HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs

There is evidence that HIV prevention programs for sex workers, especially female sex workers, are cost-effective in several contexts, including many western countries, Thailand, India, the Democratic Republic of Congo, Kenya, and Zimbabwe. The evidence that sex worker HIV prevention programs work m...

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Bibliographic Details
Main Author:	Wilson, David
Format:	Journal Article
Language:	en_US
Published:	Public Library of Science 2015
Subjects:	HIV HIV prevention healthcare delivery
Online Access:	http://hdl.handle.net/10986/23190

id	okr-10986-23190
recordtype	oai_dc
spelling	okr-10986-231902021-04-23T14:04:13Z HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs Wilson, David HIV HIV prevention healthcare delivery There is evidence that HIV prevention programs for sex workers, especially female sex workers, are cost-effective in several contexts, including many western countries, Thailand, India, the Democratic Republic of Congo, Kenya, and Zimbabwe. The evidence that sex worker HIV prevention programs work must not inspire complacency but rather a renewed effort to expand, intensify, and maximize their impact. The PLOS Collection “Focus on Delivery and Scale: Achieving HIV Impact with Sex Workers” highlights major challenges to scaling-up sex worker HIV prevention programs, noting the following: sex worker HIV prevention programs are insufficiently guided by understanding of epidemic transmission dynamics, situation analyses, and programmatic mapping; sex worker HIV and sexually transmitted infection services receive limited domestic financing in many countries; many sex worker HIV prevention programs are inadequately codified to ensure consistency and quality; and many sex worker HIV prevention programs have not evolved adequately to address informal sex workers, male and transgender sex workers, and mobile- and internet-based sex workers. Based on the wider collection of papers, this article presents three major clusters of recommendations: (i) HIV programs focused on sex workers should be prioritized, developed, and implemented based on robust evidence; (ii) national political will and increased funding are needed to increase coverage of effective sex worker HIV prevention programs in low and middle income countries; and (iii) comprehensive, integrated, and rapidly evolving HIV programs are needed to ensure equitable access to health services for individuals involved in all forms of sex work. 2015-12-02T22:31:05Z 2015-12-02T22:31:05Z 2015-06-16 Journal Article PLoS Medicine http://hdl.handle.net/10986/23190 en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Public Library of Science Publications & Research :: Journal Article Publications & Research
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	HIV HIV prevention healthcare delivery
spellingShingle	HIV HIV prevention healthcare delivery Wilson, David HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs
description	There is evidence that HIV prevention programs for sex workers, especially female sex workers, are cost-effective in several contexts, including many western countries, Thailand, India, the Democratic Republic of Congo, Kenya, and Zimbabwe. The evidence that sex worker HIV prevention programs work must not inspire complacency but rather a renewed effort to expand, intensify, and maximize their impact. The PLOS Collection “Focus on Delivery and Scale: Achieving HIV Impact with Sex Workers” highlights major challenges to scaling-up sex worker HIV prevention programs, noting the following: sex worker HIV prevention programs are insufficiently guided by understanding of epidemic transmission dynamics, situation analyses, and programmatic mapping; sex worker HIV and sexually transmitted infection services receive limited domestic financing in many countries; many sex worker HIV prevention programs are inadequately codified to ensure consistency and quality; and many sex worker HIV prevention programs have not evolved adequately to address informal sex workers, male and transgender sex workers, and mobile- and internet-based sex workers. Based on the wider collection of papers, this article presents three major clusters of recommendations: (i) HIV programs focused on sex workers should be prioritized, developed, and implemented based on robust evidence; (ii) national political will and increased funding are needed to increase coverage of effective sex worker HIV prevention programs in low and middle income countries; and (iii) comprehensive, integrated, and rapidly evolving HIV programs are needed to ensure equitable access to health services for individuals involved in all forms of sex work.
format	Journal Article
author	Wilson, David
author_facet	Wilson, David
author_sort	Wilson, David
title	HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs
title_short	HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs
title_full	HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs
title_fullStr	HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs
title_full_unstemmed	HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs
title_sort	hiv programs for sex workers : lessons and challenges for developing and delivering programs
publisher	Public Library of Science
publishDate	2015
url	http://hdl.handle.net/10986/23190
_version_	1764453155543711744

HIV Programs for Sex Workers : Lessons and Challenges for Developing and Delivering Programs

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