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Since 2003, US government funding to address the HIV and AIDS pandemic has been subject to an anti-prostitution clause. This clause requires aid recipients to adopt an organizational policy opposing sex work and requires them to keep away from the “promotion of prostitution”. Simultaneously, the efficacy of some HIV prevention efforts for sex work in areas receiving US government funding has diminished. This article seeks to explain the unintended yet adverse effects of the implementation of the pledge through case stories.

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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.

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Theme: Health

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).

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Theme: Health

This study was carried out to ascertain the cost effectiveness of targeted interventions for female sex workers under the National AIDS Control Programme in India.

Its conclusion was that at the current gross domestic product in India, targeted intervention is a cost-effective strategy for HIV prevention in India. 

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Theme: Health

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 info@sangram.org.

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After premature closures in 2004 of biomedical human immunodeficiency virus (HIV) prevention trials involving sex workers in Africa and Asia, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and Global Advocacy for HIV Prevention (AVAC) undertook consultations to establish better participatory guidelines for such trials in order to address ethical concerns. This study investigated sex workers’ knowledge and beliefs about research ethics and good participatory practices (GPP) and the perspectives of sex workers on research participation. A 33-question survey based on criteria identified by UNAIDS and AVAC was translated into three other languages.

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