Implementing comprehensive HIV/STI programmes with sex workers: practical approaches from collaborative interventions



Implementing Comprehensive HIV/STI Programmes with Sex Workers thumbnail

Publication details:

Number of pages: 196
Publication date: October 2013
ISBN: 978 92 4 150618 2


Also available in the following languages:

  • Turkish
    The publication was translated into Turkish with WHO permission by Red Umbrella Sexual Health and Human Rights Association, Turkey. [pdf, 5.6MB]


This tool offers practical advice on implementing HIV and STI programmes for and with sex workers. It is based on the recommendations in the guidance document on Prevention and treatment of HIV and other sexually transmitted infections for sex workers in low- and middle-income countries published in 2012 by the World Health Organization, the United Nations Population Fund, the Joint United Nations Programme on HIV/AIDS and the Global Network of Sex Work Projects.

Topics covered in the tool include approaches and principles to building programmes that are led by the sex worker community such as community empowerment, addressing violence against sex workers, and community-led services; they include how to implement the recommended condom and lubricant programming, and other crucial health-care interventions for HIV prevention, treatment and care; and they include suggestions on how to manage programmes and build the capacity of sex worker organizations. The tool contains examples of good practice from around the world that may support efforts in planning programmes and services.

The tool is designed for use by public-health officials and managers of HIV and STI programmes; NGOs, including community and civil-society organizations; and health workers. It may also be of interest to international funding agencies, health policy-makers and advocates.

Table of contents

chapter 1
  • Chapter 1 Community empowerment
    pdf, 752kb

    Key elements of community empowerment, Working with communities of sex workers, Fostering sex worker-led outreach, Developing sex worker collectives, Adapting to local needs and contexts, Promoting a human-rights framework, Community systems strengthening (strengthening the collective), Shaping policy and creating enabling environments, Sustaining the movement, Monitoring progress
Chapter 2
  • Chapter 2 Addressing violence against sex workers
    pdf, 895kb

    Contexts of violence, Values and principles for addressing violence against sex workers, Promising interventions and strategies, Building the capacity of sex workers, Advocating for reforms, Fostering police accountability, Promoting the safety and security of sex workers, Providing health services to sex workers who experience violence, Providing psychosocial, legal and other support services, Management, monitoring and evaluation
Chapter 3
  • Chapter 3 Community-led services
    pdf, 640kb

    Community-led outreach, What community outreach workers do. Steps in implementing community-led outreach, Safe spaces (drop-in centres), Community-led quality improvement, Community committees, Other community-led approaches to reinforce quality of clinical services, Community quality assurance, Community service implementation, Community access to services and community agency
chapter 4
  • Chapter 4 Condom and lubricant programming
    pdf, 521kb

    Steps in effective condom programming, Establishing accessible male and female condom and lubricant, supplies for sex workers, Multi-level promotion of male and female condoms and lubricants, Community-led condom promotion, Destigmatizing condoms in the broader social environment, Creating an enabling environment for condom programming, Specific considerations in condom programming, Condom programme management, Roles and responsibilities in condom programming. Programme monitoring and evaluation
Chapter 5
  • Chapter 5 Clinical and support services
    pdf, 962kb

    Operational principles, Service delivery and integration, Voluntary HIV testing and counselling, Essential activities for voluntary HTC services for sex workers, Voluntary HTC performed by community outreach workers and lay counsellors, Definitions and prerequisites of ART services, Sex worker-specific ART services, Community support for ART, Treatment literacy, Pre-exposure prophylaxis, Tuberculosis, Services for sex workers who inject drugs, STI services, Sexual and reproductive health, Clinical care for survivors of sexual assault, Mental health
chapter 6
  • Chapter 6 Programme management & organizational capacity-building
    pdf, 632kb

    Planning and implementing an HIV/STI programme with sex workers, Define programme and standards, Establish a data monitoring system for management, Plan the programme evaluation, Define the management structure, Implementation, Establish a supervision system, Ensuring full sex worker participation, Capacity building and programme learning, Staff development, Building the capacity of sex worker Organizations.
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