Wajeeha BatoolSex work remains a persistent yet hidden reality in Islamabad, Pakistan’s capital city. While illegal under Pakistani law, it continues in clandestine forms such as escort services, massage parlors, and street-based sex work. Many women, transgender individuals, and even men are engaged in the trade, driven by socioeconomic challenges like poverty, lack of education, and limited job opportunities. According to estimates from UNAIDS, Pakistan is one of the few countries where HIV infections are increasing. In 2022, the estimated number of people living with HIV in Pakistan was around 210,000. Although most cases are concentrated in urban areas like Karachi, Lahore, and Islamabad, there is insufficient data to determine the exact infection rate among sex workers in these cities. A national survey in Pakistan showed that HIV prevalence among sex workers ranges between 0.8% and 2.2%, with much higher rates observed in transgender sex workers. Many sex workers, particularly women and transgender individuals, are either forced into the trade or enter it due to extreme poverty. This exploitation raises broader human rights concerns and further marginalizes already vulnerable populations. This activity not only affects public health, particularly concerning the spread of HIV/AIDS and other sexually transmitted infections (STIs), but also has deeper societal implications. Because sex work is illegal, sex workers face stigma and discrimination, which deters them from seeking medical care or getting tested for HIV. The fear of being arrested or ostracized forces them to operate underground, further complicating access to healthcare. Under Shariah law, which is the Islamic legal framework, sex work is strictly prohibited. Islam considers sexual relations outside of marriage to be sinful, and adultery (zina) is a serious offense. The Quran and Hadith (sayings of the Prophet Muhammad) repeatedly emphasize the importance of modesty and chastity. To address these issues, a multi-faceted approach is needed. Law enforcement, public awareness, social services, and healthcare reform can work in tandem to reduce the prevalence of sex work while ensuring that those involved are treated with dignity and provided with opportunities for a better future.
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