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This volume presents an integrated epidemiologic, social, and
economic analysis of the global epidemics of HIV among sex workers
in low- and middle-income countries. The book provides a
comprehensive review and synthesis of the available public health
and social science data to characterize the nature, scope, and
complexities of these epidemics. A community empowerment-based
approach to HIV prevention, treatment, and care is outlined and
demonstrated to be cost-effective across multiple settings, with a
significant projected impact on HIV incidence among sex workers and
transmission dynamics overall. The Global HIV Epidemics among Sex
Workers seeks to assist governments, public health implementing
agencies, donors, and sex worker communities to better understand
and respond to the epidemics among a population facing heightened
social and structural vulnerabilities to HIV. The book combines a
systematic review of the global epidemiology of HIV among sex
workers and in-depth case studies of the epidemiology, policy and
programmatic responses and surrounding social contexts for HIV
prevention, care and treatment in eight countries. The authors
employ mathematical modelling and cost-effectiveness analysis to
assess the potential country-level impact of a community
empowerment-based approach to HIV prevention, treatment, and care
among sex workers when taken to scale in four countries
representing diverse sociopolitical contexts and HIV epidemics:
Brazil, Kenya, Thailand, and Ukraine. In each setting, greater
investment in prevention, treatment, and care for sex workers is
shown to significantly reduce HIV. Together these findings
underline the urgency of further global investment in
comprehensive, human rights-based responses to HIV among sex
workers.
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