sex worker and HIV

Sex Work and HIV: Risks & Responses Constraints & Challenges Anil Kumar National Consultation on Sex work, HIV and the Law November 2007

Declining HIV Stable HIV Increasing HIV An expanding epidemic in the region

Asian epidemics remain focused in specific populations & their partners… FSW Low or no risk females Clients Low or no risk males MSM IDUs Children

Turning the Tide 0 1991 2006 HIV prevalence (%) Cambodia Thailand Maharashta (India) Tamil Nadu (India) Andhra Pradesh (India) Karnataka (India)

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Mobile Men with Money Clients make up bulk of new infection in these countries

Turning the tide in India Massive Scaling up of Interventions Highlight of India NACP Phase II 1999 14% budget allocated to targeted Interventions: sex work & IDUs Development of “ Model Intervention Package” Providing unit cost for each Intervention Clear Identification of components of the intervention package

Immediate Results in Southern States of India 0 1991 2006 HIV prevalence (%) Clear evidence that focused intervention programs with Most-at-Risks populations succeed in bringing down new infections Maharashta (India) Tamil Nadu (India) Andhra Pradesh (India) Karnataka (India)

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sex worker and HIV

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sex worker and HIV