Our experience with NACOSA/Global Fund, DOH and GBVF Response Fund.
Implementation of Gauteng strategic plan.
⏣ Engaging the communities in which SW live and work through outreach programmes and sensitization on Human Rights.
⏣ Accelerate prevention and reduction of new HIV/TB/STI infections amongst Sex workers and the clients.
⏣ Reduce behavioural, social and structural barriers that inhibit access to health services- reduce stigma, self-stigma and
discrimination that SW face in the communities in which they live and work
⏣ Demand creation for health services using combination prevention approaches:
⏣ Link/refer SW and the clients to CPC and health facilities for various health services(Sexual Reproductive Health) i.e,
HIV Testing Services and prevention(male & female condoms, lubricants, PrEP, PEP, VMMC, TB & STI screening, birth control,
pap smear, PSS
Human Rights Advocacy
⏣ Reduction of self-stigma, stigma and discrimination
⏣ Conduct weekly community and stakeholder dialogues viz, health facilities, the community and businesses to know and
respect the rights of all key populations and PLHIV and TB.
HIV Testing, Prevention and Treatment
⏣ Conducting HIV counselling and testing, screening for TB, STIs,
⏣ Linkage to care to health facilities for treatment, PrEP and PEP.
⏣ Establish treatment adherence clubs and support groups
Condom demonstration and distribution
Community outreach and advocacy for prevention and reduction of new HIV infection
Conduct male and female condom demonstrations and distribution on weekly basis.
Voluntary medical male circumcision
Mobilise boys and men for voluntary medical male circumcision to reduce the rate of HIV/TB and STI infection.
Track Loss-To-Follow-Up
Trace treatment defaulters and link/accompany them to the clinic for treatment.
Establish treatment adherence clubs, support groups for moral support
Partnerships and networking
Partnership with NACOSA, DOH, DSD, Local, District and Provincial Aids Councils, Civil Society Forum, Local and Provincial Sex work sector, SANPOF, Correctional Service, Department of Education, Lindela, SAPS, Mogale City Municipality, West Rand District Municipality, FAMSA, DGN, Lifeline West Rand.
Townview High school, Health facilities, Yusuf Dadoo hospital
Our Achievements
PHASA Conference Publication
It was very exciting to partner with our mentor, Best Health Solutions to prepare the abstract and attend the conference in February 2021 to present a publication on the Risk and Mitigating strategies to contracting TB from sex workers and their clients in West Rand. Scientific Poster attached hereto. This abstract did put our organisation on the map because we gained working relationships with the doctors and professors who attended the conference which added to our growth and knowledge in Public Health.
1. Financial Sustainability, organisational growth and recognition by government donors.
2. Stigma and discrimination reduction in Jan Maree clinic resulted in increased access to health services of SW, PLHIV, adolescent
girls and young women.
3. Increased uptake of health services and products by sex workers and clients especially HTS, MMC, PrEP, PEP, PSS, birth control,
pap smear, covid screening and vaccination etc.
4. Continuous advocacy with clinics, mobilization for Centralised Chronic Medication Dispensary (CCMD) and multi-month scripting
of ART treatmet(6 months) led to the reduction of long ques, frequent clinic visits and discrimination incidences..
5. Employment of Sex workers as Linkage officers and Volunteer Peer educators
Evidence
Identifying and mitigating against social, behavioural and structural drivers of new HIV,TB and STIs.
Increased number of sex workers and clients who know their status.
Increased number of people exposed to community dialogues demonstrate positive
behaviour change, reduction of self-stigma, stigma and discrimination of sex workers.
Increased number of sex workers who know their rights and recourse mechanisms.
Increased number of people linked to the clinic to access various health services and products.
Increased number of clients of sex workers accessing health services.
Increased number of people taking treatment and staying on treatment.
Increased number of sex workers and clients who use condoms, lubricants, PrEP and PEP.
Reduction of self-stigma (Sex workers), stigma and discrimination (community).
Increased number of sex workers, clients and community people are aware of Human rights violations
Reduced human rights violation incidents in health facilities, homes and community. Successfully mobilized sex workers and clients to attend Human Rights community dialogues.
Increased number of SW and clients referred to health facilities to uptake health services.
Increased number of SWs and clients who tested for HIV and know their status
Increased number of SWs and clients who know their Human Rights, reduction in self-stigma.
Reduced number of Human Rights violations in clinics/health facilities and the community
Increased number of SWs/clients who visited health facilities as a result of continuous Human Rights advocacy meetings with Sex work clients to uptake health services (HIV testing, prevention, treatment, voluntary medical male circumcision), PrEP and PEP, birth control.
Reduction of long ques, frequent clinic visits, high congestion in clinics and conflict due to Human Rights advocacy with clinics and Centralized Chronic Medication Dispensary (CCMD) and multi-month scripting of treatment up to 3 months.
Psycho-social referrals and victim empowerment activities.
Distribution of male and female condoms, lubricants, dignity packs and IEC material.
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