As new medical technologies are increasingly being promoted in the prevention and treatment of HIV, and heralded as interventions to be used within communities of key populations including sex workers, NSWP urges the international HIV community and donors to take the concerns of sex workers presented in this report seriously and continue meaningful engagement with key populations in this shift towards the use of biomedical interventions. For years sex workers around the world have been developing and sustaining sex worker-led HIV prevention, treatment, care and support programmes.
The information in this report summarises the findings of five briefing papers on sex workers’ access to HIV treatment in five regions: Africa; Asia Pacific; Europe; Latin America; and North America and the Caribbean. Research was carried out by regional consultants through online surveys and meetings with sex worker-led organisations and individuals, to identify the multiple barriers to ensuring access to appropriate health care for those living with HIV.
One of the initial advocacy priorities identified by NSWP+ (a platform for positive sex workers and others committed to equal rights for sex workers living with HIV) was treatment access and joining the campaign against trade related restrictions and patents used by large pharmaceutical companies to make huge profits from essential medicines. Sex workers identified the need for accessible information on the trade frameworks that impact upon access to medicines for people living with HIV.