The importance of sex-worker interventions: the case of Avahan in India.

摘要: Since the very beginning of HIV epidemic, sex workers have been at increased risk for HIV, because multiple partners, and highly vulnerable environmental structural barriers that prevent them from accessing services or having control over their activities.1 Experience with feasible effective prevention programmes has accumulating more than 20 years. In Democratic Republic Congo,2 Cote d'Ivoire3 Bolivia,4 STI rates among declined as a result individual interventions including condom promotion, care risk-reduction messages. Dominican Republic5 India6 7 illustrated effectiveness contextual to reduce vulnerability create an enabling environment. So far, large-scale implementation sex-worker either risks lagged behind. Most countries today still do not national plan address needs this population, worldwide less 50% access minimum services.1 8 India is clearly exception! The government supported in many high-prevalence districts since mid-1990s, adopting mainly strategies such distribution outreach. 2005, Bill Melinda Gates Foundation's Avahan AIDS Initiative was launched increase coverage most at-risk populations, holistic approach …