: ashodayasamithi@yahoo.co.in

Research

Prioritizing Risk in Preparation for a Demonstration Project: A Mixed Methods Feasibility Study of Oral Pre-Exposure Prophylaxis (PREP) among Female Sex Workers in South India

SushenaReza-Paul, Lisa Lazarus, Robert Lorway et al PLOS ONE 23-Nov-2019(Approximate date of publication)

Background
HIV prevalence among female sex workers (FSWs) in India remains well above the national average. Pre-exposure prophylaxis (PrEP), a new HIV prevention technology, may help to reduce HIV incidence, but there is a dearth of research that can inform the potential scale-up of PrEP in India. In partnership with Ashodaya Samithi, a local sex worker collective, we conducted a feasibility study to assess acceptance of a planned PrEP demonstration project, willingness to use PrEP, and recommendations for project roll-out among FSWs in southern Karnataka.
Methods
From January–April 2015, 6 focus group discussions, 47 in-depth interviews, and 427 interviewer-administered questionnaires .....


No one was there to care for us’: Ashodaya Samithi's community-led care and support for people living with HIV in Mysore, India

Claudyne Chevrier 13-Jul-2018(Approximate date of publication)

Under the umbrella of the Bill and Melinda Gates-funded HIV initiative in India, the Mysore-based sex workers’ (SWs) collective Ashodaya Samithi focused on improving its members’ living and working conditions through community-led structural interventions, including community mobilisation, advocacy, peer-led support, and health promotional activities. Based on four months of ethnographic fieldwork, this article examines the care and support activities of one of its sub-wings, Ashraya, which specifically focuses on people living with HIV and AIDS (PLHIV). We first discuss the stigma-related perceptions and experiences of participants in relation to health-care settings and work environmen.....


Sex worker-led structural interventions in India: a case study on addressing violence in HIV prevention through the Ashodaya Samithi collective in Mysore

Indian J Med Res 11-Jul-2018(Approximate date of publication)

Structural interventions have the capacity to improve the outcomes of HIV/AIDS interventions by changing the social, economic, political or environmental factors that determine risk and vulnerability. Marginalized groups face disproportionate barriers to health, and sex workers are among those at highest risk of HIV in India. Evidence in India and globally has shown that sex workers face violence in many forms ranging from verbal, psychological and emotional abuse to economic extortion, physical and sexual violence and this is directly linked to lower levels of condom use and higher levels of sexually transmitted infections (STIs), the most critical determinants of HIV risk. We present here .....


Sexual and reproductive health services utilization by female sex workers is context-specific: results from a cross-sectional survey in India, Kenya, Mozambique and South Africa

Yves Lafort, Ross Greener….Sushena Reza-Paul et-al.Reproductive Health 01-Jan-2017(Approximate date of publication)

Background:

Female sex workers (FSWs) are extremely vulnerable to adverse sexual and reproductive health (SRH)outcomes. To mitigate these risks, they require access to services covering not only HIV prevention but also contraception,cervical cancer screening and sexual violence. To develop context-specific intervention packages to improve uptake, we identified gaps in service utilization in four different cities.

Methods:

A cross-sectional survey was conducted, as part of the baseline assessment of an implementation researchproject. FWSs were recruited in Durban, South Africa (n= 400), Mombasa, Kenya (n= 400), Mysore, India (n=458)andTete, Mozambique (n = 308), using respondent-driv.....


“No one was there to care for us”: Ashodaya Samithi’s community-led care and support for people living with HIV in Mysore, India

ClaudyneChevrier, S. Reza-Paul, R. Lorwayetal. Global Public Health 10-Nov-2015(Approximate date of publication)

Abstract
Under the umbrella of the Bill and Melinda Gates-funded HIV initiative in India, the Mysore-based sex workers’ (SWs) collective Ashodaya Samithi focused on improving its members’ living and working conditions through community-led structural interventions, including community mobilisation, advocacy, peer-led support, and health promotional activities. Based on four months of ethnographic fieldwork, this article examines the care and support activities of one of its sub-wings, Ashraya, which specifically focuses on people living with HIV and AIDS (PLHIV). We first discuss the stigma-related perceptions and experiences of participants in relation to health-care settings and work .....