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Poverty matters blog Prostitution. Mandatory testing ensures that prophylaxis is not given needlessly to anyone who has tested positive.

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Kenyan sex workers using HIV drugs instead of condoms. Photograph: EPA. Supported by.

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Many sex workers claim they need to lie to access medication. Maurine Murenga and Corin Faife.

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The area is a low-end red-light district in the western Kenyan city of Kisumu. Florence says after having unprotected sex with three or four men in a night, she visits a clinic the next morning to get emergency antiretroviralsor post-exposure prophylaxis Pep treatment, which suppress the HIV virus if taken within 72 hours of infection.

Sex workers lived experiences of stigma in nairobi, kenya

Lilian, 27, a fellow sex worker, agrees: "Accessing basic healthcare as a sex worker is difficult due to the stigma associated with the work. A Kenyan sex worker looks for clients outside of her home. Approximatelyare women.

Sex workers who visit these clinics often falsely claim they have been raped. This makes it difficult for our clients who are arrested and taken to court, because they are female to test for HIV and sexually transmitted infection, and, if found positive, they are charged with attempting to infect intentionally.

Given the cost considerations of rolling out such treatment, it could be some time before these drugs are widely available, and, if they are, the question of whether sex workers will be able to access them will be key. To maximise uptake, neither women who have been raped nor escort workers nairobi to report the crime to the police, but this lack of regulation leaves the system prone to abuse.

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But that can create additional problems for sex workers, since under the HIV and Aids Prevention and Control Actnon-disclosure to a partner is a criminal offence. The temptation for many women, given the low fees, is to make potentially dangerous concessions in order to earn more, such as forgoing condoms.

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Prostitutes charge clients as little as 20 shillings 14por provide sex on credit with the hope of being paid at the end of the month. Accessing medicines for prevention of HIV is like trying to get milk from a chicken if you identify yourself as a sex worker, and that is why we pose as rape victims.

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Some do not observe the window period with which the medication is supposed to be effective. An HIV test is required before Pep is administered.

Kenyan sex workers using hiv drugs instead of condoms

According to Dr Rachel Baggaley, a specialist on the World Health Organisation's HIV teammaking pre-exposure prophylaxis Prep more widely available as an alternative to post-exposure drugs would be more effective, and less harmful for the women. With prostitutes charging just 14p for sex — double for unprotected intercourse — some say social stigma has forced them to make false rape claims to access life-saving medication.

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Sex workers would like to see the introduction of Prep drugs. But Prep treatment is relatively new, and has been trialled only in small-scale studies in Kenya. Over the past decade, Kenya has ificantly improved post-rape care, and medical professionals regularly provide Pep treatment.

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In such incidences, we find some sex workers abusing the services. In Kondele, sex is in high demand.

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We are already satisfied with the different methods of preventing unintended pregnancies, but something should be done about diversifying the options of HIV prevention," says Akoth. Reuse this content.

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This increases [the likelihood of] dependence and sometimes abuse of post-exposure prophylaxis.

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