European Network for HIV/STI Prevention and Health Promotion among Migrant Sex Workers

1. Access to Services and Rights for sex workers European Network for HIV/STI Prevention and Health Promotion among Migrant Sex Workers

2. A Network of community-based service providers and sex workers organisations, cooperating in 25 European countries. Main Objective • To reduce HIV vulnerability of migrant and national sex workers across Europe.

3. TAMPEP NetworkMapping Results | 1 Gender 87% female 7% male 6% transgender Proportion of migrants West Europe  70% Central Europe  18% Origin of migrants 36% EU citizens 64% outside EU 69% from CEE countries

4. Mobility Transnational nationals 30% |migrants 70% In-country nationals 47% |migrants 53% Settings65% indoor |migrants 69% 35% outdoor |migrants 31% Low coverage of services Only 30% of sex workers are covered by information, prevention and care measures TAMPEP NetworkMapping Results | 2

5. TAMPEP NetworkMapping Results | 3 Vulnerability Violence and abuse • Institutional (e.g. police) • Work-related (e.g. controllers and clients) Low control of working conditions Nationals: 60% | Migrants: 40% Vulnerability Factors • Legal position • Working situation • Policies and law enforcement • Criminalisation • Lack of political commitment and governmental responses

6. TAMPEP NetworkNeed of quality services Effective STI/HIV prevention in sex work requires • Comprehensive service provision • Non-discriminatory services accessible to female, transgender and male indoor and street-based sex workers, including those who are positive • Accessible harm reduction services for drug users. • Strengthening the capacity of multi-sectorial services • Combination of rights-based services and policies tailored to particular settings • www.services4sexworkers.eu

7. TAMPEP NetworkServices for sex workers • Information for male, female and transgender sex workers on STI, HIV, human rights, sexual health, condom use, working safely and health services • Accessible information about HIV, STI and condoms for clients and others in the sex industry • Access to appropriate condoms, lubricants, medication, contraceptives and hormones • Access to a full range of sexual and reproductive health services for men, women and transgender people including diagnosis, treatment and care of HIV and STI, and post-abortion care

8. TAMPEP NetworkServices for sex workers • Programmes to promote rights awareness and reduce abuse and discrimination • Support to locate safe places to work, to live and to care for children • Health and social services for mobile and migrant sex workers • Sex worker-friendly harm reduction programmes • Support to access justice and combat violence • Cultural, educational and community activities • Psychological support, including sexual assault counselling • Voluntary access to STI/HIV testing and follow-up social support, care and treatment

9. TAMPEP NetworkCall for Actions • Need for a Global HIV and Sex Workers Rights protection response • To form partnerships and review policies and laws that keep SW from accessing HIV and sexual and reproductive health services • Sex work interventions must be central in HIV response and listening to SW is crucial • Addressing barriers to progress: removing key obstacles, reducing new infection and providing treatment and care is urgent and necessary • Enabling SW to access services with dignity must be part of every national HIV programme • Decriminalisation of Sex Work will enhance HIV prevention, improve health and reduce violence

10. UNAIDS Guidance on HIV and Sex Work Where sex workers are able to assert control over their environments and insist on safer sex, evidence indicates that STI/HIV risk and vulnerability can be sharply reduced. February 2009 www.tampep.eu | info@tampep.eu