This research is the first large scale quantitative research on sex workers in Fiji. It has enabled an understanding of the nature and extent of sex work in Fiji, rates of HIV and STI infection among sex workers and their knowledge and behaviour around safer sex practices. This research will compliment valuable insights gained from previous qualitative research. The findings from this research will assist in the appropriate targeting and provision of education, resources and health care services to a group previously defined by UNAIDS as a most-at-risk population.
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 Law and Sexworker Health (LASH) team at the Kirby Institute, University of New South Wales were funded by the NSW Ministry of Health to better inform policy considerations, and the National Health and Medical Research Council to investigate if the various approaches across Australian jurisdictions were associated with different health and welfare outcomes for sex workers.
This summary, written under the aegis of the Center for Advocacy on Stigma and Marginalisation (CASAM), presents the preliminary results of the first pan-India survey on sex workers. These preliminary findings have been developed for an event in Mumbai on 30 April 2011. The authors appreciate the opportunity to discuss their research with an audience of critical stakeholders. A report which provides their final analysis and data relating to male, trans sex workers, sexuality, stigma and discrimination as well as the 0.5% of 15-17 year olds in this sample will be published later in the year. For the final report please contact firstname.lastname@example.org.
This study reviewed the condom utilization rates among female sex workers in Thailand, and determined that the rates of use fall far below the 100% Condom Usage rates advocated by the Thailand Ministry of Public Health.
This report details the changes in HIV infection rates in Thailand from the 1980's (prior to the implementation of the 100% Condom Use Programme) to the current day, and examines both the improvements that have been made and the areas still unresolved with regard to sex worker health and safety.
This study examines the prevalence of STIs (especially Gonorrhoea & Chlamydia) in female sex workers in Soc Trang, Vietnam. It found that the prevalence of GC/CT is high amongst female social workers in Soc Trang. Therefore, periodic presumptive treatment (PPT) for cervicitis, together with World Health Organisation recommended periodic syndromic sexually transmitted disease management, for FSWs and further interventions should be considered, and a 100% condom use programme should be promptly implemented. The existing STI health education program for FSWs should be strengthened.
A recent analysis of HIV epidemiology in Cambodia indicated that national prevalence dropped from to 2.2 percent in 2002 to 1.9 percent in 2003 (National Center for HIV/AIDS, Dermatology, and Sexually Transmitted Disease; NCHADS, 2004; UNAIDS, 2005a). As one of the few nations that have managed to check the spread of HIV, Cambodia is widely praised as a success story. This success is often attributed to the 100% Condom Programme. However, the evidence in this report reveals that the national HIV/AIDS program has failed to protect the rights of sex workers as women and as citizens. The recent U.S. Country Reports on Human Rights Practices (Department of State, 2006) stated that “Local and international NGOs reported that violence against women, including domestic violence and rape, was common. A local NGO study conducted on women working in the beer promotion industry reported widespread harassment: 83 percent experienced derogatory behavior, 80 percent faced unwanted sexual touching, 54 percent were physically abused, and 60 percent had been threatened, sometimes at gun point.” The report goes on to list impunity of security forces, a weak judiciary and denial of the right to a fair trial in addition to other problems. As governments and donors increasingly move toward HIV care and treatment while coverage of vulnerable groups with appropriate prevention programmes remains low, minimum packages that only promote condom use and the treatment of sexually transmitted infections but ignore the barriers created by stigma and discrimination are likely to fail. UNAIDS (2005b) highlights this problem in its recent policy paper emphasizing the protection of human rights and combating stigma and discrimination, not only for those already living with HIV, but also for those vulnerable or at risk of acquiring an HIV infection.
To prevent HIV transmission via commercial sex, a number of countries in the Asia and Near East (ANE) region have adopted “100% Condom Use Programmes” (100% CUPs). These programmes mandate consistent condom use during all commercial sex acts and outline sanctions against brothel management for failure to comply.
This article explores the implications of an amendment to H.R. 1298, the United States Leadership Against HIV/AIDs, Tuberculosis, and Malaria Act, seeks to deny U.S. funding to organizations that do not have a policy explicitly opposing prostitution.