This resource is a Community Guide to the NSWP Briefing Paper on the Meaningful Involvement of Sex Workers in the Development of Health Services Aimed At Them. This Community Guide provides a summary of NSWP’s full Briefing Paper, and provides key recommendations for governments, policy makers and health service programmers.
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This Briefing Paper discusses the extent to which sex workers are currently meaningfully involved in the development of healthcare services that are aimed at them. The paper looks at this on a global scale and in five regions: Africa, Asia Pacific, Europe, Latin America, and North America and the Caribbean. Case studies were developed based on in-depth research conducted in ten countries: Belgium, Brazil, Cambodia, Ecuador, Ethiopia, Mauritius, Papua New Guinea, Trinidad and Tobago, Ukraine, and the U.S.A.
Sex workers constitute a key population affected by HIV, with multiple factors contributing to their vulnerability. Around the world, HIV programming falls short of taking these factors into account and actively working towards their reduction. Sex workers are put at risk of exposure to HIV by criminalisation; violence; unsafe working conditions; violations of their human rights; stigma, discrimination and social marginalisation; drug and alcohol use; unequal access to appropriate health services; minimal access to HIV prevention tools (such as safe sex supplies and safer injecting equipment); barriers to negotiation of safe sex with clients; offers of higher fees for unprotected sex; and an absence of HIV-related information targeted at sex workers, due to insufficient funding for rights-based and sex worker led programming. This Briefing Paper discusses these in detail.