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Factors associated with self-reported unprotected anal sex among male sex workers in MombasaKenya. A structured questionnaire was administered using handheld computers. Factors associated with self-reported unprotected anal sex with male clients in the past 30 days were identified and subjected to multivariate analysis.

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Many girls know the risks - pregnancy, violence, disease - but without other options, continue to sell sex, Mwachi added.

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A lack of development, few job opportunities and weak law enforcement has, in fact, allowed the trade to thrive. But in cities and towns such as Mombasa, Diani, Kilifi and Malindi dotted along the Indian Ocean coastline, foreign and Kenyan visitors have for years stoked demand for sex with young women - and minors.

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Who will testify? Within an hour, the men leave with the two girls - both look barely No one raises an eyebrow - not the waiter who collects their bill, nor the bouncers who open the door as they leave, not the taxi driver waiting outside. I find them at the market, concerts, weddings and on the beach.

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So who will report the case? Raising awareness about the harmful impact of child prostitution is not enough, he admitted, adding that vocational training and jobs were needed to curb trade.

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Some children are trafficked from other areas of Kenya expressly for sexual slavery, but most victims are locals who are pushed into the trade more subtly, say campaigners. While these figures date back over a decade, little has improved, say campaigners and government officials.

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Deep-rooted sexism ensures deep-seated and daily discrimination, while engrained customs from polygamy to early marriage leave girls and women disproportionately vulnerable. Emerging Markets Updated.

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On the dance floor, adolescent girls gyrate to the rhythmic beat of Congolese rumba as two elderly European men in tropical shirts and Bermuda shorts watch on. Eighteen-year-old Saumu, who began selling sex at 15, holds out little hope of a better future: she has a 3-year-old son from one client, and is eight months pregnant by another.

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Offering everything from big game safaris to sandy white beaches, Kenya attracts more than a million visitors annually from countries such as China, Germany, France and Britain. But the tourists are now renting out private villas, where they take the children and carry out their business undisturbed.

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The child sex trade has become so widely accepted that girls no longer just have sex with tourists for money, but also with local men for anything from a ride home to a pair of shoes, or even a bag of sugar, say campaigners and officials. But when there is no option, you do it and slowly it becomes a habit.

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Even on a weekday evening in off-peak season, the scene at one of the popular tourist nightclubs on the Diani Beach Road is as cliched as it is true. From Thailand and the Philippines to the Dominican Republic and Brazil, sex tourism is common in developing countries where poverty and discrimination push millions of women into commercial sexual exploitation.

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Tour operators say it is difficult to crack down as the girls often lie about their age and carry no identification.

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