Sex workers are among those who are most vulnerable to HIV infection in the world today. In low prevalence settings with a concentrated epidemic, such as India, Indonesia, Cambodia and the Russian Federation, the HIV epidemic initially spreads rapidly among sex workers with prevalence reaching as high as 65% in some sex-worker populations. Even in countries with a mature epidemic, including many in sub-Saharan Africa, sex workers continue to be disproportionately affected with estimated prevalence ranging from 30% in Yaoundé, Cameroon to as high as 75% in Kisumu, Kenya.
At the policy level, violence reduction and prevention efforts have focused on advocacy. This includes liaising with rights groups; forming international and national networks of sex workers who speak out about their situation in various fora; dialoguing with policy-makers to change repressive laws and policies; and working with media to change perceptions of sex work. In Argentina, for example, sex workers have formed their own unions and joined with existing labour unions to demand better working conditions including health, safety, contractual rights and decriminalization of sex work. These unions have lobbied for sex work to be recognized as valid paid work and to be included in larger labour struggles.
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