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Addressing sex work in camps settings Why do we need to do this?

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.

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Addressing sex work in camps settings Why do we need to do this?

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  1. Addressing sex work in camps settingsWhy do we need to do this? Sathya

  2. Sex workers – HIV 14 times* higher risk of acquiring HIV * Dr.Stefan Baral et al; The Lancet Infectious Diseases - 15 March 2012 

  3. Emergency – Resilience – HIV nexus • Shock • sudden • slow onset • conflict • 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 - • Resilience • Food security • Psychosocial stability • Validity of social norms & structures • Support networks + HIV infection + • Vulnerability • PLHIV more vulnerable to consequences of shock • HIV weakens resilience

  4. Sex workers – Vulnerability

  5. Children‘We want freedom like birds of the sky!’

  6. ‘Traditional response’ @http://dekhaundekha.wordpress.com @http://coolchaser.com

  7. EHA ‘integrated’ model

  8. ‘Integrated’

  9. Field experience • Work • Workers and clients • Work place

  10. 10 steps

  11. It can be done! Performance

  12. Key strategies • Access to multi functional services • Individual vs group needs • Inclusive vs Exclusive approach • Children are different

  13. 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”

  14. 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

  15. @http://notenoughgood.com

  16. 10 steps in addressing sex work in refugee settings

  17. 1. Forming a multi function team

  18. 2. SENSITIZATION AND BUY IN

  19. 3. identification, hot spot mapping and snow balling

  20. 4. Protection

  21. 5. Profiling and case management

  22. 6. Peer led systems

  23. 7. Health services

  24. 8. Involving men

  25. 9. VENUE BASED INTERVENTIONS

  26. 10. monitoring

  27. 10 steps

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