Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 139
5 Clinical and Support Services
Figure 5.2 Scale-up of STI services for/with sex workers
Community-led
Increasing
Community
Engagement
Phases of
Scale-up
Clinical Services
Milestones
Services
by
sex workers
Scale up programme
scope
• Sustainability
• Integrate with
government systems
• Sex workers as clinic managers
• Integrated clinical services
Services
with
sex workers
Scale up intensity
• Maintain high coverage
• Quality and
effectiveness
• Addressing other needs
• Quality assurance of clinics
• STI committee
• Sex worker training and
involvement
in clinic operation
• SRH services
• HIV testing and counselling and
HIV/opportunistic infection care
• Clinic referral mechanisms
Services
for
sex workers
Scale up infrastructure
Scale up coverage
• Start-up
• Training
• Monitoring tools
• Quarterly supervision
• Standardized STI services
• Coordination with community
members and outreach team
Externally-led
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