respect client confidentiality;AA

respect client confidentiality; avoid coercive and mandatory approaches (such as
mandatory medical treatment or procedures, forced rehabilitation or programmes implemented
by police or based on detention); and be designed with the full participation of the
affected community.
Health and social services should address the needs of migrant sex workers with or without
papers, refugees, internally displaced persons, asylum seekers and those from ethnic minorities.
Obtaining access to needed services may be especially challenging for people who lack
legal status and may be fearful of authorities. People with undocumented status should not
be refused service by providers or receive inadequate or incomplete treatment. Where sex
workers lack the language skills to request or comply with treatment regimens, cultural
mediators who provide translation and culturally sensitive counselling and support should
be available to help ease these access barriers41.
Service provision must be sufficiently flexible to address the diverse needs of all sex
workers and take account of the physical, social, legal and other local circumstances in
which sex is sold. For instance, women who sell sex but do not identify openly as sex
workers may avoid service settings specifically designed for sex workers and instead access
local primary health care services or maternal and child health services, which should be
capable of addressing their health needs in a non-judgmental manner. Providers should
be sensitised and accountable for providing respectful and high-quality services without
distinction including those who may sell sex. Sex workers who are also drug users require
additional support including access to drug-treatment and harm-reduction programmes.