Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 6

3.2.2 Steps in implementing community-led outreach ............................
47
A . Map the community and design the outreach strategy with them ..........
47
B . Recruit and train community outreach workers ...........................
50
C . Implement and manage outreach .......................................
54
D . Foster leadership opportunities for community outreach workers ..........
61
3.3 Safe spaces ( drop-in centres ). ..................................................
62
3.3.1 Establishing safe spaces .................................................
63
Setting up the space ....................................................
63
Operating the space .....................................................
64
3.3.2 Other activities in the safe space .........................................
65
3.4 Community-led quality improvement ............................................
66
3.4.1 Community committees .................................................
66
3.4.2 Other community-led approaches to reinforce quality of clinical services .......
68
3.4.3 Community quality assurance in monitoring and evaluation ...................
68
Monitoring quality of community service implementation ....................
68
Monitoring community access to services and community agency ............
71
3.5 Resources and further reading ..................................................
72
Chapter 4 Condom and Lubricant Programming .....................................
75
4.1 Introduction ..................................................................
78
4.2 Steps in effective condom programming .........................................
79
4.2.1 Establishing accessible male and female condom and lubricant
supplies for sex workers .................................................
82
4.2.2 Multi-level promotion of male and female condoms and lubricants ............
84
Community-led condom promotion ........................................
85
Destigmatizing condoms in the broader social environment ..................
87
4.2.3 Creating an enabling environment for condom programming .................
88
4.2.4 Specific considerations in condom programming ............................
90
A . Condom programming with male and transgender sex workers ............
90
B . Condom negotiation strategies .........................................
90
C . Condom programming with clients of sex workers .......................
90
D . Condom social marketing programmes with sex workers .................
91
4.3 Condom programme management ..............................................
92
4.3.1 Roles and responsibilities in condom programming .........................
92
4.3.2 Programme monitoring ..................................................
92
4.3.3 Evaluation ..............................................................
92
4.4 Resources and further reading ..................................................
95
Chapter 5 Clinical and Support Services ............................................
97
5.1 Operational principles for clinical and support services ............................
100
5.1.1 Service delivery and integration ..........................................
100
5.2 Voluntary HIV testing and counselling ...........................................
102
5.2.1 Introduction ...........................................................
102
5.2.2 Types of HIV testing and counselling and delivery ..........................
102
5.2.3 Essential activities for voluntary HTC services for sex workers ...............
103
A . Preparation .........................................................
103
B . HTC service delivery .................................................
104
C . Follow-up ...........................................................
105
iv