comprehensive,rights-based approach to HIV and sex work

• Member States should implement policies and programmes that support a comprehensive,rights-based approach to HIV and sex work. Progress should be monitored by nationalprogrammes, with support from UNAIDS.
• Bilateral development organizations, international funding programmes, and the United
• Nations system should support comprehensive, rights-based approaches consistent with theThree Pillars.
• Consistent with the UNAIDS recommendation that all countries should “know their
• epidemic”, situational analyses and mapping exercises should be undertaken to inform thedesign and subsequent monitoring and evaluating of programmes to address HIV and sexwork.
• At subregional and national levels, representatives of government, sex workers, civil society,
• private sector and the United Nations should be mobilized to ensure incorporation of
• strategies and actions on HIV and sex work into National AIDS Plans.
• Advocacy should be undertaken to increase the levels of sustainable funding for, evidenceinformed
• and rights-based HIV prevention, treatment, care and support programmes thatincorporate sex workers’ involvement in their development, implementation, monitoringand evaluation.
• Efforts should be made to document and disseminate specific programme models, interventions
• and good practices relating to HIV and sex work.
• Partnerships should be established and strengthened between governments, sex workersand community organizations working with sex workers, and the UN at global, regional,
• national and local levels.
• In-reach training of UNAIDS programme staff will be developed and undertaken to
• increase understanding of evidence-informed and rights-based programming on HIV and
• key populations at higher risk, including sex workers.
• Programmes to reduce and eliminate stigma and discrimination and gender-based violence
• towards key populations at higher risk, including sex workers, should be developed and
• implemented for health care providers, uniformed services, and the judiciary.
• Carefully tailored initiatives should be implemented to promote sound, evidence-informed
• programmes and policies that address the needs of migrants, transgendered people, men
• and ethnic minorities. Work also needs to be undertaken with specific groups such as
• clients, displaced persons, the police and the military.
• Efforts should be made to expand opportunities for sex workers who desire to leave sex
• work. Meaningful employment alternatives should be promoted through ready access to
• education, training, microcredit, and health services.
• Comprehensive responses should address structural issues that contribute to HIV vulnerability
• in the context of sex work. Structural interventions should aim to reduce poverty,
• address gender inequality by empowering women and girls, redefine gender norms, create
• and expand employment opportunities, and ensure education for all.
• UNAIDS and nongeovernmental organization partners should advocate for increased
• involvement of sex worker organizations and networks on Country Coordinating
• Mechanisms of the Global Fund to Fight AIDS, Tuberculosis and Malaria and on National
• AIDS Committees, and provide capacity building support to facilitate their involvement.