshot, Fr. Ferdinando asked Maria Ester to tell me the truth about her mother. This year old, way too old for her age, explained sadly that her mother worked everyday, seven days a week, a double shift at a local restaurant bussing tables. She left home at AM and returned at midnight, only to earn in a month of double shifts what a busboy here would earn in less than a week — but it was enough to send the oldest five to school. My heart broke for that poor woman, working hour days without respite. My heart also broke for the husband, who looked so embarrassed that his wife was the breadwinner of the family, while he often was forced into the role of Mr. This family so deserves our help. If you remember, Sadie Yvette was the little girl that was featured in our newsletter who had a tumor near her intestines that was making her malnourished and stunting her growth — at 3-years old, she was almost the same size as her month old little brother. Again, one of our wonderful donors comes to their rescue. Scott Montgomery was so touched by their story that he sent the check to cover the cost of the surgery. When I saw the mother and daughter, they had good news for me. The tumor had completely dissolved a miracle? I asked them what was their greatest need, and they told me it was a home, but they did not own any land. Scott decided to use the money that was no longer required for the surgery to buy them a piece of land and he has also offered to donate the money for their home. In El Salvador, 1 in 7 schoolchildren suffers from malnutrition. Children who experience chronic malnutrition frequently face stunted growth, weakened immune systems, and persistent fatigue. Additionally, a deficiency in essential nutrients often leads to serious learning disabilities. The effects of malnutrition during childhood extend into adulthood, trapping children in poverty for generations. Addressing malnutrition is crucial for breaking the cycle of poverty. Click any flag to see how we serve those in extreme poverty in that country. Skip to content I recently returned from another inspirational trip to Honduras. Pig Poo Power: Swine waste used to power homes.

Honduras: The agony and the ecstasy

Buying Ecstasy Tegucigalpa

This study examined correlates of client-perpetrated sexual, physical, and economic violence e. Three broad categories of factors sociodemographic, work context, behavioral and social characteristics of FSWs were examined as correlates of sexual, physical, and economic violence. The prevalence of different types of client-perpetrated violence against FSWs in the past 6 months was: sexual Greater financial need, self-identification as a street worker, and lower perceived emotional support were independently associated with all three types of violence. Alcohol use before or during sex with clients in the past month was associated with physical and sexual violence. Correlates of client-perpetrated violence encompassed sociodemographic, work context, and behavioral and social factors, suggesting that approaches to violence prevention for FSWs must be multi-dimensional. Prevention could involve teaching FSWs strategies for risk avoidance in the workplace e. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability: All relevant data are within the paper and its Supporting Information files. The funders had no role in study design, data collection or analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist. Female sex workers FSWs are often exposed to work-related traumas in the form of sexual, physical, and economic violence e. Physical and sexual violence against FSWs has been associated with high-risk sexual behavior e. In Southern India, In Kenya, one-third of sex workers reported sexual violence in the past year \[ 23 \], and in Thailand, Less is known about the prevalence of economic violence against FSWs. In Nigeria, In Hong Kong, Moreover, as suggested by others, male clients who perpetrate physical and sexual violence against FSWs may have higher rates of STIs, resulting in even greater risk for FSWs \[ 5 \]. A variety of risk factors associated with client-perpetrated physical and sexual violence against FSWs have been identified. Socio-economic characteristics of FSWs that are risk factors for sexual violence include low income, low levels of education, a marital status of either cohabiting or having a primary partner \[ 4 , 30 \], and younger age \[ 4 , 31 , 32 \]. Financial need also makes FSWs more vulnerable to violence. In a study conducted in Tijuana, Mexico, unstable housing predicted work-related violence against FSWs \[ 34 \]. Those who have a higher volume of clients are more vulnerable to physical, sexual, and economic violence \[ 4 , 13 , 35 \]. FSWs who work in riskier settings e. Substance use with clients represents another work-related factor associated with violence. Several studies of injection drug users IDUs , including our work with FSW-IDUs in Mexico, have yielded an association between injection drug use and greater odds of sexual or physical assault in the workplace \[ 17 , 35 , 42 \]. Less attention has been paid to the role of social support in ameliorating the negative impact upon FSWs of client-perpetrated violence. In a qualitative study, Romero-Daza et al. Other studies have identified client-perpetrated violence and limited social support as co-occurring stressors in the lives of FSWs \[ 40 , 44 \]. The present study builds upon our previous research on client-perpetrated abuse among FSWs in the Mexico-US border region \[ 13 , 42 \] by exploring client-perpetrated violence against FSWs beyond the border region