Dakar, Senegal — On a sweltering afternoon in a suburb of Dakar, Binta is among a group of women waiting to be seen in the back of a Senegalese government clinic. When her name is called, she is ushered into a check-up room, tested for a series of sexually transmitted infections (STIs) and handed free condoms.
At the end of the appointment, the nurse stamps her identification card, called a "carnet sanitaire," which she is required to carry as a registered, legal sex worker.
The 24-year-old single mother travels over an hour and a half by taxi to get here, even though it means she's sometimes late for her evening computer science classes. On the ride through Dakar's traffic-snarled streets, she flips through photos of her 4-year-old son on her phone. For Binta, it's worth the long commute: "I go here because it's discreet."
She first came to Sébikhotane clinic last fall, after signing up to a government scheme that regulates the sex industry in Senegal. Under the program, sex workers must register with police, attend mandatory monthly sexual health s