Prevention of HIV/AIDS is an issue of global concern which requires the active cooperation of communities,medical specialists, and governments. Though sexworkers are considered to be one of the vulnerable populations, there are few STD/HIV program specialized to sexworkers in Japan. In this study, we develop a protocol to provide more practical information for sexworkers by medical specialists. We analyzed the results of peer-based workshops concerning to sexworkers’ anxieties or problems on STD/HIV.  We compared these problems with the information by medical specialists whether these information match up to the sexworkers’ needs. The results suggest that even though specialists are supportive to the sexworker, their information tend not to be useful in the real situation and does not meet the needs of sexworkers, because it is very difficult to presume suitable measures or methods which are available on the real situation. To solve this difficulty and ensure effective  communication between  specialists  and  sexworkers, we propose to set up two roles between them according to our results; one is trained  sexworkers as representatives of sexworkers, and another is interpreters who have medical knowledge and work close to the trained sexworkers.

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The gap between sexworkers’ needs and information provided by medical specialists on hiv/std prevention in Japan

Nozomi Mizushima   Graduate School of Interdisciplinary Information Studies, University of Tokyo, Japan

Kohta Juraku   Graduate School of Interdisciplinary Information Studies, University of Tokyo, Japan

Osamu Sakura   Graduate School of Interdisciplinary Information Studies, University of Tokyo, Japan

Prevention of HIV/AIDS is an issue of global concern which requires the active cooperation of communities,medical specialists, and governments. Though sexworkers are considered to be one of the vulnerable populations, there are few STD/HIV program specialized to sexworkers in Japan. In this study, we develop a protocol to provide more practical information for sexworkers by medical specialists. We analyzed the results of peer-based workshops concerning to sexworkers’ anxieties or problems on STD/HIV.  We compared these problems with the information by medical specialists whether these information match up to the sexworkers’ needs. The results suggest that even though specialists are supportive to the sexworker, their information tend not to be useful in the real situation and does not meet the needs of sexworkers, because it is very difficult to presume suitable measures or methods which are available on the real situation. To solve this difficulty and ensure effective  communication between  specialists  and  sexworkers, we propose to set up two roles between them according to our results; one is trained  sexworkers as representatives of sexworkers, and another is interpreters who have medical knowledge and work close to the trained sexworkers.

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