Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 103

4 Condom and Lubricant Programming

Activity

Role of national HIV and AIDS programme
and national implementing organizations

Role of local implementing organizations,
local government and health clinics

• Working with the community, develop
tailored behaviour change interventions
for correct and consistent condom and
lubricant use.

• Provide male condom demonstrations
and skills-building for correct condom
use for anal sex between males,
vaginal and anal sex between females
and males, and anal sex between
transgender persons and males.
• Provide education on which available
lubricants are condom-compatible and
safe.

Creating an
enabling
environment
for condom
programming

• Provide additional commodities and
training supplies to local organizations,
as needed, including dental dams,
gloves, penis models, pelvic models,
etc.

• Provide demonstrations of the female
condom using pelvic models.

• Train health-care workers and
counsellors to provide condom
demonstrations and skills-building
information.

• Build capacity of sex workers to
negotiate condom use and sexual risk
reduction.

• Destigmatize condoms through highlevel, well-publicized political support
for condom use.

• Provide routine reinforcement of
condom and lubricant use and
negotiation skills, if needed.

• Create a universal condom access
policy; reject punitive 100% condom
use policies.

• Advocate to ensure that condom
programming is free of coercion.

• Revise laws and regulations that
penalize possession of condoms.

• Carry out condom and lubricant
promotional activities with
“gatekeepers”, such as owners
of brothels and entertainment
establishments.

• Stop law enforcement practices of
confiscating condoms and using
condoms as evidence of sex work.

• Collect data on any violence to sex
workers and clients related to carrying
condoms, and share with policymakers.
• Implement condom promotion and
distribution as part of a broader
package of health services and
activities.

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