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Stigma still the major barrier for an effective HIV/AIDS response

By Shyamala Ashok, India

After a great trauma and toil in loosing one of our committed peer educators for sex workers and most of all a young friend of ours with the HIV status, a member of the women's positive network in Pondicherry, I have tried to illustrate the case for an analysis as below.

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From:Melissa Hope

Date:September 13, 2005 11:48:42 AM EDT
To:bmcserieseditor@biomedcentral.com, editorial@biomedcentral.com, info@biomedcentral.com
Cc:Lori Heise , brachlis@ccnm.edu, Kumanan.Wilson@uhn.on.ca, sosingh@jhsph.edu, pwu@ccnm.edu, elainem.wong@gmail.com, emills@ccnm.edu
Subject:Letter in response to Mills et al's "Media reporting of tenofovir trials in Cambodia and Cameroon"

To the editor:

Mills et al("Media reporting of tenofovir trials in Cambodia and Cameroon" BMC International Health and Human Rights 2005, 5:6, 24 August 24, 2005) claim in their first sentence that PREP trials were "closed due to activist pressure on host country governments". Activists worked to improve trial conditions, which would have been a real victory. The reason these trials were closed was that researchers did not meet with or meet the needs of participants. This lack of engagement with participants is why participants became activists and reached out to their international support networks and the media.

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This report focuses on indoor sex work primarily because, while these sex workers are largely invisible, they face many of the same problems as the more visible street-based prostitutes. The stereotypes of indoor sex workers encompass only extremes of either wealth and glamour or coercion and violence. The true picture reveals a more nuanced reality—the majority of indoor sex workers in this study live surprisingly precarious lives, and encounter a high level of exactly the same problems faced by street-based sex workers, including violence, constant fear of police interference, and a lack of substantive support services. Finding concrete and reality-based solutions to the needs of this invisible, vulnerable, and marginalised community is imperative to helping them create safe and stable lives.

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This Declaration is made by sex workers and by organisations dedicated to promoting their human rights and welfare. The Declaration lists rights that all individuals within Europe, including sex workers, enjoy under international human rights law; the Declaration then prescribes measures and recommends practices that the signatories of the Declaration believe are the minimum necessary to ensure that these rights are respected and protected. These rights must be respected and protected in the development and implementation of policies and programmes designed to address trafficking, irregular migration or terrorism.

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Prostitutes of New York is an organisation of many kinds of workers in New York City’s
sex industry. PONY is a member of the international Network of Sex Work Projects,
which advocates for the rights of sex workers around the world. We are concerned about
two keywords that have arisen in anti-sex work anti-trafficking advocacy: “demand” and
“dignity.” This statement addresses use of the term “Dignity.”

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