in 13 cities throughout Mexico. The border regions studied in our previous work are different from other locations in Mexico because of their proximity to major US cities San Diego, CA and El Paso, Texas and their status as international drug trafficking routes into the US \[ 45 , 46 \]. Expanding our work on client-perpetrated violence against FSWs to include non-border locations in Mexico may yield different prevalence estimates and correlates of violence that have greater external validity. The present study seeks to identify prevalence and correlates of three types of client-perpetrated violence against FSWs: sexual, physical, and economic. Moreover, effective strategies for the treatment of trauma may vary by the type of violence experienced. The sample consisted of 1, FSWs who were enrolled in a sexual risk reduction intervention in 13 cities throughout Mexico \[ 53 \]. Eligible women were biologically female, at least 18 years of age, self-identified as a FSW, reported having traded sex for money, drugs, shelter or other material benefit in the previous 2 months, had unprotected vaginal or anal sex with a client at least once during the previous 2 months, and tested HIV-negative at baseline \[ 53 \]. The latter criterion was imposed because HIV seroconversion was a study endpoint. Data were collected between June and December All procedures were conducted in accordance with the Helsinki Declaration. Written informed consent was obtained from all participants. This approach was used successfully to recruit FSWs in our previous studies in Mexico \[ 54 , 55 \]. Trained outreach workers compiled a map of bars, brothels, hotels and motels, shooting galleries, alleys, and street corners, which were used as the sampling frame to recruit prospective participants in each city. For this study, FSWs who were interested were referred to the local Mexican Foundation for Family Planning Mexfam clinic, where they were screened for eligibility. Eligible participants completed a 2-hour baseline session that included the consent procedure, HIV and STI screening, a face-to-face interview, and the Mujer Segura Healthy Woman sexual risk reduction counseling intervention or a time-equivalent, standard counseling comparison condition \[ 53 \]. The current analyses were based on data gathered through the baseline interview. The baseline interview lasted approximately 30 minutes. Three broad categories of variables, selected on the basis of previous research with FSWs in LMIC, were examined in relation to each type of violence. They included sociodemographic factors, work context variables, and selected behavioral and social characteristics of the FSWs. Since the population size of the cities in which the study sites were located could affect such factors as community norms and tolerance of sex work, HIV prevalence, and levels of risk behavior, we included this factor in our analyses. Three types of client-perpetrated violence were assessed in the baseline interview. Sexual violence in the past six months was measured by 10 items e. Physical violence in the past six months was measured by 5 items e. Economic violence in the past six months was measured by 2 items e. Response categories for all scale items ranged from 1 never to 4 very often. Participants reported their age, marital status, and number of years of education. Use of Alcohol or Drugs Before or During Sex with Clients : Participants were asked how often in the past month they had used 1 alcohol or 2 drugs before or during sex with a client. Alcohol Use in the Past Month : The AUDIT-C scale is a 3-item, reliable alcohol screening instrument \[ 56 — 58 \] that includes the following questions and response categories: 1 How often do you have a drink containing alcohol? Summary scores ranged from 0 to Number of Drugs Used in the Past Month : Participants were asked to report on their use of 13 drugs in the past month, including marijuana, cocaine, crack, ecstasy, methamphetamine, and heroin. Frequency of use was rated for each drug on a scale from 1 never to 6 every day , and responses were recoded as 1 does use or 0 does not use. A summary variable was created to indicate total number of drugs used in the past month. Participants who reported injection of any drug or of vitamins in the past month were assigned 1 for injection, 0 for no injection. Perceived Emotional Support was measured using a 7-item scale developed by Pearlin et al. Items in statement form e. Mean scores were computed and used in these analyses. Population size categories were: less than , coded 1 ; , to , coded 2 ; , to 1 million coded 3 ; and greater than 1 million coded 4. The four categories were collapsed to create a dichotomously-scored variable according to which cities with , or more inhabitants were coded 1 and those with fewer than , were coded 0. We conducted descriptive analyses on baseline data of past-six month prevalence of sexual, physical, and economic violence. For the dataset, see S1 Dataset. Multivariate logistic regression analyses were then conducted for each violence outcome: sexual, physical, and economic. Thirteen independent variables IVs of three different types were included in each logistic regression. They were: age, number of years of education, marital status, financial need socio-demographic variables ; street sex worker versus other, used alcohol with client in past month, used drugs with client in the past month, number of clients in the past month work context variables ; and AUDIT score, number of drugs used in the past month, injected drugs in the past month, and perceived emotional support