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Ensuring universal access to sexual and reproductive health and rights and HIV prevention, treatment, care and support are essential for development, including in the post 2015 agenda. However, while there are many separate sexual and reproductive health (SRH) related and HIV-related indicators, a key challenge has been the lack of internationally agreed indicators to measure progress in linking SRH and HIV. …
Pasa la Voz (spread the word) is a methodology used to prevent HIV using respondent-driven sampling to reach hard to access women. An organization in Ciudad Juarez (Programa Companeros) initiated a one-to-one approach to reaching at-risk and hard to reach women in the area using promotoras (outreach workers) from September 2005 to January 2006. The implementation of Pasa la Voz came on its heels and had success in increasing the number of women agreeing to get tested for HIV (11.9% to 49.9%) and decreasing testing time from 22.70 hours to 3.68 hours per test.
The importance of designing and implementing successful targeted interventions for sex workers as part of HIV prevention and control cannot be over-emphasised. In almost every country, sex workers comprise a focal point of the epidemic. They are the victims of discrimination, often violently intense, trafficking, legal persecution and societal ambivalence as well as one of the first occupational groups to become heavily infected. The infection passes from sex workers back to their clients and into the general population of women, men and children. One of the clearest public health lessons emerging from the HIV pandemic is that protecting the human rights of sex workers is an important means of prevention.