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.
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.