an integrated structural intervention to reduce vulnerability to hiv and sexually transmitted infections among female sex workers in karnataka state, south india综合结构性干预减少易受艾滋病毒和性传播感染在卡纳塔克邦的女性性工作者中,南印度.pdfVIP
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an integrated structural intervention to reduce vulnerability to hiv and sexually transmitted infections among female sex workers in karnataka state, south india综合结构性干预减少易受艾滋病毒和性传播感染在卡纳塔克邦的女性性工作者中,南印度
Gurnani et al. BMC Public Health 2011, 11:755
/1471-2458/11/755
RESEARCH ARTICLE Open Access
An integrated structural intervention to reduce
vulnerability to HIV and sexually transmitted
infections among female sex workers in
Karnataka state, south India
1 2* 1 3 1 1
Vandana Gurnani , Tara S Beattie , Parinita Bhattacharjee , CFAR Team , HL Mohan , Srinath Maddur ,
1,4 1 1,4 4,5 4,5
Reynold Washington , Shajy Isac , BM Ramesh , Stephen Moses and James F Blanchard
Abstract
Background: Structural factors are known to affect individual risk and vulnerability to HIV. In the context of an HIV
prevention programme for over 60,000 female sex workers (FSWs) in south India, we developed structural
interventions involving policy makers, secondary stakeholders (police, government officials, lawyers, media) and
primary stakeholders (FSWs themselves). The purpose of the interventions was to address context-specific factors
(social inequity, violence and harassment, and stigma and discrimination) contributing to HIV vulnerability. We
advocated with government authorities for HIV/AIDS as an economic, social and developmental issue, and solicited
political leadership to embed HIV/AIDS issues throughout governmental programmes. We mobilised FSWs and
appraised them of their legal rights, and worked with FSWs and people with HIV/AIDS to implement sensitization
and awareness training for more than 175 government officials, 13,500 police and 950 journalists.
Methods: Standardised, routine programme monitoring indicators on service provision, service uptake, and
community activities were collected
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