HSE W OMEN ' S H EALTH S ERVICE Baggot Street Clinic 19 Haddington Road Clinic times: Tuesday 2-4pm Wednesday 2-4pm Thursday pm No Appointment necessary

 HSE statutory service with two areas of work:  Providing Sexual Health and Outreach services for women in all areas of prostitution.  Care planning for Victims of Trafficking for sexual and labour exploitation and also forced criminal activity. 2 W OMENS HEALTH S ERVICES

Drop in Sexual Health clinic Outreach to Streets/ apartments Key work Client support Anti Human trafficking Team Key Areas of Work Women’s Health Service HSE 3

4-Oct-15 R ELEVANCE OF WHS IN COUNTER TRAFFICKING MEASURES Women in the sex industry come for medical services at some point Information on range of experiences by all women irrespective of entry into sex industry, trafficked, controlled and pimped or not, national and non national Access to women who often have no contact with other services VOT can take time to disclose information so offering support and building trust crucially important Operating non-judgemental open service, no pressure May have agreed to work in prostitution but then become VOT, time to pick up on exploitation 4

WHY ATTEND? EVICTION INFECTION CRISIS PREGNANCY VIOLENT ASSAULT friend advice exit Free contraception 5

P ROFILE OF C LIENTS ATTENDING C LINIC Total Attendees 268 New 115 New internationals 105 Nationalities Irish 20 U.K. 8 International 240 Opiate dependant14 Place of Work Indoor 254 Outdoors 14 6

42 C OUNTRIES OF O RIGIN Brazil99Ireland UK 20 8 Romania48 Dominican Rep Columbia Argentina Venezuela South America Spain Portugal France Italy Germany Greece Hungary Poland Slovakia Russia Czech Rep Croatia Latvia Bulgaria Nigeria South Africa Cameroon Malawi Congo Uganda Ghana Kenya Benin Tanzania China2 Canada Mexico 1111 Pilipino Thailand 2121 Vietnam India

4-Oct-15 WHY WOMEN RELUCTANT TO REPORT OR PRESENT TO SERVICES Fear of prosecution (self incrimination) Fear of persecution from attackers Constant risk of violence (physical/sexual assault) from trafficker or ‘punters’ Implications of disclosure e.g. statements, visibility of their ‘life’ Length of time for judicial process/poor outcomes in court cases Loss of personal items, phones, computer, money (evidence) Perception (real/unreal) that there is no way out 8

WHY PARTNERSHIP/ REFER TO WHS? Encourage women to report minor or more serious Best practice Build’s confidence in Garda Promote/normalise contact with the Garda, Intelligence gathering Domino Effect peer Previous results Resource 9

10 N ATIONAL R EFERRAL M ECHANISM WHS AHTU infoGNIB/Gardai State Agencies HSE AHTT Care plan RIA/Dept of Justice Legal Aid Board NGO’s Ruhama/ICI RCC/Women’s Aid Focus Ireland/ Threshold Housing

I NDICATOR QUESTIONS WE USE IN ASSESSMENT Are you under pressure? Is it possible for you to leave prostitution? Do you owe anybody money? Do you sleep in same place where men come for sex? Has anyone threatened you or your family? Are you free to come and go? (isolated) Are you frightened of anybody or anything Can we help you? – now or in the future (based on WHO guidelines) 11