Sex Workers and HIV/AIDS

Sex workers, along with other key affected populations (KAPs) such as men who have sex with men (MSM) and people who inject drugs (PWID), are often considered at risk of HIV. UNAIDS defines sex workers as: Female, male and transgender adults and young people who receive money or goods in exchange for sexual services, either regularly or occasionally. Sex work varies between and within countries and communities. Sex work may vary in the degree to which it is more or less “formal” or organized, and in the degree to which it is distinct from other social and sexual relationships and types of sexual-economic exchange. 1 Although sex workers are one of the groups most affected by HIV, they are also one of the groups most likely to respond well to HIV prevention campaigns. Proof of this can be seen in countries such as Cambodia, the Dominican Republic, India and Thailand, where reductions in national HIV prevalence have been helped by initiatives targeting sex workers and their clients. – See more at: http://www.avert.org/sex-workers-and-hivaids.htm#sthash.qA4pe8Al.dpuf

Social and legal factors

Sex workers are often stigmatised, marginalised and criminalised by the societies in which they live, and in various ways, these factors can contribute to their vulnerability to HIV.

Even though sex work is at least partially legal in many countries, the law rarely protects sex workers. Around the world, there is a severe lack of legislation and policies protecting sex workers who may be at risk of violence from both state and non-state actors such as law enforcement, partners, family members and their clients. 11

For example, a sex worker who is raped will generally have little hope of bringing charges against their attacker. The lack of protection in such cases leaves sex workers open to abuse, violence and rape, creating an environment, which can facilitate HIV transmission. 12

Non-governmental organisations report that almost two thirds of the countries they work in have laws that make it difficult for them to work with sex workers. 13 In some countries, police use the possession of condoms as evidence that somebody is involved in sex work, further impeding sex workers’ efforts to protect themselves.

– See more at: http://www.avert.org/sex-workers-and-hivaids.htm#sthash.qA4pe8Al.dpuf

Sexually Transmitted Diseases Overview (STDs)

Sexually transmitted diseases (STDs, venereal diseases) are among the most common infectious diseases in Africa today. STDs are sometimes referred to as sexually transmitted infections, since these conditions involve the transmission of an infectious organism between sex partners. More than 20 different STDs have been identified, and about 19 million men and women are infected each year in the Africa, according to the CDC (2010). Depending on the disease, the infection can be spread through any type of sexual activity involving the sex organs, the anus, or the mouth; an infection can also be spread through contact with blood during sexual activity. STDs are infrequently transmitted by other types of contact (blood, body fluids or tissue removed from an STD infected person and placed in contact with an uninfected person). However, people that share unsterilized needles markedly increase the chance to pass many diseases, including STD’s (especially hepatitis B), to others. Some diseases are not considered to be officially an STD (for example, hepatitis types A, C, E) but are infrequently noted to be transferred during sexual activity. Consequently, some authors include them as STD’s, while others do not. Some lists of STD’s can vary, depending on whether the STD is usually transmitted by sexual contact or only infrequently transmitted. STDs affect men and women of all ages and backgrounds, including children. Many states require that Child Protective Services be notified if children are diagnosed with an STD. STDs have become more common in recent years, partly because people are becoming sexually active at a younger age, are having multiple partners, and do not use preventive methods to lessen their chance of acquiring an STD. Seniors show a marked increase in STDs in the last few years as many do not use condoms. People can pass STDs to sexual partners even if they themselves do not have any symptoms. Frequently, STDs can be present but cause no symptoms, especially in women (for example, chlamydia, genital herpes or gonorrhea). This can also occur in some men. Health problems and long-term consequences from STDs tend to be more severe for women than for men. Some STDs can cause pelvic infections such as pelvic inflammatory disease (PID), which may cause a tubo-ovarian abscess. The abscess, in turn, may lead to scarring of the reproductive organs, which can result in an ectopic pregnancy (a pregnancy outside the uterus), infertility or even death for a woman. Human papillomavirus infection (HPV infection), an STD, is a known cause of cancer of the cervix. Many STDs can be passed from a mother to her baby before, during, or immediately after birth. Because the method of becoming infected is similar with all STDs, a person often obtains more than one pathogenic organism at a time. For example, many people (about 50%) are infected at a single sexual contact with both gonorrhea and chlamydia.

