An integrated structural intervention to reduce vulnerability to HIV and sexually transmitted infections among female sex workers in Karnataka state, south India

Vandana Gurnani, Tara S Beattie, Parinita Bhattacharjee, CFAR Team, HL Mohan, Srinath Maddur, Reynold Washington, Shajy Isac, BM Ramesh, Stephen Moses, James F Blanchard BMC Public Health , 2011; 11:755 Download publication

A review of structural interventions integrated into an HIV prevention programme for over 60,000 female sex workers (FSWs) in south India. The structural interventions involved policy makers, secondary stakeholders (police, government officials, lawyers, media) and primary stakeholders (FSWs).

The research found that:

  • Stigma, discrimination, violence, harassment and social equity issues are critical concerns of FSWs,
  • Broader structural factors can be addressed as part of large-scale HIV prevention programming,
  • Addressing the broader structural factors contributing to FSW vulnerability is critical to empower women to adopt the safer sexual behaviours required for HIV prevention.

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