Women in the sex trade are often considered an at-risk population, especially in places that stigmatize sex trade. Sex trade comes with legal risks as well as societal stigma and lack of acceptance. Over the years, there has been a surge of women in sex trade mobilizing their communities for change, whether policy-driven or within the greater community surrounding them. This study aims to analyze women exchanging sex in Mexico and whether there is an association between their desire for government policy change in health care and their indicators of potential community mobilization. Furthermore, social ecological variables at the individual, interpersonal, community, and policy level will be added to the analysis to determine if these factors in their everyday lives affect the association between the desire for change and their actions towards organizing.