Depending on the disease, STDs can be spread with any type of sexual activity. STDs are most often caused by viruses and bacteria. The following is a list of the most common STDs, their causes. Additionally, there are other infections (see STDs with asterisk mark*) that may be transmitted on occasion by sexual activity, but these are typically not considered to be STDs by many investigators:

Always use a condom when having sexual intercourse.

Busia Unveils Plans to Fight HIV and Stigma

BUSIA county has unveiled a plan to eliminate stigmatisation and discrimination of teachers living with HIV-Aids.

The Journey to Zero campaign will educate teachers on the need to promote co-existence between them and their HIV positive counterparts.

The plan, whose implementation runs until 2019, will create awareness on the importance of timely testing, access to treatment, care and support for teachers living with the virus.

During the launch participants agreed that HIV-Aids affects the country’s workforce and its spread needs to be urgently addressed.

“We cannot continue burying our heads in the sand expecting things to change,” Busia Governor Sospeter Ojaamong’s wife Judithsaid at Amagoro Primary School on Friday said.

“We must come together in the fight against HIV-Aids if we want to succeed. Pulling together will enable us make a change.”

Busia is ranked among counties with the highest HIV-Aids prevalence rates.

The latest National Aids Control Council report ranks the county among the top ten counties with the highest prevalence rates standing at seven per cent.

The national prevalence rate is six per cent.

Magdalene Mwele, a Wellness Programmes Assistant Coordinator at TSC said the Teachers Service Commission has registered an increase in the number of teachers openly declaring their HIV-Aids status and who are were now beneficiaries of the various programmes the commission has for HIV positive teachers.

“The continued partnership between TSC and Kenya Network for HIV positive teachers has resulted in a steady increase of teachers who have visited the commission and voluntarily disclosed their HIV status,” she said.

Documenting human rights Violations of sex workers in Kenya: a study conducted in Nairobi, Kisumu, Busia, Nanyuki, Mombasa and Malindi

Description:
This study investigates the human rights violations experienced by women sex workers in Kenya. This research found that these women have no way to claim their individual human rights under the current operating laws and policy framework. They are unable to keep themselves safe as they seek to support themselves and their families because they are relentlessly subject to police harassment, arrest and abuse. Furthermore, because sex work is viewed as an ‘immoral activity’ rather than as a form of labour, many in society believe that sex workers deserve to be punished for what they do. The information and recommendations contained in this report provide ways for the Kenya Government and state institutions to address the human rights concerns of sex workers. Similarly human and women’s rights organisations in Kenya will find many strategies in this report that can be used to advocate for the protection of sex workers’ rights.

  1. Policy analysis and advocacy decision model for services for key populations in Kenya

    From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …

  2. The global HIV epidemics among sex workers

    Since the beginning of the epidemic sex workers have experienced a heightened burden of HIV across settings, despite their higher levels of HIV protective behaviors (UNAIDS, 2009). By gaining a deeper understanding of the epidemiologic and broader policy and social context within which sex work is set one begins to quickly gain a sense of the complex backdrop for increased risk to HIV among sex workers. …

  3. Integrated biological and behavioural surveillance survey among migrant female sex workers in Nairobi, Kenya

    Kenya is currently experiencing both a generalized and a concentrated HIV epidemic. It has a national HIV prevalence of 6.3 per cent and 1.3 million people between the ages of 15 to 64 across the country are living with HIV. According to the Kenya National AIDS Control Council (NACC), female sex workers (FSW) and their clients account for 14.1% of new infections. The Kenyan national response has recently started targeting research and programming efforts towards key population groups, and specifically FSW. However, migrants have not been targeted as a distinct category. …

