1. Sex 4 Swap? Nicole Hallahan Kathy Glavimans

2. Health Works is strongly committed to Harm Reduction, Community Development, the Social model of health and a multidisciplinary team approach Health Works NSP and Education Team New injecting equipment Safer using education/health promotion Disposal facilities Mobile Drug Safety Worker Community Education Worker CLV Worker Student Placements Health Care Team General health plus IDU specific issues Community Health Workers Community Health Nurses GP (S100) Grad Nurse rotation Medical Students

8. Who/where/what? majority female Informal Isolated Varies in frequency – opportunistic =Do not necessarily identify as ‘sex workers’ =sex 4 swap (not necessarily for $$$) As well as a small population working in brothels

9. Service Liaison No dedicated street sex worker services for the West However…… »RhED »Sexual health services such as MSHC »Other services which may come into contact via other issues Therefore more important that we are proactive.

10. Support Avenues Sex-worker friendly space Posters/stickers – “Big Sister is watching”, “up yours not mine”, “no condom no sex” (translated), visual representation of various STIs, other badges and booklets Ugly mugs and RhED magazine New DHS condoms and dams Education/training RhED – valuable ongoing education and guidance for staff In-service for all staff Incorporating sex worker needs into general campaigns Health services Health services offered through HCT such as sex worker screen Development of sex worker screen card (low literacy) Other medical needs Other psychosocial needs

12. Sex Worker Screening Card Example-

13. What does all this equal? Conversations in NSP about sex work and associated issues = A general feeling that Health Works is sex worker friendly Referral to Health Care Team Referral to RhED Provision of safer sex materials

14. Sex Work Screens As a product of these interventions other BBV screening as well as interventions such as HBV vaccination and psychosocial issues are also engaged with