Sustainable Livelihoods

Both men and women in Lake Victoria fishing communities depend directly on fish as an economic resource for their livelihoods. Vulnerable groups, especially women, respond to resource scarcity by seeking alternative survival strategies, primarily transactional sex. Female fishmongers are structurally forced to barter their bodies to participate in the fish market at all. The review is designed to inform health systems responses applicable to similar resource-dependent coastal or lakeside communities globally where climate change intensifies economic precarity.