Africa: Money, Food and Survival - What Drives Paid Sex Among Young Mums in 3 African Countries

Transactional sex, defined as the exchange of sex for money, food, or favours, is common among young people in Africa. Studies have reported that about 10% of those aged 15-24 have engaged in this exchange in South Africa, 23% in Nigeria and 25% in Uganda. The behaviour has been linked to negative consequences such as unintended pregnancy, sexual violence and HIV infections.

Transactional sex refers to sexual relationships outside marriage that are not classified as commercial sex work, but where there is an expectation that material, financial or other benefits will be exchanged for intimacy or companionship.

We are sexual and reproductive health researchers focused on the intersection of evidence, policy, and lived realities of adolescents in Africa. We recently examined the extent and drivers of transactional sex among pregnant and parenting adolescents in three African countries: Burkina Faso, Kenya and Malawi.

In our earlier qualitative research work with pregnant and parenting girls in Nairobi's informal settlements, we found that pregnancy intensified economic insecurity. The focus of government and most NGOs, however is mainly on preventing adolescent pregnancy. Little attention is paid to the plight and realities of pregnant and parenting girls.

Our research set out to bring attention to these girls. We did this by examining the prevalence and correlates of transactional sex among adolescents in Burkina Faso, Kenya and Malawi. We surveyed 2,243 girls: 980 in Ouagadogou, Burkina Faso; 594 in Korogocho, Nairobi, Kenya; and 669 in Blantyre, Malawi. They were all either pregnant or already parenting. The youngest participants were 12 years old in Burkina Faso and 13 years old in Kenya and Malawi. The oldest girls in all three countries were 19.

Our findings indicated that transactional sex prevalence varied by context. Living in urban informal settlement environments was a risk. The results were a reminder of the need for stronger support systems for adolescents engaged in transactional sex across the three countries, including those who are pregnant or parenting.

Our study found that 44.3% of the girls we surveyed in Kenya, 25.4% in Burkina Faso, and 13.0% in Malawi had engaged in transactional sex at some time. The particularly high prevalence in Kenya reflects the study setting in one of Nairobi's densely populated informal settlements. There, adolescent girls face poverty, unstable support systems, unsafe living conditions, and limited opportunities for self-development. Other studies have also shown that prevalence is lower in other setti