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When ARV treatment is interrupted, those using it can feel ill and they become more infectious. Worried, Pendo called her doctor. To ignore HIV prevention and sex workers during an emergency is self-defeating.

New infections and demands for ARV treatment will burden the health system. Sex workers are at high risk of acquiring and passing on HIV and other sexually transmitted infections.

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Thus, targeted prevention programmes are critical for public health. In sub-Saharan Africa, 16 countries have an HIV prevalence rate greater than 37 per cent among sex workers. A sex worker receives clinical advice from the facility in Mtwapa, Kenya. COVID has brought hardships to sex workers in Africa in particular, in terms of loss of income, police crackdowns, exclusion from social protection schemes, and increased violence from Sex on Southern sex hot clients and intimate partners. Many of them are now on ARV treatment and they have been empowered to manage their health.

Now, tele-counselling is offered for health consultations and treatment support. Also available are home deliveries of contraceptives, condoms and lubricants. And for those who are sick, pregnant, HIV-positive and without income, food packages can be delivered.

It is this that keeps her going. The lockdown has driven the sex trade underground and made it more dangerous for sex workers. Those who serve clients on the streets, in parks or in co-rented flats have experienced sexual violence and forced unsafe sex. Selling sex in nightclubs, lodgings, bars and brothels is safer, explained Dr. Client registration books, closed circuit television, ejection of violent clients and peer-led responses to sexual violence boost the safety of sex workers. Yet alleged violence perpetrated by the police against sex workers remains rife.

This is critical considering that one in three female sex workers lives with HIV, a prevalence rate five times higher than the national rate. For five years, a programme run in Uganda by the AIDS Information Centre has delivered a wide range of services to sex workers at clinics, drop-in centres and hot spots. With the widespread loss of livelihoods and fewer employment opportunities, transactional sex, sex work and sexual exploitation may increase.

A solution instituted by the AIC was to change their service delivery approach. They used mobile clinics to bring health services not only to sex workers but to entire neighbourhoods. These areas had been mapped by the AIC in to identify informal settlements with a high of sex workers and poor young women, whom the pandemic was likely to push into risky sexual choices. During April and May, the mobile clinics reached more than 68, people, including 4, female sex workers and vulnerable young women.

In April, when she had run out of condoms and needed a medical consultation, she walked to Kisenyi Health Centre IV in Kampala twice but the staff were absent due to a lack of public transport. With no savings left, few clients and no condoms to protect herself and her clients, she was forced to engage in unsafe sex.

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In May, a community activist alerted her about the mobile clinic. Fifie was counselled, tested for HIV she was negativetreated for an STI, and given a contraceptive injection and a big box of condoms.

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Search form Search. East and Southern Africa. Related Content. A Decade of Business Unusual. It is imperative that the reduction in sexually transmitted HIV infections in East and Southern Africa be fast-tracked if countries in the region are

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