This resource is a Community Guide to the Briefing Paper: Sex Workers’ Experiences of Stock-outs of HIV/STI Commodities and Treatments. It provides an overview of the full Briefing Paper, and provides key recommendations for policy makers and health service providers.
Globally, sex workers are disproportionately affected by HIV, with prevalence estimated to be up to 34 times higher among sex workers than the general population. Access to commodities for HIV prevention, detection and access to treatment is critical to the health and wellbeing of sex workers around the world. Interventions recommended in World Health Organization (WHO) guidelines for key populations, including sex workers, include comprehensive condom and lubricant programming; HIV testing and counselling; HIV treatment and care; and sexual and reproductive health interventions.
Globally sex workers experience a number of barriers to comprehensive sexual and reproductive health (SRH) services, ranging from explicit exclusion from international financing to discrimination within SRH services leading to lower access rates.
This paper discusses the obstacles sex workers face when accessing SRH services, and examines the quality of services available to them. It also provides practical examples and recommendations for improving the accessibility and acceptability of SRH services for sex workers.
This is a Community Guide to the HIV and STI Testing and Treatment Policies briefing paper. It focuses on sex workers' experiences of HIV and STI testing and treatment programmes around the world.
This training manual by the International Committee on the Rights of Sex Workers in Europe (ICRSE) is specifically designed for sex workers and sex worker-led organisations who want to engage in advocacy and activism on issues related to sex work, HIV and human rights. It can also be used by service providers and allies who want to support meaningful participation and the leadership of sex workers in the design, implementation, monitoring and evaluation of HIV programming.
This briefing paper explores sex workers' experiences of HIV and STI testing and treatment programmes from a global perspective. Sex workers are rarely included in the development and implementation of programming. Programming that does exist often violates the rights of sex workers. Through case studies and interviews, this briefing paper demonstrates there is a need for greater investment in appropriate, high-quality, rights-based services, and research led by sex workers in order to meet the specific needs of this population.
This is a Community Guide to the Stigma and Discrimination Experienced by Sex Workers Living with HIV briefing paper. It looks at the different types of stigma and discrimination experienced by sex workers living with HIV globally. This community guide provides recommendations for policies and practices which respect their human rights. It uses case studies that highlight the experiences of sex workers living with HIV and the efforts required to meet their needs, and advocate for their rights.
This briefing paper looks at the different types of stigma and discrimination experienced by sex workers living with HIV globally. Sex workers living with HIV are at increased risk of violence, criminalisation and vulnerability to other infections. This briefing paper provides recommendations for policies and practices which respect their human rights. It uses case studies that highlight the experiences of sex workers living with HIV and the efforts required to meet their needs, and advocate for their rights. A Community Guide is also available.
Research for Sex Work 14: Sex Work is Work is a peer-reviewed publication for sex workers, activists, health workers, researchers, NGO staff and policy makers. It is available in English and Spanish. All issues of Research for Sex Work can be found here.
A series of behavioural-biological surveys in 2008 and 2011 in four districts of Karnataka found that mobilising female sex workers is central to effective HIV prevention programming. Defining community mobilisation exposure as low, medium or high, the study revealed female sex workers with high exposure to community mobilisation are:
The present paper has been produced by a Member of NSWP (Persist Health Project) and is a useful read for service providers seeking to shape their services to the needs of sex workers.
This workshop, from sex worker-led organisation Respect Inc, in Queensland, Australia, is a very thorough introduction to a wide range of issues relevant to sex workers - particularly those working in Queensland, Australia, due to this resources' discussion of the legal situation there, but also for sex workers more generally in terms of issues like safer sex, negotiating boundaries, emotional well-being, and safety tips.
This study can be used as evidence of the need for governments and health programmes to take the needs and rights of sex workers living with HIV on board!
Although disproportionately affected by HIV, sex workers remain neglected by efforts to expand access to ART. In Zimbabwe, this qualitative research study was carried out to determine some of the reasons sex workers take up HIV referrals and ART initiation.
In 2011, the New Zealand Prostitutes Collective (NZPC) commissioned Kaitiaki to undertake an in-depth investigation to understand better the issues facing migrant sex workers in New Zealand especially with regard to occupational health and safety, and reproductive health.
The World Health Organization (WHO) released new guidelines for earlier treatment of HIV at the International Aids Society Conference 2013.
A fact sheet on the guidelines can be accessed here.
There is a growing interest in the evidence that antiretroviral therapy (ART) can be used to prevent or reduce transmission of HIV. The Global Network of People Living with HIV (GNP+) have recently released their position paper on the use of ART as prevention. The paper focuses on what this means for the general population of people living with HIV (at the individual level) and what it means for public health (at the population level).
This 10th Missing the Target report (MTT10) focuses on challenges to the scale-up of HIV services as required to implement the Treatment 2.0 framework. That framework refers to an initiative developed and proposed in June 2010 by the World Health Organization (WHO) and Joint United Nations Programme on HIV/AIDS (UNAIDS) that aims to “catalyse the next phase of HIV treatment scale-up through promoting innovation and efficiency gains.”
Briefing paper produced by Médecins Sans Frontières (Doctors without Borders) that outlines the Trans-Pacific Partnership deal being negotiated between the U.S. and ten other Pacific nations.
NSWP welcomes the launch today of the ‘Prevention and Treatment of HIV and other sexually transmitted infections for sex workers in low- and middle-income countries: Recommendations for a public health approach’. The guidance was developed jointly with WHO,UNFPA, UNAIDS and NSWP who conducted the qualitative survey of sex worker values and preferences relating to the interventions being considered.
The report is designed for use by national public health officials and managers of HIV/AIDS and STI programmes, NGOs and health workers, but will also be of interest to international funding agencies, health policy-makers and advocates. It combines good practice recommendations derived from ethics and human rights principles, with technical evidence-based recommendations supported by scientific evidence AND the lived experiences of sex workers across the globe.
NSWP particularly welcomes the recommendations that governments should work towards the decriminalisation of sex work and elimination of the unjust application of non-criminal laws and regulations against sex workers which exacerbate sex workers vulnerability to HIV and STIs. In addition we welcome the recommendation that HIV prevention and treatment programmes need to include interventions to enhance community empowerment among sex workers that is sex worker-led and we particularly welcome the recommendation set out in the document that redefines the ethical use of periodic presumptive treatment (PPT) for sex workers. It emphasises that PPT should only be used as an emergency short term measure under the strictest of conditions and while comprehensive sexual health services are being developed and that PPT must only be offered if its uptake is voluntary, not imposed as part of a coercive or mandatory public health regime.