behavioral and social characteristics of FSWs. As noted, we also controlled for the population size of the cities where the study sites were located. Two variables with skewed distributions total number of clients, number of drugs used in past month were log 10 transformed for analytic purposes. Ninety percent of the sample was born in Mexico. The average age and number of years of education were The majority of FSWs were never married or were living in a common-law relationship Eighty-eight percent had at least one child, and the average number of children was 2. FSWs were most likely to be living with children On average, FSWs had been employed in the sex trade for 6. Prevalence of the types of client-perpetrated violence against FSWs in the past six months was: sexual violence Compared to FSWs who did not experience client violence in the past 6 months, FSWs who experienced violence were significantly more likely to work on the street, use alcohol before or during sex with clients, use drugs before or during sex with clients, report greater financial need, use a larger number of drugs in the past month, inject drugs, and live in a municipality with a population greater than , Table 1. In a multivariate model, seven factors were independently associated with client-perpetrated sexual violence against FSWs Table 2. FSWs who reported client-perpetrated sexual violence had almost twice the odds of self-identifying as a street worker vs. Four factors were independently associated with client-perpetrated physical violence against FSWs in the past six months Table 2. Three factors that were significant in relation to sexual violence i. Four factors were independently associated with client-perpetrated economic violence in the past six months Table 2. They were poor financial situation, self-identification as a street worker, and lower levels of perceived emotional support. In a study in Andhra Pradesh, India, economic hardship measured by debt, a marker of difficult or dire economic conditions was associated with almost a three-fold increase in reports of physical violence against FSWs \[ 33 \]. It has been proposed that women in financial need are more likely to engage in riskier behaviors, such as agreeing to sex in isolated locations, where physical, sexual, and economic violence is more likely to occur \[ 33 \]. In Mexico, recent structural and economic crises, including unemployment, migration, and poverty, combined with gender inequality and the growing phenomenon of female-headed households, have contributed to increased economic need among women, including FSWs \[ 60 \]. The association between economic need and violence against FSWs calls for the development of programs to increase economic opportunities for women outside of the sex trade \[ 33 \]. Self-identification as a street sex worker had the strongest association with all three types of client-perpetrated violence. This finding is consistent with previous studies in developed countries and LMIC \[ 20 , 33 , 34 , 36 \]. Several studies suggest that street workers are more likely to have sex with clients in isolated venues where there is increased exposure to criminal activity and aggression, including drug use, drug dealing, theft, rape, torture, murder and attempted murder \[ 20 , 29 , 61 — 64 \]. In Mexico as well as other countries, crimes against FSWs, particularly street workers, are often not reported \[ 36 , 65 , 66 \]. Specific changes to laws and policies could also help. In particular, decriminalization of sex work is likely to have a significant impact on prevalence of client-perpetrated sexual violence against FSWs, since women would be more inclined to work in safer indoor environments. Indeed, Shannon et al. Low perceived emotional support was associated with all three types of violence against FSWs. In Mexico, poverty and social disadvantage may be so pervasive within some social networks that family members and friends of FSWs who have experienced violence in the workplace are psychologically unavailable to offer support. It is also likely that many FSWs have not disclosed their being a sex worker to family members, thus foreclosing the possibility of this important source of support. High mobility among FSWs may also result in social network members being geographically distant and thus not as available to provide emotional support in times of need. In addition, the long-term effects of prolonged and repeated experiences of violence may lead to feelings of depression and perceptions of low social support \[ 68 \]. Counseling programs that address longstanding trauma and underlying psychological issues, including low self-esteem, shame, and powerlessness, should be made widely available to FSWs throughout Mexico. Also, community empowerment projects that encourage mutual emotional support among FSWs e. Shannon et al. Alcohol use by FSWs before or during their sex with clients was associated with about twice the odds of having experienced sexual or physical violence in the past six months, but it was not related to economic violence. There are multiple pathways through which alcohol use before or during sex with clients could influence violence. In several studies, FSWs have reported that among some clients, alcohol use fuels client-perpetrated violence and aggression \[ 23 , 35 , 40 \]. There is also evidence that alcohol use before or during sex with clients is sometimes forced by managers, pimps, bar owners, police and others who may exert control over FSWs \[ 61 \]. On the other hand, FSWs may voluntarily engage in alcohol use before or during sex with clients as a