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MINISTRY OF LABOUR, INVALIDS AND SOCIAL AFFAIRS
DEPARTMENT OF SOCIAL EVILS PREVENTION AND
CONTROL
ORIENTATIONS ON SOCIAL EVILS
PREVENTION AND CONTROL PERIOD
2011-2015
Hanoi, August 2010
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1. Sex works and HIV infection among sex
workers in Vietnam
1.Sex works
are very complicated and there are many
disguised services available :- Sex works in sensitive services provision
establishments.
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1.1 Current situation of sex works
- The appearance and increase of
male sex works and homosexualsex works. Current situation of
male sex works and public
locations in which male sex
works exist.
- Sex works in industrial
zones, export processing
zones and street sex works
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1.1 Current situation relevant to sex
works
The fact shows that sex works is a challenging
problem to deal with. It happens in almost
everywhere and in every circumstances. It is
difficult to eliminate and sex works exists inparallel with social development.
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1.2 HIV/AIDS infection among sex
workers
The risk of HIV infection via unsafe sex is
increasing. Sex workers are the most vulnerable
group being infected with HIV. Infection rate
among sex workers is different across theregions with the highest prevalence found in
Northern Delta and Southern East provinces.
High infection rates among sex workers in these
regions are higher than other regions attributingto unsafe sex practices.
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1.2 HIV/AIDS infection among sex workers
Some specific data :- HIV infected prevalence in An GiangProvince in Mekong delta is 7.5%1;
- HIV infection rate among sex workersadmitted to Centre for Treatment
Education and social works in Hanoi is16.6%2...
Results of the monitoring activities in2009 found that HIV infection rateamong sex workers is 3.2 percent whichis similar to that of 200820083.
However the national HIV infection rateis only 0.5%4.
*1: Source: Department of HIV/AID Prevention andControl Ministry of Health, 2009
2: Source: statistics extracted from 5 year reviewreport in sex works prevention and control (2006-2011) in Hanoi
3, 4: Statistics of Department of HIV/AID Prevention
and Control Ministry of Health, 2009
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1.2 HIV/AIDS infection among sex workers
Studies on sex workers conducted byDepartment of Social Evils protectionand control in 2008 in five provinces/big cities i.e. Hanoi,Hochiminh city, Haiphong,
Thainguyen and Cantho found thatmajority of the sex workers are awareof the fact that they are among highrisk groups who are vulnerable toSTDs, particularly HIV epidemic. Theinfection can be transmitted from theclients and vice versa. However, sex
workers are not active in having accessto social and health care services andthey do not have access tointerventions, harm reduction programs and safe sex practices byusing condoms.
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1.2 HIV/AIDS infection among sex
workers
Clients of the sex workers are also among high riskgroups who can transmit the virus to their wivesand partners. Results of the in-depth interviewsindicated that many of the sex workers are active inasking and providing guidance for clients in usingcondoms but many of them refused to use it to
protect themselves. One of the reason is the factthat clients supposed that HIV happened to others,
not to them).This is one of the challenges and there is a greathidden potential of HIV infection in thecommunity.
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2. Some results in sex workers prevention and
control period 2006-2010
2.1 Achievements
- It is estimated that the numberof 50,000 people are suspectedto be sex workers and the
number of recorded sexworkers is more than 30,000people in the period of 2006-2010. The number of 18,778 person-time have been provided with treatment-education and work rehab
services of which the numbe of10,227 person-time have beenadmitted to the centre and8,551 person-time have been provided sexvices in thecommunity.
- Providing vocational training
and employment generation for12,812 person-time.
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. Some results in sex workers prevention and
control period 2006-2010
- Eliminating 6,09 SWs caseswith 19,443 people .
- Bringing 3,455 SWs relatedcases to courts with theinvolment of 4,585 people
Thanks to those activities, sexworks have been reduced atthe public and disguised sexworks in businessestablishments have also beenreduced
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. Some results in sex workers prevention and
control period 2006-2010
Prevention and educationactivities using variouschannels for high risk groups,rehabilitated sex workers have
been provided in reality. S,ome models are very sucessfulsuch as Sao Do Club inHaiduong, peer group inHochiminh city and Hanoi,
Club for pre-rehab groups inCantho province, self helpgroup in Bac giang etc.
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. Some results in sex workers prevention and
control period 2006-2010
2.2 Shortcomings
- Awareness and perceptions in having access to interventions,harm reduction and safe sex practices among sex workers and theirclients are still poor. Sometimes they are having a wrong
perception when they suppose that condom is an evidence for sexselling/buying. In reality, no legal document regulates this issue.
- Advocacy is limited and have not reached all population groupsparticularly sex workers and their clients.
- SWs prevention and control tend to punish sex workers ratherthan clients, people who organize sex works, pimps andparticularly those who sexualy exploit sex workers.
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4. Directions in sex works prevention and
control period 2011-2015
- It is expected that 70-80% of
the population will be provided
with advocacy and education
regarding sex works with the
aim to increase their
awareness, to enable them to
recognize the harms and the
impacts of SWs on social life,
creating consensus in SWs
prevention. From that ground,
the population will have safe
and healthy sex behaviours and
practices to prevent
HIV/AIDS.
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4. Directions in sex works prevention and
control period 2011-2015
- Eliminating and addressing 100% detected
SWs cases which are considered to be serious
and complicated, creating bad impression on
general population; reducing 50-70% disguised business/services establishments including
hotels, restaurants, hostels, discotheques,
karaoke shops and other sensitive disguised
services. Eliminating disguised sex works inany form with the aim to reduce sex works in
the society.
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4. Directions in sex works prevention and
control period 2011-2015
- Developing and piloting models toreduce vulnerability and supports in preventing and controlling HIV/AIDS
infection, encourage the sex workers toreintegrate into the community in citiesand provinces. Developing legal andfinancial frameworks to create enablingenvironment for sex workers to have easyaccess to HIV/AIDS and STDs preventive infection services includingthe use of condom.
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4. Directions in sex works prevention and
control period 2011-2015
-Reviewing andevaluating models ofSWs prevention andcontrol integrated withHIV/AIDS prevention,human trafficking prevention for SWs
purposes with the aim toreplicate to better fulfillthe objective of SWs prevention and harm
reduction
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4. Directions in sex works prevention and
control period 2011-2015
- Finalizing legal framework onSWs prevention and control onthe ground of ensuringappropriate and effective
operational mechanisms for SWs prevention and control, harmreduction, HIV/AIDS infection
prevention, combating againstdiscrimination and creatingenabling environment for sex
workers to reintegrate into thecommunity as well as protectingadolescents against being forcedto work as sex workers.
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DEPARTMENT OF SOCIAL EVILS
PREVENTION AND CONTROL
THANK YOU FOR YOUR ATTENTION!
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