  4. Documenting human rights Violations of sex workers in Kenya: a study conducted in Nairobi, Kisumu, Busia, Nanyuki, Mombasa and Malindi

    This study investigates the human rights violations experienced by women sex workers in Kenya. This research found that these women have no way to claim their individual human rights under the current operating laws and policy framework. They are unable to keep themselves safe as they seek to support themselves and their families because they are relentlessly subject to police harassment, arrest and abuse. Furthermore, because sex work is viewed as an ‘immoral activity’ rather than as a form of labour, many in society believe that sex workers deserve to be punished for what they do. …

  5. I expect to be abused and I have fear: Sex workers’ experiences of human rights violations and barriers to accessing healthcare in four African countries

    This report documents human rights violations experienced by female, male and transgender sex workers in four African countries (Kenya, Uganda, South Africa and Zimbabwe), and describes barriers they face to accessing health services. Through cross-country comparison and documenting sub-regional trends, the study moves beyond previous often-localised descriptions of violations against sex workers in Africa. The study also fills information gaps about violations in male and transgender sex workers in this setting.

  6. Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya

    Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level. Methods: A pre-intervention survey in 2000, recruited 503 FSW using snowball sampling. …

    1. The global HIV epidemics among sex workers

      Since the beginning of the epidemic sex workers have experienced a heightened burden of HIV across settings, despite their higher levels of HIV protective behaviors (UNAIDS, 2009). By gaining a deeper understanding of the epidemiologic and broader policy and social context within which sex work is set one begins to quickly gain a sense of the complex backdrop for increased risk to HIV among sex workers. …

OUR DEEP CONDOLENCES

     Nelly Achieng. final edit minorIt is with humble acceptance of God’s will that we announce the passing on of our beloved Nelly Achieng which occurred on 7th February 2015 after a short illness.Friends and family are meeting daily for prayers and final arrangements at Survivors Organization Office premises just next to cheers club as from 8pm

2nd Corinthians 12:9: My Grace is sufficient for you, for my power is made perfect in weakness.

A VISIT TO SURVIVORS ORGANIZATION BY USAID IN CONJUNCTION WITH APHIA PLUS WESTERN

     On 26th Jan 2015, Survivors organization heard visitors from US AID and APHIA PLUS  to document  success stories at survivors organization.The team has been funding survivors organization for the last 3 years also supporting projects with the aim of  reducing HIV  New Infections,Stigma and Discrimination,Peer Education, CPWP ,HT C,Cervical Cancer Screening, VMMC,Exchange Visit and among otherDSC06509 DSC06511

Survivors Organization  Members  sharing success stories
@Survivors Organization Busia Kenya,

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Survivors Organization Members sharing success stories
@Survivors Organization Busia.

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Survivors organization busia Community Organizationon facebook

Knowing Your Status And Advocating For Behaviour Change Keeps You At A Better Chance In Helping Our Community And Socierty Impliment And Reduce New Hiv/Aids Infections , Reduction Of Stigma& Discrimination Also Minimising New Hiv Relatade Deaths. Be A Hero By Sharering This Information With our Friends.

Condom shortage in Busia town

We sex workers of Busia believe in our slogan of “condom is good all the time and all the time condom is good and that is our nature”! Surprisingly, we are not living to our slogan due to inadequate supply of condoms.

Our main condom supplier who are PS-Kenya together with the ministry of health have not been able to make the necessary deliveries for the past three months, which has made it impossible for sex workers to carry on with their business smoothly. To some extent, a few condom dispensers have been spotted having used sanitary pads and black notes due to being without condoms for long.

We have reached out to our partners who include; Ampath-plus, Busia wellness centre and the public health office but they also sing the same song like us ‘they do not have enough condoms’ they are waiting for new stock!

Kindly we are appealing to other partners and organization out there, who could be having some in store to help us please!!!!!!!!!!!!!!