How a pleasure-positive approach to SRHR can strengthen your team

We understand the pleasure-positive approach to be a key component in shifting the framework of sexual and reproductive health and rights – one that moves away from fear towards better agency, ownership and autonomy. Centering pleasure in these conversations allows for better safety and self-determination by enhancing confidence to communicate and negotiate sexual relations safely. Crucially, we anticipate that the approach will enable more imaginative ways of conceptualising health and safety, dis-ease and wellness and consent and privacy in sexual health.

• Pleasure is key to the full realization of sexual and reproductive health and rights
• Pleasure matters and and pleasure varies- in its experience and expression across cultures and contexts
• Pleasure works – there is growing evidence that centering pleasure in SRHR leads to better health outcomes
• Pleasure expands – it allows for more comprehensive conceptualizations of health and safety, and allows for the rethinking of conventional wisdom surrounding SRHR
• Pleasure enthralls – discussions surrounding sexual health do not need to be fraught with worry and fear- sexual behaviour is governed by joy, love, intimacy and desire and our conversations must expand to make space for these aspects.

Sexual health campaigns have realized the value of an expansive definition of sexual health that includes pleasure, joy, autonomy and well-being and we believe that it is crucial that advocacy for a rights-based approach in relation to sex work also include these components. We reviewed evidence that SRHR interventions incorporating pleasure can have positive effects on a variety of behavioral and information outcomes. Lastly, we were starkly aware of the violent and distressing realities of the community we worked with and anticipated value in bringing more creative, joyous and refreshing perspectives to an SRHR framework that has driven its activities through fear.

We conducted focus group discussions with CBOs focused on what pleasure meant to sex workers, how it was experienced by them, their partners and clients, how they negotiated pleasure and discomfort, what inhibits pleasure, and the relationship between pleasure and safer sex. We learnt that FSWs do experience and enjoy pleasure even if sex work is performed primarily for an income, are able to describe fluently how pleasure feels in their bodies and can clearly articulate what clients find pleasurable.

The agenda left our team enthused and refreshed. The pleasure positive discussions increased bonding between staff, created a positive atmosphere at work and allowed staff a deeper exploration of their own relationship with pleasure. This has also motivated some staff to intensify their engagement with sex workers. Academically, it allowed us to take a step back and review both current practices in SRHR as well as our history and approach to the same in light of emerging findings on pleasure.

Discussions on pleasure have strengthened bonding in most CBOs, with women participating freely and enthusiastically. We structured our training programs to centre pleasure and this not only improved participation of women in other areas of work, but revitalized meetings and strengthened grassroots collectivization efforts. The insights gained from the experience have been used to ideate pleasure-oriented programs amongst other key populations that we work with viz. adolescents and have paved way for us to better understand determinants of health seeking behaviour.

In a context fraught with fear and violence, it has been difficult persuasively communicating the pleasure agenda amongst our stakeholders. Our participants also tended easily to get dejected, sometimes asserting that they experienced no joy or pleasure in their lives. It has been challenging ideating solutions to better negotiate pleasurable and safer sex with partners/clients. It is at times, disillusioning to witness the limited agency the women have in governing decisions around their bodies and lives and the constraints they operate within. It has been challenging reaching clients and partners of sex workers, interventions with whom are as critical to promoting the pleasure approach.

While the agenda is to incorporate a pleasure centered approach to SRHR, it may not be the priority for the community. Integrating this agenda with what already matters to the community will allow for easier acceptance with stakeholders. For example, in our work with sex workers, we emphasised that incorporating pleasure into their practice will not only build confidence while seeking health support, but also, critically, enhance earnings. This will also serve to disrupt existing notions of its triviality.