As the proliferation of online escort services -- gay and straight alike -- suggests, Americans engage in escort services in considerable numbers. Moralism aside, what's the actual harm? We reviewed the available scientific evidence on HIV, other health issues, violence and human rights among sex workers, including among male sex workers -- and gained invaluable insights into the power of decriminalization to reduce harm.
As a result of the stigma around HIV, many folks feel shame and judgment about how they got HIV and don't want others finding out. We believe that isolation is alleviated by networks of support, by the opportunity to create shared experiences with other people, by the opportunity to be true to who you are without fear.
Saskatchewan is among a number of regions in Canada, such as Manitoba and even our nation's capital, currently experiencing alarming spikes in the spread of HIV. B.C. has an impressive track record for slowing the spread of HIV/AIDs in the province. The B.C. Centre created a Treatment as Prevention strategy which provides widespread access to HIV testing, care, support and treatment. Keys to the strategy's success have been political commitment, programmatic focus, ongoing innovation coupled with monitoring and evaluation, appropriate resourcing and free services (including fully free antiretroviral therapy (ART)).
The full spectrum of how the HIV epidemic has impacted women in Ontario is a relatively new topic. This is, of course, despite women having been affected by HIV since the beginning. These are some of the challenges that face the women who live with or are at risk for HIV. They are manifold and they are ingrained, but they are not insurmountable.
The reality is that out of all Canadians living with HIV, more than one in four don't know they are living with it. And for those of us working with African, Caribbean and Black communities in Canada, it doesn't surprise us to learn that Joseph is a Black man. People from African, Caribbean and Black communities in Canada are disproportionately affected by HIV and AIDS.
Canada has an extensive network of healthcare professionals, community-based organizations and AIDS service organizations contributing greatly to reducing the incidence of HIV. But a new report on HIV infections from the Public Health Agency of Canada illustrates the need to expand the reach and impact of HIV prevention and treatment efforts.
Closing this access gap means expanding health systems to include grassroots outreach and the community-level advocates who lead the charge. It is well documented that village-level and even home-based HIV testing greatly improve rates of testing. The same is true for HIV education, counselling, and treatment follow-up.
One key promise of Multi-Purpose Prevention Technologies is that they will allow women to take control over their own sexual and reproductive health decisions. But I can't help but wonder about the difference between putting prevention and contraception 'in women's hands' versus 'on women's shoulders.'
We applaud the Government of Canada's continued efforts to push women's and children's health to the forefront of the global agenda, as the high-level Summit on Maternal, Newborn and Child Health opens in Toronto this week. In far too many many parts of the world, women still struggle to access the health services they need, at an often deadly price.
Both the adults and the kids cry often but data collectors must not confuse their role with the families' service providers. It must be noted that the study has gone through several layers of ethical review and nevertheless, the stories trouble those who hear them. In some cases, children feel safe enough to make horrific disclosures for the first time.
Adhering to medications has the potential to bring about very positive results in the overall population. The thinking is that if you increase the number of HIV-positive people on treatment, you lower the total amount of virus circulating in a community and, ultimately, reduce the number of new HIV infections.
One of the best practices to transcend these barriers is peer education. The organization that I work for champions this model, equipping MSM peer educators to discretely enter the community and educate fellow MSM on HIV transmission; providing them with alternative avenues to get HIV testing, a cornerstone of effective prevention; behaviour change strategies and, lastly, condoms.
Racialized women and children, especially from the Global South often become the face of health issues as their faces (literally) are plastered on the websites and brochures of global health organizations. Their images usually accompanied by indicators of poverty and rural geographies and are offered to an audience as the justification for much needed programs.
HIV is a development issue not simply because of its detrimental impact on economic productivity and the health status of a community, but because low levels of socioeconomic development are actually creating a context in which HIV continues to be spread. When youth perceive their future prospects as exceedingly bleak, they are more inclined to partake in high-risk behaviour.