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‘only 31% of the sample of indirect sex workers reported having been engaged in commercial sex in the last 12 months’
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hiv prevention internationally

What makes a structural intervention? Reducing vulnerability to HIV in community settings, with particular reference to sex work

Increasing emphasis is being placed on the need for ‘structural interventions’ (SIs) in HIV prevention internationally. There is great variation in how the concept of SI is defined and operationalised, however, and this has potentially problematic implications for their likely success. In this paper, we clarify and elucidate what constitutes a SI with particular reference to the structured distribution of power and to the role of communities. We summarise the background to the growing emphasis being placed on the concept of SIs in HIV prevention policy, and present ethnographic case-study material from a sex worker’s HIV project in Kolkata, India,

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