The COVID-19 pandemic has resulted in not only a health crisis, but has also spurred an economic and human crisis, globally. People infected with the virus face not just the disease but are also burdened with the cost of care, loss of income and employment. In addition, both those caring for patients and the infected face stigma and discrimination from their neighbours and others in the general community.
The Institute of Global Public Health (IGPH), University of Manitoba in collaboration with India Health Action Trust (IHAT) and Partners for Health and Development in Africa (PHDA), examined the impact of COVID-19 and designed program responses for Maternal, Newborn and Child Health interventions in India and HIV prevention, care, treatment and support interventions in Kenya.
The document aims to assist the respective States/Counties to learn from this experience. The document summarises the key interventions that were adapted and implemented in order to respond to the challenges posed by the COVID-19 pandemic in Uttar Pradesh and Kenya.
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.