means of coping with sex work and its negative consequences \[ 39 , 70 , 71 \]. Some FSWs may also need treatment for clinical depression and PTSD \[ 73 \], which are known risk factors for substance abuse \[ 14 , 74 , 75 \]. Although government clinics in Mexico currently offer substance use treatment to low-income persons, programs that are specially tailored for FSWs, particularly those with trauma histories, are urgently needed. Three factors were uniquely associated with sexual violence alone: using drugs before or during sex with client in past month, injection drug use in past month, and population size of city, while the alcohol use score AUDIT C was associated only with economic violence. The association between population size and crime volume has been found in US studies \[ 76 \] and is likely to be true in Mexico and other LMIC. The association between drug use before or during sex with clients and sexual violence only could be related to the use of sexually-stimulating drugs, such as methamphetamine or cocaine, that produce sexually compulsive, but not necessarily physically violent behaviors. As in our previous work, we found that injection drug use by FSWs was associated with client-perpetrated sexual violence \[ 42 \]. Further research is needed to determine if these relationships are real or statistical artifacts. This study has a number of limitations. The sample consisted of volunteers in a sexual risk reduction intervention and thus may not accurately represent the generality of FSWs in each city. In particular, time-location sampling can introduce bias by omitting unidentified venues and by excluding potential participants who either do not visit the identified venues or refuse to be screened for eligibility within them \[ 77 , 78 \]. The low levels of reported violence may also have resulted in insufficient power to detect associations between some correlates and the outcomes. Further, the use of cross-sectional data precludes the possibility of establishing the temporal direction of associations. This study also lacks data on potentially significant psychological factors e. This may have obscured important differences in violence experiences among these different types of sex worker, which one might expect because of differences in such contextual factors as workplace support, security, and oversight or the lack thereof. Our findings suggest that approaches to violence prevention for FSWs should be multi-dimensional, potentially involving any or all of the following: addressing barriers e. There is also an urgent need to train health care workers to recognize signs of sexual and physical violence among FSWs so that appropriate treatment and psychological services are offered in health care clinics throughout Mexico \[ 80 \]. The authors would like to thank the staff of Mexfam for their collaboration in this study and Brian Kelly for his assistance in editing the manuscript. Browse Subject Areas? Click through the PLOS taxonomy to find articles in your field. Results The prevalence of different types of client-perpetrated violence against FSWs in the past 6 months was: sexual Conclusions Correlates of client-perpetrated violence encompassed sociodemographic, work context, and behavioral and social factors, suggesting that approaches to violence prevention for FSWs must be multi-dimensional. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Data Availability: All relevant data are within the paper and its Supporting Information files. Introduction Female sex workers FSWs are often exposed to work-related traumas in the form of sexual, physical, and economic violence e. Methods Participants and Setting The sample consisted of 1, FSWs who were enrolled in a sexual risk reduction intervention in 13 cities throughout Mexico \[ 53 \]. Procedure The baseline interview lasted approximately 30 minutes. Measures Three broad categories of variables, selected on the basis of previous research with FSWs in LMIC, were examined in relation to each type of violence. Violence against FSWs. Work context. Behavioral and social characteristics. Data Analyses We conducted descriptive analyses on baseline data of past-six month prevalence of sexual, physical, and economic violence. Results Description of Sample Ninety percent of the sample was born in Mexico. Download: PPT. Table 1. Factors Associated with Client-Perpetrated Violence Factors independently associated with sexual violence. Table 2. Factors independently associated with physical violence. Factors independently associated with economic violence. Supporting Information. S1 Dataset. File is in SPSS format. Acknowledgments The authors would like to thank the staff of Mexfam for their collaboration in this study and Brian Kelly for his assistance in editing the manuscript. References 1. 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Research for Sex Work 4: 22— Research for Sex Work 4: 25— AIDS Care 23 5 : — Lancet : 55— J Affect Disord C: 53— AIDS Behav 16 4 : — J Prev Interv Community 38 2 : 89— Rev Panam Salud Publica 31 5 : — BMC Psychiatry Javidi H, Yadollahie M Post-traumatic stress disorder. Int J Occup Environ Med 3 1 : 2—9. Pandiyan K, Chandrasekhar H, Madhusudhan S Psychological morbidity among female commercial sex workers with alcohol and drug abuse. Indian J Psychiatry 54 4 : — J Crim Just 32 6 : — Health Promot Perspect 1 2 : 86— O'Doherty T Victimization in off-street sex industry work. Violence Against Women 17 7 : — Karandikar S, Prospero M From client to pimp: male violence against female sex workers. J Interpers Violence 25 2 : —

Buying Ecstasy Tegucigalpa