treatment of HIV
Prevention and treatment of HIV and other sexually transmitted infections for sex workers in low- and middle- income countries
The World Health Organization (WHO) in partnership with UNFPA, UNAIDS, and the Global Network of Sex Work Projects, have developed new guidelines to better protect sex workers from HIV and other sexually transmitted infections (STIs).
Sex workers in many places are highly vulnerable to HIV and other sexually transmitted infections (STIs) due to multiple factors, including large numbers of sex partners, unsafe working conditions and barriers to the negotiation of consistent condom use. Moreover, sex workers often have little control over these factors because of social marginalization and criminalized work environments. Alcohol, drug use and violence in some settings may further exacerbate their vulnerability and risk.
The global war on drugs is driving the HIV/AIDS pandemic among people who use drugs and their sexual partners. Throughout the world, research has consistently shown that repressive drug law enforcement practices force drug users away from public health services and into hidden environments where HIV risk becomes markedly elevated. Mass incarceration of non-violent drug offenders also plays a major role in increasing HIV risk. This is a critical public health issue in many countries, including the United States, where as many as 25 percent of Americans infected with HIV may pass through correctional facilities annually, and where disproportionate incarceration rates are among the key reasons for markedly higher HIV rates among African Americans.
This Annual Report of the Health Systems Trust (HST) reflects an extensive programme of research and development initiatives during the 2004/05 financial year, responding to priority health needs in South Africa and the broader SADC region.The following four strategic areas received particular attention during this year:
i. the supply and distribution of human resources in the public health sector