European Network for HIV/STI Prevention and Health Promotion among Migrant Sex Workers Access to Services and Rights for sex workers

A Network of community-based service providers and sex workers organisations, cooperating in 25 European countries. Main Objective To reduce HIV vulnerability of migrant and national sex workers across Europe.

Gender 87% female 7% male 6% transgender Proportion of migrants West Europe  70% Central Europe  18% Origin of migrants 36% EU citizens 64% outside EU 69% from CEE countries TAMPEP Network Mapping Results | 1

TAMPEP Network Mapping Results | 2 Mobility Transnational nationals 30% | migrants 70% In-countrynationals 47% | migrants 53% Settings65% indoor | migrants 69% 35% outdoor | migrants 31% Low coverage of services Only 30% of sex workers are covered by information, prevention and care measures

Vulnerability Violence and abuse  Institutional (e.g. police)  Work-related (e.g. controllers and clients) Low control of working conditions Nationals: 60%| Migrants: 40% Vulnerability Factors  Legal position  Working situation  Policies and law enforcement  Criminalisation  Lack of political commitment and governmental responses TAMPEP Network Mapping Results | 3

Effective STI/HIV prevention in sex work requires  Comprehensive service provision  Non-discriminatory services accessible to female, transgender and male indoor and street-based sex workers, including those who are positive  Accessible harm reduction services for drug users.  Strengthening the capacity of multi-sectorial services  Combination of rights-based services and policies tailored to particular settings  TAMPEP Network Need of quality services

 Information for male, female and transgender sex workers on STI, HIV, human rights, sexual health, condom use, working safely and health services  Accessible information about HIV, STI and condoms for clients and others in the sex industry  Access to appropriate condoms, lubricants, medication, contraceptives and hormones  Access to a full range of sexual and reproductive health services for men, women and transgender people including diagnosis, treatment and care of HIV and STI, and post-abortion care TAMPEP Network Services for sex workers

 Programmes to promote rights awareness and reduce abuse and discrimination  Support to locate safe places to work, to live and to care for children  Health and social services for mobile and migrant sex workers  Sex worker-friendly harm reduction programmes  Support to access justice and combat violence  Cultural, educational and community activities  Psychological support, including sexual assault counselling  Voluntary access to STI/HIV testing and follow-up social support, care and treatment TAMPEP Network Services for sex workers

 Need for a Global HIV and Sex Workers Rights protection response  To form partnerships and review policies and laws that keep SW from accessing HIV and sexual and reproductive health services  Sex work interventions must be central in HIV response and listening to SW is crucial  Addressing barriers to progress: removing key obstacles, reducing new infection and providing treatment and care is urgent and necessary  Enabling SW to access services with dignity must be part of every national HIV programme  Decriminalisation of Sex Work will enhance HIV prevention, improve health and reduce violence TAMPEP Network Call for Actions

| UNAIDS Guidance on HIV and Sex Work Where sex workers are able to assert control over their environments and insist on safer sex, evidence indicates that STI/HIV risk and vulnerability can be sharply reduced. February 2009