The HIV and Sex Work Collection - Joint Programme Monitoring ...

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Overview of contentPart 1 provides a brief summary of the key lessonslearned and gaps and challenges in delivering andscaling up evidence and rights-based responses in theAsia-Pacific region. This analysis is largely drawn fromthe experiences, lessons and reflections identified inthe case studies, supplemented by a desk review ofrelated programming experience and research.Part 2 provides eleven detailed case studies onHIV and sex work interventions from seven countriesin the Asia-Pacific region — Bangladesh, China, Fiji,India, Myanmar, Nepal and Thailand. Each of these illustratesone or more elements of the comprehensiveresponse outlined above.All the organizations documented offer a range ofprogrammes. The case studies examine particular programmesand advocacy interventions for which thereis an absence of concrete guidance on approaches todesign and implementation and ways to achieve effectiveoutcomes. The table below summarizes the focusof each case study.Given the diversity of the interventions beingdocumented there are variations in the structure andanalysis of each case study. Broadly, they offer informationon the following:• a brief history of organization or intervention;• synopsis of the local HIV scenario;• the key interventions;• the rationale and programme principles that guideddesign and implementation;• the intervention design and implementation;• the accomplishments and challenges encounteredin design, implementation, monitoring and measuringresults;• ways that the intervention adapted to challenges andemerging needs;• means of monitoring and measuring results;• factors that contributed to progress and/or measurableresults;• lessons learned from the intervention;• gaps, challenges and future opportunities;Details about the methodology and processes for thedevelopment of this resource can be found in Annex atthe end of the regional analysis section (page 30).Page 9
Summary of case studiesOrganization Focus of documentation Country PageTOP/PSI (TargetedOutreach Programme,Population ServiceInternational)Dark BlueService Workers in Group(SWING)Lily Women’sWellness CentreVeshya Anyay MuktiParishad (VAMP) PlusUSHA Cooperative/Durbar MahilaSamanwaya Committee(DMSC)Durjoy Nari Sangha(Durjoy)Blue Diamond Society(BDS)Ashodaya AcademyEMPOWERSurvival AdvocacyNetwork Fiji (SAN Fiji)Scaling up an integrated approach to SRH and HIVprevention, testing, treatment and careHIV prevention, treatment and care for male andtransgender sex workersSex worker organizational development;Partnership with police to foster law enforcementpractices that protect rights and supports effectiveHIV programmingHIV prevention, treatment and care for ‘low fee’sex workersImproving access to HIV testing, treatment andcare for sex workers living with HIVEconomic empowerment: financialcooperative — savings and loansPreventing and addressing violence againstsex workersAdvocacy and leadership development for lawreform, programmes for legal education and legalservices for men who have sex with men andtransgender communitiesCommunity-to-community capacity building forsex worker- led HIV interventionsMeeting the needs of migrant sex workers: integratingHIV within holistic education programming;advocacy for labour rights andreform of laws and law enforcement practices.Addressing stigma and discrimination, improvingaccess to health servicesMyanmar 36China 48Thailand 57China 68India 78India 85Bangladesh 94Nepal 106India 116Thailand 129Fiji 139Page 10
Page 5 and 6: AcronymsADBAsian Development BankIU
Page 7 and 8: IntroductionContextA wealth of anal
Page 9: There is considerable experience in
Page 13 and 14: “ Community engagement is vital f
Page 19 and 20: contact increased condom use by cli
Page 21 and 22: Lessons learned acrossthe region pr
Page 23 and 24: “Because of fear of discriminatio
Page 25 and 26: Percentage of sex workers receiving
Page 27 and 28: An epidemic of bad laws and human r
Page 29: Summary of key themes• Partnershi
Page 32: Limitations and lessons from the pr
Page 36 and 37: Part 2:Case studycollectionPage 35
Page 38 and 39: Populations Services International
Page 40 and 41: Total female sex workers reached by
Page 44 and 45: “ Advocacy is critical to our wor
Page 46 and 47: Lessons• HIV prevention programme
Page 49 and 50: Case Study2HIV preventionand treatm
Page 51 and 52: Dark Blue’s model forHIV preventi
Page 53 and 54: populations. Partnerships with owne
Page 55 and 56: “When other community members see
Page 57 and 58: Gaps, challenges and opportunitiesD
Page 59: Service Workers in Group (SWING) wa
Page 63:
Lessons• Creating solidarity amon
Page 66 and 67:
Impact on preventing violenceSensit
Page 68 and 69:
121 Pact Thailand/USAID, 2011. SWIN
Page 70 and 71:
The Lily Women’s Wellness Centre
Page 72 and 73:
Kunming CDC. Outreach is a central
Page 74 and 75:
“We have seen an increase in upta
Page 76 and 77:
Lessons• An enabling environment
Page 78 and 79:
138 Kunming Municipal Women’s Com
Page 80 and 81:
VAMP — Veshya Anyay Mukti Parisha
Page 82 and 83:
This has resulted in a significant
Page 84:
Lessons• Individualized peer-outr
Page 87 and 88:
“It’s our own bank, not for non
Page 89 and 90:
The cycle of economic insecurityand
Page 91 and 92:
“Other banks are concerned about
Page 93 and 94:
Lessonshad to buy them. This was a
Page 95 and 96:
Case Study7Durjoy Nari Sangha:addre
Page 97:
The extent and severity of violence
Page 100 and 101:
Cases attended between July-October
Page 102 and 103:
Opinions of sex workers on improvem
Page 104 and 105:
Lessons• Providing legal educatio
Page 106 and 107:
175 English translation: ‘From di
Page 108 and 109:
Blue Diamond Society (BDS) was foun
Page 110 and 111:
• The recognition of sexual and g
Page 112 and 113:
Advocacy to action: impactof law an
Page 114 and 115:
Lessons• Cooperation with media c
Page 116 and 117:
201 BDS defines intersex individual
Page 118 and 119:
Ashodaya Academy is the capacity de
Page 120 and 121:
The faculty’s development trainin
Page 122 and 123:
• outreach planning;• conductin
Page 124 and 125:
Reflections on classroom andfield-b
Page 126 and 127:
Prevention scale up in Andhra Prade
Page 128 and 129:
“We want to inspire, empower and
Page 130 and 131:
Case Study10Including migrantsex wo
Page 132 and 133:
“ In order to live and work safel
Page 134 and 135:
“ We ensure our community members
Page 136 and 137:
The journey of KumjingThe journey o
Page 138 and 139:
Gaps, challenges and opportunitiesT
Page 140 and 141:
Case Study11Improvingsex workers’
Page 142 and 143:
Key elements of the SANprogrammeAdd
Page 144:
Lessons• Comprehensive training f
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