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Lancet. 2014 Jul 21. pii: S0140-6736(14)60933-8. doi: 10.1016/S0140-6736(14)60933-8. [Epub ahead of print]

An action agenda for HIV and sex workers.

Author information

  • 1Center for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA. Electronic address: cbeyrer@jhu.edu.
  • 2University of Toronto, Toronto, ON, Canada.
  • 3Desmond Tutu HIV Research Centre, University of Cape Town, Cape Town, South Africa.
  • 4United Nations Population Fund, New York, NY, USA.
  • 5BC Center for Excellence in HIV/AIDS, University of British Columbia, Vancouver, BC, Canada.
  • 6Center for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • 7Center for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
  • 8Center for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA; Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD, USA.
  • 9Institut Pasteur, Paris, France.
  • 10UN Special Envoy for HIV in eastern Europe and central Asia, Geneva, Switzerland.
  • 11UNAIDS, Geneva, Switzerland.
  • 12Imperial College, London, UK.
  • 13University of California San Diego, San Diego, CA, USA.

Abstract

The women, men, and transgender people who sell sex globally have disproportionate risks and burdens of HIV in countries of low, middle, and high income, and in concentrated and generalised epidemic contexts. The greatest HIV burdens continue to be in African female sex workers. Worldwide, sex workers still face reduced access to needed HIV prevention, treatment, and care services. Legal environments, policies, police practices, absence of funding for research and HIV programmes, human rights violations, and stigma and discrimination continue to challenge sex workers' abilities to protect themselves, their families, and their sexual partners from HIV. These realities must change to realise the benefits of advances in HIV prevention and treatment and to achieve global control of the HIV pandemic. Effective combination prevention and treatment approaches are feasible, can be tailored for cultural competence, can be cost-saving, and can help to address the unmet needs of sex workers and their communities in ways that uphold their human rights. To address HIV in sex workers will need sustained community engagement and empowerment, continued research, political will, structural and policy reform, and innovative programmes. But such actions can and must be achieved for sex worker communities everywhere.

Copyright © 2014 Elsevier Ltd. All rights reserved.

PMID:
25059950
[PubMed - as supplied by publisher]
PMCID:
PMC4302059
[Available on 2016/1/21]
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