In 2012, Mwamini K. a sex worker in Dar es Salaam, was raped at gunpoint by a client who got angry when she asked him to use a condom. She did not report the case to the police nor seek medical assistance because she did not trust that she could get the help that she needed, she told me. (Mwamini’s name, like all others here, has been changed.) Mwamini explained that in 2011, she sought treatment for a sexually transmitted infection at Mwananyamala Hospital. The nurse refused to treat her unless she brought her sexual partner. Mwamini told the nurse that she was a sex worker and did not know who infected her. The hospital turned her away.