Transcript Sex 4 Swap? - Inner South Community Health Service

Sex 4 Swap?
Nicole Hallahan
Kathy Glavimans
Health Works is strongly committed to Harm
Reduction, Community Development, the Social model of
health and a multidisciplinary team approach
Health Works
NSP and Education Team
•New injecting equipment
•Safer using education/health promotion
•Disposal facilities
•Mobile Drug Safety Worker
•Community Education Worker
•CLV Worker
•Student Placements
Health Care Team
•General health plus IDU specific issues
•Community Health Workers
•Community Health Nurses
•GP (S100)
•Grad Nurse rotation
•Medical Students
Who/where/what?
• majority female
• Informal
• Isolated
• Varies in frequency – opportunistic
=Do not necessarily identify as ‘sex workers’
=sex 4 swap (not necessarily for $$$)
As well as a small population working in
brothels
Service Liaison
• No dedicated street sex worker services
for the West
• However……
» RhED
» Sexual health services such as MSHC
» Other services which may come into contact via
other issues
Therefore more important that we are
proactive.
Support Avenues
Sex-worker friendly space
• Posters/stickers – “Big Sister is watching”, “up yours not mine”, “no
condom no sex” (translated), visual representation of various STIs,
other badges and booklets
• Ugly mugs and RhED magazine
• New DHS condoms and dams
Education/training
• RhED – valuable ongoing education and guidance for staff
• In-service for all staff
• Incorporating sex worker needs into general campaigns
Health services
• Health services offered through HCT such as sex worker screen
• Development of sex worker screen card (low literacy)
• Other medical needs
• Other psychosocial needs
Sex Worker Screening Card
Example-
What does all this equal?
Conversations in NSP about sex work
and associated issues
=
A general feeling that Health Works is
sex worker friendly
Referral to Health Care Team
Referral to RhED
Provision of safer sex materials
Sex Work Screens
As a product of these 20
interventions other 15
BBV screening as
10
well as interventions
5
such as HBV
vaccination and
0
psychosocial issues
are also engaged with
Jan-Jun
Jul - Dec
2008 2009 2010 2011