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This Briefing Note outlines Universal Health Coverage (UHC) and the challenges it presents for sex workers and other criminalised populations. 

Theme: Health

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.

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This reference text seeks to "clarify terms and illustrate examples of alternatives to the use of criminal law as a response to sex work". It provides capsule definitions - with small case-studies or examples - of what a variety of laws and policies look like in terms of their impact on sex work, covering criminalisation, legalisation, and decriminalisation, along with a mini-discussion of other laws that are used against sex workers, such as the criminalisation of HIV transmission, or immigration enforcement.

'Criminalising Condoms' details the experiences of sex workers and outreach services across six countries (Kenya, Namibia, Russia, Zimbabwe, South Africa and the United States). It finds that where any degree of criminalisation exists (whether of sex workers themselves, or of activities relating to sex work), condoms are used as evidence of sex work. This forces sex workers to choose between carrying safer sex supplies, thus attracting the deleterious attentions of the police, or working without condoms in the hope that the police will refrain from harassment - but also without the supplies that would protect them from HIV.

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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.

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