Addressing sex work in camps settings Why do we need to do this? Sathya

Sex workers – HIV 14 times* higher risk of acquiring HIV * Dr.Stefan Baral et al; The Lancet Infectious Diseases - 15 March 2012

Resilience Food security Psychosocial stability Validity of social norms & structures Support networks Vulnerability PLHIV more vulnerable to consequences of shock HIV weakens resilience HIV infection Shock sudden slow onset conflict Emergency – Resilience – HIV nexus

Sex workers – Vulnerability StigmaAbuse Services

Children ‘We want freedom like birds of the sky!’

EHA ‘integrated’ model BaselineTools Capacity building M & E MFT

‘Integrated’ Protection CSHealth

Field experience Work Workers and clients Work place

10 steps

It can be done! Performance

Key strategies Access to multi functional services Individual vs group needs Inclusive vs Exclusive approach Children are different

Prof.Ngugi “Perhaps by now, some are saying sex work does not happen in our camp perhaps starting to use labels like “we are good people in our camps”. They are Christians or Muslims. I underscore that I came and (can come) to those camps and together with you, we identified (will identify) female sex workers, girl children in exploitative sexual situation”

Why we need a programme? Sex work is a reality in displaced situations Risk of HIV is real Sex workers need a safe protection environment Children need to be free as birds in the sky The programme works

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10 STEPS IN ADDRESSING SEX WORK IN REFUGEE SETTINGS

1. FORMING A MULTI FUNCTION TEAM

2. SENSITIZATION AND BUY IN

3. IDENTIFICATION, HOT SPOT MAPPING AND SNOW BALLING

4. PROTECTION

5. PROFILING AND CASE MANAGEMENT

6. PEER LED SYSTEMS

7. HEALTH SERVICES

8. INVOLVING MEN

9. VENUE BASED INTERVENTIONS

10. MONITORING

10 STEPS