Delhi State AIDS Control Society (DSACS), along with support from Delhi Technical Unit of India Health Action Trust, has been implementing Targeted Intervention program for the Key Population, which includes female sex workers, men who have sex with men, transgenders and people who inject drugs. This document is a guide for the Transgender (TG) Targeted Interventions (TI) programs in Delhi towards piloting a more effective micro level approach in line with the national guidelines developed by NACO for addressing HIV transmission among the TG/HIJRA.
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.
This report shares a key evidence from a mapping & size estimation effort that reveals how a significant number of MSMs in the Delhi NCT are on multiple virtual platforms. It also highlights that not many of them have been contacted by conventional Targeted Interventions. This establishes the need & opportunity for a specially-designed virtual intervention to reach out to the MSM population with HIV prevention, treatment and care services.