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

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Total female sex workers reached by outreach activitythrough TOP, 2004–April 2011200 000196 500130 306100 00089 46897 29647 57867 09764 25722 1762004 2005 2006 2007 2008 2009 2010 2011–AprilSource: TOP, PSI Myanmar, USAID, UNFPA 2011Enabling a safe space for female sex workers:Total members at TOP DiCs, 2004–201150 00041 59745 19430 00030 72920 84710 0008 16014 0985223 2462004 2005 2006 2007 2008 2009 2010 2011Source: TOP, PSI Myanmar, USAID, UNFPA, 2011.Page 39
TOP STI consultation and treatment service uptake byfemale sex workers, 2004–February 201112 00011 7709 2276 0006 2044 7464 9482 6343551 2712004 2005 2006 2007 2008 2009 2010 2011–FebSource: TOP, PSI Myanmar, USAID 2004–2011.Voluntary counselling and testingFree VCT services are provided in a friendly,confidential and non-judgemental environment bytwo trained community counsellors. Peer outreachworkers encourage female sex workers and men whohave sex with men to test periodically. In Yangon,Mandalay, Pathein, Bago and Pyay rapid testing isavailable at the dic but confirmatory tests are doneexternally. Blood screening in all other sites is carriedout in collaboration with local hospitals and clinics.Every day, TOP transports blood samples for screeningto the nearest clinic. dics are intentionally locatedclose to hospitals to minimise transportation time.Accompanied referral is provided for those takingconfirmatory tests. In 2010, 12 107 sex workers andmen who have sex with men reportedly accessed VCTservices in Myanmar. Of these people, 40% had doneso via TOP programme. 92STI diagnosis and treatmentIn 16 sites TOP offers free diagnosis and treatmentservices for STI. 93 Diagnostic tests include diagnosisRPR (Rapid Plasma Reagin), treponema pallidumhaemagglutination test, smear test, wet mount testand speculum examination. STI treatment is providedfor syphilis, ulcers, urethral discharge, anal discharge,genital warts, genital herpes and chlamydia. Treatmentof more complex STI is referred to partnering clinicsand hospitals. TOP is the largest STI clinical serviceprovider in Myanmar. 94 In 2009, it provided STIdiagnostic and treatment services to 84 500 peopleout of a total number of 135 000 cases attended by allimplementing organizations.Management of OI and diagnosis andtreatment of TBAt the dic, doctors from partnering health care facilitiesoffer free diagnosis and treatment for OI. Diagnosisfor most OI, including TB, is carried out in the on-sitelaboratory facility. DOTS treatment is provided free ofcost.Referral for HIV treatmentTOP refers individuals to partnering hospitals for CD4count, viral load testing and antiretroviral therapyaccess services. For those not yet on antiretroviraltreatment, co-trimoxazole prophylaxis is providedat dics. Every effort is made to ensure femalePage 40
Page 5 and 6: AcronymsADBAsian Development BankIU
Page 7 and 8: IntroductionContextA wealth of anal
Page 9 and 10: There is considerable experience in
Page 11 and 12: Summary of case studiesOrganization
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 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
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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
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Ashodaya Academy is the capacity de
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The faculty’s development trainin
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• outreach planning;• conductin
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Reflections on classroom andfield-b
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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
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Gaps, challenges and opportunitiesT
Page 140 and 141:
Case Study11Improvingsex workers’
Page 142 and 143:
Key elements of the SANprogrammeAdd
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Lessons• Comprehensive training f
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