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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 . Emergency – Resilience – HIV nexus. Shock sudden slow onset conflict. - PowerPoint PPT Presentation
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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
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+
+
Susceptibility/Risk• Reduced resilience after shock triggers coping behaviour such
as migration, transactional sex, increase in unsafe commercial sex, taking children out of school
• Some coping behaviours increase risk of HIV infection, esp. in presence of groups with high HIV prevalence
Emergency – Resilience – HIV nexus
Sex workers – Vulnerability
Stigma Abuse
Services
Children ‘We want freedom like birds of the
sky!’
‘Traditional response’
@http://dekhaundekha.wordpress.com @http://coolchaser.com
EHA ‘integrated’ model
Baseline Tools
Capacity building M & E
MFT
‘Integrated’
Protection
CSHealth
Field experience
Work
Workers and clients
Work place
10 steps
It can be done!
Kenya Uganda Ethiopia
Sex workers in the pro-gramme
372 93 71
Number of children identi-fied
62 2 7
2575
125175225275325375
Enrolment
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
@http://notenoughgood.com
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
