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• W1994072902 abstract "The sexual and reproductive health needs of sex workers have been neglected both in research and public health interventions, which have almost exclusively focused on STI/HIV prevention. Among the reasons for this are the condemnation, stigma and ambiguous legal status of sex work. This paper describes work carried out by two feminist NGOs in Brazil, Mulher e Saúde (MUSA) in Belo Horizonte and Coletivo Feminista Sexualidade e Saúde in São Paulo, to promote sexual and reproductive health for sex workers. MUSA's project “In the Battle for Health”, was begun in 1992; sex workers were trained as peer educators and workshops were offered on self-care for sex workers and their clients. In São Paulo, the Coletivo project “Get Friendly with Her”, begun in 2002, offers clinic consultations and self-care workshops on sexuality, contraception, STI/HIV prevention and self-examination. Health care needs during menstruation and unhealthy vaginal practices led to promotion of the diaphragm as a contraceptive, for prevention of reproductive tract infection and to catch menstrual blood. Meeting the sexual and reproductive health needs of sex workers depends on the promotion of their human rights, access to health care without discrimination, and attention to psychosocial health issues, alcohol and drug abuse, and violence from clients, partners, pimps and police.RésuméLa recherche et les interventions de santé publique ont négligé les besoins en santé génésique des professionnelles du sexe et se sont presque exclusivement concentrées sur la prévention des IST et du VIH, notamment en raison de la condamnation et de la stigmatisation attachées à la prostitution, ainsi que de l'ambiguïté de son statut juridique. Au Brésil, deux ONG féministes, Mulher e Saúde à Belo Horizonte et Coletivo Feminista Sexualidade e Saúde à São Paulo, améliorent la santé génésique des professionnelles du sexe. Dans le projet de MUSA, lancé en 1992, des professionnelles du sexe ont été formées à l'éducation des pairs et des ateliers ont abordé les mesures d'autoprotection de la santé des professionnelles du sexe et de leurs clients. À São Paulo, le projet a commencé en 2002; il offre des consultations et des ateliers sur la sexualité, la contraception, la prévention des IST et du VIH, et l'auto-examen. Les besoins de santé pendant les règles et les pratiques vaginales malsaines ont conduit à promouvoir le diaphragme comme contraceptif, pour prévenir les infections gynécologiques et retenir le sang menstruel. Pour répondre aux besoins de santé génésique des professionnelles du sexe, il faut promouvoir leurs droits fondamentaux, leur garantir un accès aux soins de santé sans discrimination et s'intéresser aux problèmes de santé psychosociale, d'alcoolisme et de toxicomanie, et à la violence des clients, des partenaires, des proxénètes et de la police.ResumenLas necesidades de salud sexual y reproductiva de las trabajadoras sexuales han sido olvidadas tanto en las investigaciones como en intervenciones de salud pública, las cuales se han centrado casi exclusivamente en la prevención del VIH/ITS. Esto se debe a la condena, al estigma y a la situación legal ambigua del trabajo sexual, entre otras. En este artículo se describe el trabajo realizado por dos ONG feministas en Brasil, Mulher e Saúde, en Belo Horizonte, y Coletivo Feminista Sexualidade e Saúde, en São Paulo, para promover la salud sexual y reproductiva de las trabajadoras sexuales. El proyecto de MUSA fue iniciado en 1992; las trabajadoras sexuales recibieron capacitación como educadoras de pares, y se ofrecieron talleres sobre el auto-cuidado para las trabajadoras sexuales y sus clientes. En São Paulo, el proyecto, iniciado en 2002, ofrece consultas clínicas y talleres de auto-cuidado sobre sexualidad, anticoncepción, prevención del VIH/ITS y auto-examen. Las necesidades de salud durante la menstruación y las prácticas vaginales no saludables llevaron a la promoción del diafragma: como anticonceptivo, para la prevención de infecciones del tracto reproductivo y para recoger la sangre menstrual. Para atender las necesidades de salud sexual y reproductiva de las trabajadoras sexuales se requiere la promoción de sus derechos humanos, acceso a servicios de salud sin discriminación y atención a los aspectos de salud psicosociales, alcoholismo y drogadicción, y violencia perpetrada por clientes, parejas, proxenetas y policías." @default.
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• W1994072902 date "2007-01-01" @default.
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• W1994072902 title "Sexual and Reproductive Health Needs of Sex Workers: Two Feminist Projects in Brazil" @default.
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• W1994072902 doi "https://doi.org/10.1016/s0968-8080(07)29292-4" @default.
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