innovative approaches to hiv prevention in commercial sex

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  • 8/13/2019 Innovative Approaches to HIV Prevention in Commercial Sex

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    Cheryl Overs

    Senior Programme Officer, Focused Prevention

    International HIV/AIDS Alliance

    Innovative Approaches to HIVInnovative Approaches to HIV

    Prevention in Commercial SexPrevention in Commercial Sex

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    Sex Workers:Sex Workers:from rim Reaper to Agent of Changefrom rim Reaper to Agent of Change

    198s! ris" groups

    199s! a bac"lash

    2#! ne$ focus

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    %

    A ne! paradigmA ne! paradigm

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    &

    "hree Strategies"hree Strategies

    individual '

    cognitive

    participation '

    empo$erment

    enabling

    environment

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    (

    Participation and Empo!ermentParticipation and Empo!erment

    Social Caital! the ability to secure benefits through

    membership in net$or"s and other social structures

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    )

    Social Incl#sionSocial Incl#sion

    maintaining contact $ith families

    access to resources

    * +primary, health care

    * documentation* housing

    * children-s schooling

    * financial management self*esteem

    civil rights

    culture

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    Creating an Ena$lingCreating an Ena$ling

    EnvironmentEnvironment

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    %pport#nities for Solidarit&%pport#nities for Solidarit&

    $herever $or"ing conditions have been

    improved solidarity among $or"ers has

    been a factor.

    mutual support and efficient use of

    limited resources

    advocacy and political action* man&

    voices are stronger than one

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    Solidarit& in actionSolidarit& in action

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    Controversial Polic& andControversial Polic& and

    ProgrammingProgramming

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    Some ChallengesSome Challenges

    mobile and migrant sex $or"ers.

    drug users

    male and transgender sex $or"ers

    refreshing the messages

    informal sex $or"

    income generation and exiting strategies

    lin"ing prevention and care safe sex s"ills

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    1%

    Care "oda& IS PreventionCare "oda& IS Prevention

    "omorro!"omorro! care settings are an opportunity to provide

    access to condoms and other resources

    information on rights6 services and support

    reduced viral load and improved general

    health leads to reduced transmission7

    by threatening access to care6 stigma and

    discrimination undermine prevention.

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    1&

    Repackaging Safet& and Pleas#reRepackaging Safet& and Pleas#re

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    1(

    International HIV'I: lliance

    ;ueensberry House

    1%*1( ;ueens ?

    el! #%% 12)3 )18 9

    ?ax! #%% 12)3 )18 91

    $$$.aidsalliance.org $$$.aidsmap.com