Bao Cao PCMD 27_8 Translation

8/8/2019 Bao Cao PCMD 27_8 Translation

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MINISTRY OF LABOUR, INVALIDS AND SOCIAL AFFAIRS

DEPARTMENT OF SOCIAL EVILS PREVENTION AND

CONTROL

ORIENTATIONS ON SOCIAL EVILS

PREVENTION AND CONTROL PERIOD

2011-2015

Hanoi, August 2010


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1. Sex works and HIV infection among sex

workers in Vietnam

1.Sex works

are very complicated and there are many

disguised services available :- Sex works in sensitive services provision

establishments.


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1.1 Current situation of sex works

- The appearance and increase of

male sex works and homosexualsex works. Current situation of

male sex works and public

locations in which male sex

works exist.

- Sex works in industrial

zones, export processing

zones and street sex works


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1.1 Current situation relevant to sex

works

The fact shows that sex works is a challenging

problem to deal with. It happens in almost

everywhere and in every circumstances. It is

difficult to eliminate and sex works exists inparallel with social development.


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1.2 HIV/AIDS infection among sex

workers

The risk of HIV infection via unsafe sex is

increasing. Sex workers are the most vulnerable

group being infected with HIV. Infection rate

among sex workers is different across theregions with the highest prevalence found in

Northern Delta and Southern East provinces.

High infection rates among sex workers in these

regions are higher than other regions attributingto unsafe sex practices.


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1.2 HIV/AIDS infection among sex workers

Some specific data :- HIV infected prevalence in An GiangProvince in Mekong delta is 7.5%1;

- HIV infection rate among sex workersadmitted to Centre for Treatment

Education and social works in Hanoi is16.6%2...

Results of the monitoring activities in2009 found that HIV infection rateamong sex workers is 3.2 percent whichis similar to that of 200820083.

However the national HIV infection rateis only 0.5%4.

*1: Source: Department of HIV/AID Prevention andControl Ministry of Health, 2009

2: Source: statistics extracted from 5 year reviewreport in sex works prevention and control (2006-2011) in Hanoi

3, 4: Statistics of Department of HIV/AID Prevention

and Control Ministry of Health, 2009


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1.2 HIV/AIDS infection among sex workers

Studies on sex workers conducted byDepartment of Social Evils protectionand control in 2008 in five provinces/big cities i.e. Hanoi,Hochiminh city, Haiphong,

Thainguyen and Cantho found thatmajority of the sex workers are awareof the fact that they are among highrisk groups who are vulnerable toSTDs, particularly HIV epidemic. Theinfection can be transmitted from theclients and vice versa. However, sex

workers are not active in having accessto social and health care services andthey do not have access tointerventions, harm reduction programs and safe sex practices byusing condoms.


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1.2 HIV/AIDS infection among sex

workers

Clients of the sex workers are also among high riskgroups who can transmit the virus to their wivesand partners. Results of the in-depth interviewsindicated that many of the sex workers are active inasking and providing guidance for clients in usingcondoms but many of them refused to use it to

protect themselves. One of the reason is the factthat clients supposed that HIV happened to others,

not to them).This is one of the challenges and there is a greathidden potential of HIV infection in thecommunity.


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2. Some results in sex workers prevention and

control period 2006-2010

2.1 Achievements

- It is estimated that the numberof 50,000 people are suspectedto be sex workers and the

number of recorded sexworkers is more than 30,000people in the period of 2006-2010. The number of 18,778 person-time have been provided with treatment-education and work rehab

services of which the numbe of10,227 person-time have beenadmitted to the centre and8,551 person-time have been provided sexvices in thecommunity.

- Providing vocational training

and employment generation for12,812 person-time.


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. Some results in sex workers prevention and


- Eliminating 6,09 SWs caseswith 19,443 people .

- Bringing 3,455 SWs relatedcases to courts with theinvolment of 4,585 people

Thanks to those activities, sexworks have been reduced atthe public and disguised sexworks in businessestablishments have also beenreduced


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Prevention and educationactivities using variouschannels for high risk groups,rehabilitated sex workers have

been provided in reality. S,ome models are very sucessfulsuch as Sao Do Club inHaiduong, peer group inHochiminh city and Hanoi,

Club for pre-rehab groups inCantho province, self helpgroup in Bac giang etc.


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2.2 Shortcomings

- Awareness and perceptions in having access to interventions,harm reduction and safe sex practices among sex workers and theirclients are still poor. Sometimes they are having a wrong

perception when they suppose that condom is an evidence for sexselling/buying. In reality, no legal document regulates this issue.

- Advocacy is limited and have not reached all population groupsparticularly sex workers and their clients.

- SWs prevention and control tend to punish sex workers ratherthan clients, people who organize sex works, pimps andparticularly those who sexualy exploit sex workers.


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4. Directions in sex works prevention and


- It is expected that 70-80% of

the population will be provided

with advocacy and education

regarding sex works with the

aim to increase their

awareness, to enable them to

recognize the harms and the

impacts of SWs on social life,

creating consensus in SWs

prevention. From that ground,

the population will have safe

and healthy sex behaviours and

practices to prevent

HIV/AIDS.


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- Eliminating and addressing 100% detected

SWs cases which are considered to be serious

and complicated, creating bad impression on

general population; reducing 50-70% disguised business/services establishments including

hotels, restaurants, hostels, discotheques,

karaoke shops and other sensitive disguised

services. Eliminating disguised sex works inany form with the aim to reduce sex works in

the society.


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- Developing and piloting models toreduce vulnerability and supports in preventing and controlling HIV/AIDS

infection, encourage the sex workers toreintegrate into the community in citiesand provinces. Developing legal andfinancial frameworks to create enablingenvironment for sex workers to have easyaccess to HIV/AIDS and STDs preventive infection services includingthe use of condom.


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-Reviewing andevaluating models ofSWs prevention andcontrol integrated withHIV/AIDS prevention,human trafficking prevention for SWs

purposes with the aim toreplicate to better fulfillthe objective of SWs prevention and harm

reduction


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- Finalizing legal framework onSWs prevention and control onthe ground of ensuringappropriate and effective

operational mechanisms for SWs prevention and control, harmreduction, HIV/AIDS infection

prevention, combating againstdiscrimination and creatingenabling environment for sex

workers to reintegrate into thecommunity as well as protectingadolescents against being forcedto work as sex workers.


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DEPARTMENT OF SOCIAL EVILS

PREVENTION AND CONTROL

THANK YOU FOR YOUR ATTENTION!

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Bao Cao PCMD 27_8 Translation