A recent Horizons study conducted jointly with two Dominican NGOs assessed the impact of two environmental-structural models in reducing HIV-related risk among female sex workers in the Dominican Republic and compared their cost-effectiveness. In the two cities studied, there were improvements from pre- to post-intervention in the key outcome variables, however the type and level of these changes varied by intervention approach. Based on our findings, program planners and policymakers involved in the study in the Dominican Republic agree that the integrated solidarity and policy model in conjunction with ongoing peer education and community mobilization activities is an appropriate, cost-effective, and ethical intervention package. The current dialogue is now focused on how to scale up this successful pilot experience in a way that continues to respect all members of the sex work community and to be effective in curbing the HIV epidemic.
Kerrigan, Deanna, Luis Moreno, Bayardo Gomez, Hector Jerez, Ellen Weiss, Johannes van Dam, Eva Roca, Clare Barrington, and Michael D. Sweat. 2004. "Combining community approaches and government policy to reduce HIV risk in the Dominican Republic," Horizons Final Report. Washington, DC: Population Council.
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