This document highlights the approach and achievements of Soukhya Samudaya Samasthe under the Targeted Interventions in Chitradurga district of Karnataka. This publication was commissioned by the Technical Support Unit (TSU) of Karnataka State AIDS Prevention Society (KSAPS) under the project funded by the Public Health Foundation of India (PHFI) to document the Targeted Intervention (TI) programme in Karnataka. The document was supported by Karnataka State AIDS Prevention Society (KSAPS), India Health Action Trust (IHAT) and Karnataka Health Promotion Trust. This book will be an ideal guide for all the TI programs across States and Country where they are working towards development of Self Help Models.
In India, the HIV epidemic is concentrated among key populations, such as the MSMs. Conventional targeted interventions mitigate HIV transmission by focusing on physical hotspots. As there is a shift within the MSM community to connect with sex partners online, novel approaches are needed to map virtual platforms where sexual networks are formed. This study estimates the number of MSM in Delhi using virtual platforms to connect for sex and to describe patterns of their use.
With the evolution of sex work patterns, newer physical places like Spas and Massage Parlours are emerging as new venues for sex work. The traditional peer-educator based Targeted Interventions reach out to the Key Population at geographical hotspots. However, these new venues are often unreached. DL TSU, in collaboration with DSACS, identified this implementation gap and supported DSACS to design this intervention to reach out and provide HIV services to the FSWs and MSMs who engage in sex work through Spas and Massage Parlours in Delhi.
The expansion of mobile technology and use of mobile phones have led to changes in the patterns of sex work solicitation among female sex workers (FSWs). FSWs have also increased their dependence on mediators termed ‘Network Operators’ (NWOs) for client solicitation. This Implementation Brief describes the NWO approach that the Targeted Interventions in Delhi adopted in order to reach out and facilitate linkage to HIV services for this hidden FSW population. The DL TSU technically supported the DSACS to design, train implementers and evaluate this strategy.