Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 74
3 Community-led Services
As the programme matures, a more structured process for selecting new community outreach
workers may be adopted:
1. An informal committee of community leaders and programme staff, including current community
outreach workers, defines the criteria for new community outreach workers, identifies potential
community outreach workers, contacts them to see if they are willing to serve and conducts a
basic interview with them. The candidates are ranked based on the criteria listed in Box 3.3.
2. The candidates are asked to take part in a social network mapping exercise, facilitated by outreach
co-ordinators, to determine the size of their social networks of sex workers (see Figure 3.5).
3. Current community outreach workers talk to some of the potential community outreach worker’s
contacts to see whether the candidate would be acceptable to them as a community outreach
worker.
4. Based on the interviews, social network mapping and consultations, the committee selects the
appropriate number of new community outreach workers.
5. The committee discusses methods for community monitoring of the community outreach
worker’s performance. (This could be through a formal community committee: see Section 3.4.3.)
Community members should able to contact the project if they have any issues related to the
community outreach worker.
Figure 3.5 Social network map
A social network map
represents how sex workers at
a particular location are linked
by relationships of acquaintance
or friendship. The map is created
by a sex worker to show his or
her degrees of connection to
other sex workers. Each circle
represents an individual sex
worker, and the arrows point
to other sex workers whom
that individual knows. Effective
community outreach workers
have large networks. The
map may be used to assign a
community outreach worker
to a group of sex workers for
outreach, and to ensure that each
community outreach worker is
contacting the sex workers they
know best.
Source: India HIV/AIDS Alliance, Andhra Pradesh,
India
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