HIV and Female Sex Workers Argentina 2,6% (2007) Ecuador 3,7% (2007) Perú 0,5% El Salvador 3,6% (2006) México 5,5% Brasil 5% Jamaica 9% Honduras 9,7% (2005) Angola 23% (2006) Senegal 19,8% (ENCS, 2006) Mali 35% (2006) Guinea 34,2% (2006) Cambodia 12,7% (2006) Congo 12,2% Thailand 5,3% (2007) Nepal 2% (2005) Armenia 0,4% (2007) Rusia 6% (2007) India 6,6% (2006) China 0,5% (2005) UNAIDS 2001, 2003, 2005, 2007

An integrated and interdependent response :

Sex workers were always stigmatised, and then came HIV

We work with Female Male & transgender Sex workers

1. Public health access to information, services, medicine condoms and other stuff

“Comprehensive prevention and care interventions in sex work settings have been shown to increase condom use, access to services and reduced sex workers’ vulnerability... and has been proven to be an instrumental part of many countries’ fight against HIV/AIDS” UNAIDS

GADGETS FOR SAFE SEX

Peer Education

Information education and communications: sex worker involvement M adagascar

Safety is more than a condom

A safe workplace is a workplace in which condoms can be kept and used without fear.

Safe Workplaces Lets recognise the opportunities and opportunity costs of shifts in the sex industry B razil

Sexual and Reproductive Health Services “ Given the role of STIs as a co-factor of HIV infection, high rates of STI among sex workers can be interpreted as a precursor to a relatively rapid spread of the epidemic” UNAIDS Accessibility Acceptability Affordability Quality

USEFUL information

SAFE Commercial SEX Making Sex Work Safe Workshop.

SAFE Commercial SEX

CLIENTS It takes two to tango...

Testing and treatment as prevention Risks Confidentiality Counselling Law and Policy

The right to attain the highest standard of general sexual and reproductive health through adequate access to health care and support, appropriate information. This includes the right to informed consent and the right to refuse medical tests and treatments Health Services

Living with HIV Treatment Care Social support Condoms Nutrition

The Spend on HIV prevention for sex workers G lobal HIV Prevention Expenditure

human rights; Justice Law and policy Violence

Violence within family and workplace Trafficking and organised crime State sponsored violence. Gender based and homophobic violence

“ Police demolish a dubious hair salon in China to prevent a boom in nightclubs, arcades and other entertainment venues disturbing the peace amid a proliferation of entertainment venues as its economy has taken off, with karaoke bars, nightclubs and hair salons often serving as fronts for prostitution.”

And here is another image of another state perpetuating violence.

Impact of brothel closures  Sex workers fear police and hide from public spaces  Establishment owner no longer collaborative with outreach workers  Establishment owners forbid condoms in establishment  Hidden or arrested sex workers can’t obtain HIV treatment  Decreased number of sex workers seeking health services  Loss of trust from Establishment owners and sex workers  Many sex workers have disappeared and cannot be reached Source Family Health International Cambodia.

Human Rights Abuses Chinese police line up a group prostitutes caught during a raid on a brothel in Xian, northern China's Shaanxi province on September 24, 2008

Reducing Demand, criminalising clients C hina C anada Should policy aim to reduce demand for commercial sex or demand for unprotected sex ?

Mobility and migration

The war on sex trafficking and sexual exploitation

economic and social development

Justice Removal of all law that directly or indirectly violate the human rights of male female and transgender sex workers Recognition of sex work as a legal occupation Laws and proper enforcement to that protect sex workers’ privacy, labour rights and freedom from discrimination

building community and culture India, Brazil and Fiji

Our Red Umbrellas are everywhere

ADVOCACY AND INFLUENCE

Real Economic Empowerment

Retirement Ethiopia Mexico

An NGO offers of a new life to sex workers in a slum in Uganda : what happened next ?

Research Ethics and New Prevention Technologies

Sex Workers : Part of the Solution Solution

For the happy hooker, for the sex slave, for the screaming queen, for the incorrigible slut ; for the duped innocent ; for those of us that don’t fit a stereotype and for you...

Sorry for leaving you out Children of sex workers Male sex workers Female clients Disability Transgendered sex workers Drug & alcohol use

An integrated and interdependent response :

Resources The Paulo Longo Research Initiative website plri.org blog plri.wordpress.com twitter twitter.com/PLRI