HIV prevention amongst sex workers: what works?

HIV prevention amongst sex workers: what works? - PPT

IDUs often struggle with multiple health risks due to social, economic and psychological factors. HIV prevention may not be their top concern since they face other more pressing daily challenges such as addiction, poverty, incarceration, homelessness, stigma, guilt, shamedepression, mental illness.... ID: 662444

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HIV prevention amongst sex workers: what works?

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Presentations text content in HIV prevention amongst sex workers: what works?

XXX Threat
HIV, Drug Addiction, Sex Work
Nancy Gunnarson
Certified HIV Tester and Counselor At Philadelphia FIGHT
AGENDA
TALK ABOUT HIV
HIV/AIDS Myths/Fact’s
Importance of Getting an HIV Test
Importance of Needle Exchange Programs
Sex Workers Rights
WHAT IS HIV
It’s a virus
Transmitted from person to personDamages the immune system
HIV facts at a Glance
People are still contracting or transmitting HIV
If you think it will not happen to you it can
The only way not to contract HIV is Safe Sex
( Condoms, Dental dams ) Don’t share works and cooker, cotton, water
Get Tested Know. Your Status
STIGMA around HIV still exist –But through Support & Education STIGMA can be greatly minimized
Funding for prevention/education programs are being cut
TRANMISSION of HIV
4 Body Fluids only Blood, Semen, Vaginal Fluids, Breast MilkUnprotected Sex ( Anal, Vaginal, Oral )Sharing Needles ( Drugs, Tattoo’s, Hormone's, Piercings ) Mother to Child ( if not in Care)
Difference Between HIV and AIDS
What is the difference between HIV and AIDS?
Human: because this virus can only infect human beings. Immune-deficiency: because the effect of the virus is to create a deficiency, a failure to work properly, within the body’s immune system. Virus: because this organism is a virus, which means one of its characteristics is that it is incapable of reproducing by itself. It reproduces by taking over the machinery of the human cell.
Acquired
: because it’s a condition one must acquire or get infected with; not something transmitted through the genes
Immune
: because it affects the body’s immune system, the part of the body which usually works to fight off germs such as bacteria and viruses
Deficiency
: because it makes the immune system deficient (makes it not work properly)
Syndrome
: because someone with AIDS may experience a wide range of different diseases and opportunistic infections.
HIV and AIDS
Myths and Facts
0
MYTHS
There is a cure for HIV.Kissing / causal contact“ I’m just a carrier.” You can tell that someone has HIV just by looking at them.HIV does not affect me.HIV infection is a death sentence.It won’t happen to me.
None of this is true!
1
FACTS
There is NO cure for HIV infection.
You don’t get HIV by casual contact.You can still give HIV to another person even if your viral load is undetectable.You cannot tell who has HIV by looking at them.HIV affects all of us.HIV is NOT a death sentence. There is effective treatment for HIV infection.Anyone could get HIV.
All of this is true!
2
Importance of Getting
an HIV Test
3
HIV Test
Who needs to get HIV Test ?
We encourage people to get tested
Know your Status
What if test is Positive ?
What you need to Know if Positive Results
Ways to stay Negative
How not to Transmit or Contract
4
Who Needs to Get HIV Test
Anyone that has unprotected sex
Share I.V. Needles, Drugs, Cooker, Water Cap
Men that have Sex with Men
Baby born to HIV Positive Mom (not in Care)
People who have Multiple Sex Partners
Tattoo’s or Piercing at Party’s/Jail
Pregnant Women
Remember
HIV only Transmits through
Blood, Semen, Vaginal Fluids, Breast Milk and needs an opening to enter it your blood stream
5
HOW DO WE TEST for HIV
ORAL
is a swab that look for HIV antibodies in the mucus membrane
RAPID
is a finger stick that collects a small amount of blood in collector then with solution in test
BLOOD
when you have labs done that can be sent away
If POSITIVE
Test a Confirmatory test is Needed then that is sent away
and
ELISA WESTERN
BLOT would be performed
6
When someone tests Positive
What a positive result means
7
Life after a Positive Diagnosis
BREATH
Process the FeelingNext Steps to TakeLearn the FactsCreate a Support NetworkWe Do Recover
Guilt
Denial
Anger
Revenge
Shame
Stigma
8
Living with HIV
Avoid Contracting STI’s
Have Regular Check-UpsFind a Knowledgeable Health ProviderUnderstand your MedicationsSeek Advice on family planning methods
Be aware of Risk’sWomen ask for Cervical screening’s Ask to have Blood work explainedStay InformedStay up to DateBe aware of how you’re Feeling
9
WHAT IS AN AIDS DIAGNOSIS
CD4 level below 200It is possible for someone to be diagnosed AIDS when a developed an opportunistic infection. 2 or more OI’s
A person is diagnosed with AIDS when they have developed an AIDS related condition or symptom, called an opportunistic infection, or an AIDS related cancer. The infections are called ‘opportunistic’ because they take advantage of the opportunity offered by a weakened immune system.
0
Needle Exchange and HIV
1
Why we need Needle Exchange
One-third of all AIDS cases are linked to injection drug use.For women, 64 percent of all AIDS cases are due to injection drug use or sex with partners who inject drugs.Injection drug use is the source of infection for more than half of all children born with HIV.
More than a million people in the United States inject drugs
Drug use costs to society (in health care, lost productivity, accidents, and crime) more than $50 billion a year.
People who inject drugs imperil their health and that of their needle sharing partners, sexual partners and offspring.
2
Needle Exchange Reduces HIV Risks
Though rehab is a better choice, not all drug injectors are ready to quit.
Those who cannot or will not stop injecting drugs can avoid spreading HIV by suing a sterile needle for each injection.
Users who share needles should disinfect their injection equipment thoroughly with bleach
Though it’s not as safe as always using a sterile needle and syringe.
3
IDUs often struggle with multiple health risks due to social, economic and psychological factors. HIV prevention may not be their top concern since they face other more pressing daily challenges such as addiction, poverty, incarceration, homelessness, stigma, guilt, shamedepression, mental illness and past trauma.
However…
4
Sex Work and HIV
As well as
Hep
C and other STIs
5
The Unique Issues
Multiple partners and inconsistent use of condoms
Legal issues
Criminalization of HIV
No legal recognition as a profession
Social and economic factors
Drug use
Migration, mobility and trafficking
6
HIV prevention amongst sex workers: what works?
An increased level of condom use and safer sex amongst sex workers and their clients.Increased sex worker involvement and control over their working and social conditions.A reduction in the number of sexually transmitted infections occurring amongst sex workers.
7
Thailand
Thailand: 100% condom programGovernment-run campaign aimed to enforce condom use in all of Thailand’s brothels and massage parlors
8
India: Sonagachi and Avahan
As well as encouraging condom use, the project has addressed the wider social and economic challenges facing sex workers.