The Global Fund has published this technical brief on guiding principles and best practices for HIV programming addressing sex workers and other key populations. The brief is based on 4 implementation tools for key populations, with the Sex Worker Implementation Tool (SWIT) offering normative guidance for programming aimed at sex workers.
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Technical Brief: Addressing Sex Workers, Men Who Have Sex With Men, Transgender People, People Who Use Drugs, and People in Prison and Other Closed Settings in the Context of the HIV Epidemic
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:
Beyond ‘Supply and Demand’ Catchphrases: Assessing the Uses and Limitations of Demand-Based Approaches in Anti-Trafficking
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.
In this guide, GAATW review the literature from past sporting events, and find that they do not cause increases in trafficking for prostitution. The guide takes a closer look at why this unsubstantiated idea still captures the imagination of politicians and some media, and offers stakeholders a more constructive approach to address trafficking beyond short-term events. This guide will help stakeholders quickly correct misinformation about trafficking, develop evidence-based anti-trafficking responses, and learn what worked and what did not in past host cities.
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.
Creating an Enabling Legal & Policy Environment for Increased Access to HIV & AIDS Services for Sex Workers
Governments and the United Nations have recognised the need to address the legal and policy barriers and stigma and discrimination faced by sex workers in order to respond to the HIV epidemic. In many countries, laws, policies and practices against sex workers limit their right to basic social economic rights such as access to education, health care, housing, banking facilities, inheritance, property and legal services. They may also lack citizenship or legal status, resulting from migration or unfavourable regulations, which can lead to exclusion of sex workers from health services, social programmes and communities.