Highlight the population most at risk for HIVin India and explain social work supported
prevention interventions.
In many parts of the world, HIV is concentrated among key vulnerable populations such as uniformed men, prisoners, men who have sex with men, people who inject drugs, female sex workers and youth. In what are known as “concentrated epidemics”, the prevalence of HIV in these vulnerable populations is much higher than the general population.
Although we work with many vulnerable populations, four populations are particularly central to our work–people who inject drugs, men who have sex with men, female sex workers and youth.
Female Sex Workers
Female sex workers (FSW), their clients and regular partners are vulnerable populations at risk for HIV infection. Globally, FSW are 13.5 times more likely to be infected with HIV than other women.
Factors that contribute to the high prevalence of HIV in this population include:
- High frequency of sexual contacts and sexual partners.
- Limited control over condom use.
- Pervasiveness of violence against FSW.
- Stigma and discrimination that discourages care seeking from health facilities.
We implement a range of interventions to deliver services to FSW, including the creation of drop-in centers where FSW can access HIV prevention materials, HIV testing and counseling, and screening for STIs. We also implement mobile HIV testing campaigns that bring this important service directly to sex workers.
When a sex worker is diagnosed with HIV, we use a variety of approaches to ensure she is linked to care and treatment, and provide psychosocial support to help her cope with her diagnosis and adhere to treatment.
We train peer educators and popular opinion leaders within sex worker networks to endorse risk-reduction behaviors, including the promotion of correct and consistent condom use. Our work also expands access to condoms by designing marketing campaigns specifically for FSW and their clients. Through sensitization workshops with healthcare providers, police and brothel owners, we work to build a work environment in which FSW can safely access condoms and accurate information about HIV, and live free from abuse and harassment.
Men Who Have Sex with Men
Globally, men who have sex
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