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UNESCO HIV and Health Education Clearinghouse

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  1. National strategic plan for most at risk populations 2011-2015

    The Ghana Most At Risk Population strategy 2011-2015 has been developed to provide a framework for the implementation of a comprehensive package of services designed specifically to reach four MARP subgroups, Female Sex Workers (FSW), Men who have Sex with Men (MSM), Injecting Drug Users (PWID) and Prisoners. The goal of the strategy is to reach 80% of all identified MARP by 2015 with a comprehensive package of HIV prevention, protection, treatment, care and support service that is evidence based, accessible and acceptable to the specific groups. …

  2. AIDSTAR-One/USAID skills building workshop in West Africa: Key findings for guiding programming for most-at-risk populations in mixed epidemic settings

    AIDSTAR-One, in collaboration with the U.S. Agency for International Development (USAID) West Africa Regional Health Office in Accra, Ghana, and supported by the U.S. President’s Emergency Plan for AIDS Relief, facilitated a workshop held May 2–3, 2012, in support of regional HIV prevention activities. …

  3. Sex work and HIV in Namibia: Review of the literature and current programmes

    Namibia’s National Strategic Framework for HIV and AIDS 2010/11-2015/16 emphasises the importance of programmes aimed at most at risk populations, including sex workers. However, research aimed at understanding the realities faced by sex workers in Namibia and the effects of HIV on them, and HIV-related programming targeting sex workers, have been relatively limited to date. In order to contribute to strengthening HIV programming with sex workers, UNFPA Namibia has obtained Programme Acceleration Funding (PAF) from UNAIDS. …

  4. Integrated biological and behavioural surveillance survey among migrant female sex workers in Nairobi, Kenya

    Kenya is currently experiencing both a generalized and a concentrated HIV epidemic. It has a national HIV prevalence of 6.3 per cent and 1.3 million people between the ages of 15 to 64 across the country are living with HIV. According to the Kenya National AIDS Control Council (NACC), female sex workers (FSW) and their clients account for 14.1% of new infections. The Kenyan national response has recently started targeting research and programming efforts towards key population groups, and specifically FSW. However, migrants have not been targeted as a distinct category. …

  5. Reducing sexual risk taking behaviors among adolescents who engage in transactional sex in post-conflict Liberia

    Transactional sex (TS) has been correlated with HIV/STD infection, pregnancy, early marriage, and sexual violence in sub-Saharan Africa (SSA). Few Western-based HIV prevention programs adapted for SSA have examined intervention impacts for this group. This article examines whether an HIV prevention intervention, delivered to sixth-grade students in Liberia (age range 14–17) and found to increase condom use and other mediators for the larger sample, significantly impacted sexual behaviors and mediators for those who engaged in TS. …

  6. Preventing HIV among sex workers in sub-Saharan Africa: a literature review

    The main focus of this report is to review the risk factors for HIV among sex workers in sub-Saharan Africa, and the interventions that have been successfully implemented in this region. The report suggests components of a health sector response necessary for accelerating prevention of HIV and other STIs among sex workers and their clients. The report, its findings and recommendations are based on a review of the available published evidence. Information is presented in three major sections. …

  7. Documenting human rights Violations of sex workers in Kenya: a study conducted in Nairobi, Kisumu, Busia, Nanyuki, Mombasa and Malindi

    This study investigates the human rights violations experienced by women sex workers in Kenya. This research found that these women have no way to claim their individual human rights under the current operating laws and policy framework. They are unable to keep themselves safe as they seek to support themselves and their families because they are relentlessly subject to police harassment, arrest and abuse. Furthermore, because sex work is viewed as an 'immoral activity' rather than as a form of labour, many in society believe that sex workers deserve to be punished for what they do. …

  8. I expect to be abused and I have fear: Sex workers' experiences of human rights violations and barriers to accessing healthcare in four African countries

    This report documents human rights violations experienced by female, male and transgender sex workers in four African countries (Kenya, Uganda, South Africa and Zimbabwe), and describes barriers they face to accessing health services. Through cross-country comparison and documenting sub-regional trends, the study moves beyond previous often-localised descriptions of violations against sex workers in Africa. The study also fills information gaps about violations in male and transgender sex workers in this setting.

  9. Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya

    Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level. Methods: A pre-intervention survey in 2000, recruited 503 FSW using snowball sampling. …

  10. Key populations, key responses: a gap analysis for key populations and HIV in South Africa, and recommendations for the National Strategic Plan for HIV/AIDS, STIs and TB (2012-2016)

    In June 2011, South Africa signed the United Nations Political Declaration on HIV/AIDS: Intensifying our Efforts to Eliminate HIV/AIDS which explicitly outlined commitment for all UN member states to address the inadequacy of HIV prevention strategies, focusing on men who have sex with men (MSM), injecting drug users (IDU) and sex workers (SW) and to improve access to HIV prevention, treatment, care and support services for migrant populations. …

  11. The Social Conditions for Successful Peer Education: A Comparison of Two HIV Prevention Programs Run by Sex Workers in India and South Africa

    Peer education is increasingly being used to combat the spread of HIV and AIDS. However, results are inconsistent. This study systematically compares the context and implementation of two peer educational approaches among sex workers in India and South Africa, which had contrasting outcomes, to identify factors leading to success or failure. The Indian intervention's success was enabled by: a stable, supportive social, material and political context; and an ethos of community development which committed resources to sex worker empowerment, ownership and involvement. …

  12. Toolkit for targeted HIV/AIDS prevention and care in sex work settings

    This toolkit was published in 2005 by the WHO. This toolkit is intended for use by anyone involved in HIV prevention initiatives in sex work settings. The purpose of this toolkit is to make both published and unpublished information more accessible to a wider audience, and so to contribute to global efforts to develop and scale up effective HIV interventions in sex work settings. Most of the items in this toolkit focus on HIV prevention in such settings. Less information is available on treatment, care and support for sex workers living with HIV. …

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