addressing sex work in camps settings why do we need to do this? sathya

Addressing sex work in camps settings

Why do we need to do this?

Sathya

Sex workers – HIV

14 times* higher risk of acquiring HIV

* Dr.Stefan Baral et al; The Lancet Infectious Diseases - 15 March 2012 

Resilience• Food security• Psychosocial stability• Validity of social norms &

structures• Support networks

Vulnerability• PLHIV more vulnerable to consequences of shock• HIV weakens resilience

HIV infection

Shock• sudden• slow onset• conflict

-

+

+

Susceptibility/Risk• Reduced resilience after shock triggers coping behaviour such

as migration, transactional sex, increase in unsafe commercial sex, taking children out of school

• Some coping behaviours increase risk of HIV infection, esp. in presence of groups with high HIV prevalence

Emergency – Resilience – HIV nexus

Sex workers – Vulnerability

Stigma Abuse

Services

Children ‘We want freedom like birds of the

sky!’

‘Traditional response’

@http://dekhaundekha.wordpress.com @http://coolchaser.com

EHA ‘integrated’ model

Baseline Tools

Capacity building M & E

MFT

‘Integrated’

Protection

CSHealth

Field experience

Work

Workers and clients

Work place

10 steps

It can be done!

Kenya Uganda Ethiopia

Sex workers in the pro-gramme

372 93 71

Number of children identi-fied

62 2 7

2575

125175225275325375

Enrolment

Performance

Key strategies

Access to multi functional services

Individual vs group needs

Inclusive vs Exclusive approach

Children are different

Prof.Ngugi

“Perhaps by now, some are saying sex work does not happen in our camp

perhaps starting to use labels like “we are good people in our camps”. They are Christians or Muslims.

I underscore that I came and (can come) to those camps and together with you, we identified (will identify) female sex workers, girl children in exploitative sexual situation”

Why we need a programme? Sex work is a reality in displaced situations

Risk of HIV is real

Sex workers need a safe protection environment

Children need to be free as birds in the sky

The programme works

@http://notenoughgood.com

10 STEPS IN ADDRESSING SEX WORK IN REFUGEE SETTINGS

1. FORMING A MULTI FUNCTION TEAM

2. SENSITIZATION AND BUY IN

3. IDENTIFICATION, HOT SPOT MAPPING AND SNOW BALLING

4. PROTECTION

5. PROFILING AND CASE MANAGEMENT

6. PEER LED SYSTEMS

7. HEALTH SERVICES

8. INVOLVING MEN

9. VENUE BASED INTERVENTIONS

10. MONITORING

10 STEPS