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This case study reflects on the development and impact of the Sex Worker Academy Africa (SWAA). The SWAA is a ground-breaking learning programme for community empowerment and capacity building, led by and for sex workers. The Academy brings together national teams of sex workers from across Africa to develop organising skills, learn best practices, stimulate national sex worker movements, and strengthen the regional network.

The objective of this article is to describe the use of lemon/lime juice for douching by female sex workers and family planning clients in Jos, Nigeria. Over half the women believed that it protected them from pregnancy and/or sexually transmitted infections; they did not know their HIV status. Eighty-six percent would recommend it to others, and 71% would be willing to take part in a study to evaluate its safety and efficacy. Conclusion: Lemon and lime juice are widely used for douches among women at high risk of HIV transmission.

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Theme: Health