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Cheryl Overs
Senior Programme Officer, Focused Prevention
International HIV/AIDS Alliance
Innovative Approaches to HIVInnovative Approaches to HIV
Prevention in Commercial SexPrevention in Commercial Sex
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Sex Workers:Sex Workers:from rim Reaper to Agent of Changefrom rim Reaper to Agent of Change
198s! ris" groups
199s! a bac"lash
2#! ne$ focus
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%
A ne! paradigmA ne! paradigm
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&
"hree Strategies"hree Strategies
individual '
cognitive
participation '
empo$erment
enabling
environment
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(
Participation and Empo!ermentParticipation and Empo!erment
Social Caital! the ability to secure benefits through
membership in net$or"s and other social structures
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)
Social Incl#sionSocial Incl#sion
maintaining contact $ith families
access to resources
* +primary, health care
* documentation* housing
* children-s schooling
* financial management self*esteem
civil rights
culture
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Creating an Ena$lingCreating an Ena$ling
EnvironmentEnvironment
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%pport#nities for Solidarit&%pport#nities for Solidarit&
$herever $or"ing conditions have been
improved solidarity among $or"ers has
been a factor.
mutual support and efficient use of
limited resources
advocacy and political action* man&
voices are stronger than one
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Solidarit& in actionSolidarit& in action
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Controversial Polic& andControversial Polic& and
ProgrammingProgramming
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Some ChallengesSome Challenges
mobile and migrant sex $or"ers.
drug users
male and transgender sex $or"ers
refreshing the messages
informal sex $or"
income generation and exiting strategies
lin"ing prevention and care safe sex s"ills
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1%
Care "oda& IS PreventionCare "oda& IS Prevention
"omorro!"omorro! care settings are an opportunity to provide
access to condoms and other resources
information on rights6 services and support
reduced viral load and improved general
health leads to reduced transmission7
by threatening access to care6 stigma and
discrimination undermine prevention.
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1&
Repackaging Safet& and Pleas#reRepackaging Safet& and Pleas#re
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1(
International HIV'I: lliance
;ueensberry House
1%*1( ;ueens ?
el! #%% 12)3 )18 9
?ax! #%% 12)3 )18 91
$$$.aidsalliance.org $$$.aidsmap.com