This report and executive summary by the Global Commission on HIV and Law, supported by UNDP, examines the role of law in effective HIV responses. The report is based on expert submissions, research on HIV, health and law, and testimony of 700 people most affected by HIV-related laws from 140 countries.
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This resource has been developed both for researchers and community-based organisations in rights-constrained environments. It is intended to help both researchers and community organisations to:
This 10th Missing the Target report (MTT10) focuses on challenges to the scale-up of HIV services as required to implement the Treatment 2.0 framework. That framework refers to an initiative developed and proposed in June 2010 by the World Health Organization (WHO) and Joint United Nations Programme on HIV/AIDS (UNAIDS) that aims to “catalyse the next phase of HIV treatment scale-up through promoting innovation and efficiency gains.”
NSWP welcomes the launch today of the ‘Prevention and Treatment of HIV and other sexually transmitted infections for sex workers in low- and middle-income countries: Recommendations for a public health approach’. The guidance was developed jointly with WHO,UNFPA, UNAIDS and NSWP who conducted the qualitative survey of sex worker values and preferences relating to the interventions being considered.
The report is designed for use by national public health officials and managers of HIV/AIDS and STI programmes, NGOs and health workers, but will also be of interest to international funding agencies, health policy-makers and advocates. It combines good practice recommendations derived from ethics and human rights principles, with technical evidence-based recommendations supported by scientific evidence AND the lived experiences of sex workers across the globe.
NSWP particularly welcomes the recommendations that governments should work towards the decriminalisation of sex work and elimination of the unjust application of non-criminal laws and regulations against sex workers which exacerbate sex workers vulnerability to HIV and STIs. In addition we welcome the recommendation that HIV prevention and treatment programmes need to include interventions to enhance community empowerment among sex workers that is sex worker-led and we particularly welcome the recommendation set out in the document that redefines the ethical use of periodic presumptive treatment (PPT) for sex workers. It emphasises that PPT should only be used as an emergency short term measure under the strictest of conditions and while comprehensive sexual health services are being developed and that PPT must only be offered if its uptake is voluntary, not imposed as part of a coercive or mandatory public health regime.
Note: This report has been updated, following agreement with UNAIDS in January 2012 to revisions in the document.
This resource was officially launched in December 2011 as a separate report from the Advisory Group at the UNAIDS Secretariat in Geneva, during the 29th meeting of the UNAIDS Programme Coordinating Board and has now been integrated into the UNAIDS Guidance Note on HIV and Sex Work as annexes and published by UNAIDS.
The need to reduce ‘demand’ for trafficked persons is widely mentioned in the anti-trafficking sector but few have looked at ‘demand’ critically or substantively. Some ‘demand’-based approaches have been heavily critiqued, such as the idea that eliminating sex workers’ clients (or the ‘demand’ for commercial sex) through incarceration or stigmatisation will reduce trafficking.
You can download this 35 page PDF resource above. This resource is in English.
You can download this 23 page PDF resource above. This resource is in English.
You can download this 72 page PDF resource above. This resource is in English.
IPPF's HIV Update newsletter, the first in 2012 focuses on 'laws & policies'. This issue features an article from the Global Commission on HIV and the Law. Many sex workers contributed to the evidence gathered by the Commission, including through the regional dialogues.
You can download this 4 page PDF document above. This resource is in English.
French and Spanish versions will be available soon on the IPPF website.
This is the English version of the Note for Record of the September 2011 UNAIDS Advisory Group on HIV and Sex Work
This document is Bernhard Schwartländer's initial email response to the Advisory Group's concerns raised in their letter. (See previous resource 'AG letter to Bernhard Schwartländer re Investment Framework').
The Advisory Group had written to the authors of an article published in the Lancet (Volume 377, June 2011), entitled 'Towards an improved investment approach for an effective response to HIV/AIDS' to raise some concerns.
You can download this 2 page pdf document above. This resource is in English.
The Advisory Group wrote to the main authors of an article published in the Lancet (Volume 377, June 2011), entitled 'Towards an improved investment approach for an effective response to HIV/AIDS' to raise some concerns, including:
- The proposed flat-lining and under-resourcing of funding for HIV programming in the context of sex work
- The apparent inclusion in HIV programming of both sex workers and their clients
- The assumptions within the report appearing to come from UNGASS reporting data, regarding the reach of current HIV programming to sex workers
- The low level of funding for condom promotion seems insufficient to meet the needs of key populations
You can read the full Advisory Group letter to the authors of this article by downloading the 2 page pdf document above. This resource is in English.
This is the English version of the Specialist Submission, by the UNAIDS Advisory Group on HIV and Sex Work, to the Global Commission on HIV and the Law.
This is the English version of the Note for Record of the July 2011 UNAIDS Advisory Group on HIV and Sex Work Teleconferences.
This is the English version of the Note for Record of the April 2011 UNAIDS Advisory Group on HIV and Sex Work Teleconferences.
This report reflects the voices and opinions of 140 participants, including resource persons and sex workers, at the first Asia and the Pacific Regional Consultation on HIV and Sex Work, held on October 2010 in Pattaya, Thailand. It covers critical components of the HIV and sex work responses, and four key areas – namely, creating an enabling legal and policy environment, ensuring sexual and reproductive health and rights, eliminating violence against sex workers, and addressing migration and mobility in the context of HIV and sex work.
In their work and lives, sex workers experience disproportionate levels of violence including police abuse, sexual assault, rape, harrassment, extortion, and abuse from clients, agents (pimps), sex establishment owners, intimate partners, local residents, and public authorities. Violence against sex workers is a violation of their human rights, and increases sex workers' vulnerability to HIV.
Evidence suggests that HIV interventions in the sex industry are more effective when sex workers themselves have direct ownership in designing, implementing and monitoring of programmes. This entails moving beyond standard HIV prevention programmes and addressing the overall health - including sexual and reproductive health - and well being needs of sex workers and their clients while, at the same time, respecting fundamental human rights. Sex workers must be recognised as agents of change rather than as 'vectors' of infection and this requires a paradigm shift in the way sex workers are viewed and engaged in the response.
Sex workers are highly mobile populations, moving both within and accross national boundaries, as either documented or undocumented labour. However, labour laws rarely, if ever, offer protection and benefits to local or migrant sex workers. Migration and mobility factors that can significantly increase the vulnerability of sex workers to HIV and sexually transmitted infections, in large part due to their undocumented status including lack of work permits, poor working conditions in some cases, lack of access to health care, occupational health and safety standards, and other forms of labour protection.