Contents 
 
Acknowledgements 
Foreword 

1  Commercial sex in context 
 

	1.1  Commercial sex in context Commercial sex and public health Responses Why this handbook?
	1.2  What is in this handbook? Developing programmes and projects Successful strategies
	1.3  Commercial sex: complex issues Commercial sex will continue Sex workers cannot do it alone On sex workers' terms
	1.4  Understanding sex work The sex industry, formal and informal Who are clients? Who are sex workers? Women Men Transgender sex workers Partners of sex workers Commercial sex business owners and managers

2  Developing a policy framework
 

	2.1  Policies and philosophies Core values Individual experiences Management principles Staff and skills Commercial sex and the law A perspective on law reform
	2.2  STD/HIV policy Living with HIV and the double stigma
	2.3  Coercion and human rights Young people and sexual exploitation Trafficking Sex tourism
	2.4 Drug policy

3  Strategies for education 
 

	3.1 Information and education for sex workers for clients for "influencers"
	3.2 Methods Peer education Outreach Group education sessions Educational materials Counselling

4  Enabling strategies 
 

	4.1  STD services and condoms Providing good STD services Distribution of condoms and lubricants Health information needs
	4.2  Other services and skills training Skills training Legal assistance and welfare services Economic development programmes
	4.3  Community development Self-organisation Community strengthening activities Anti-violence activities Police liaison Rescue and rehabilitation
	4.4  Advocacy and civil rights Advocacy in the community Civil rights Organising for better work conditions Better conditions lead to safer services Media
	4.5  People living with HIV/AIDS HIV positive sex worker needs

5  Safe (commercial) sex
 

	5.1  Analysing safe (commercial) sex Strengths Weaknesses Opportunities Threats
	5.2  Negotiating safe sex
	5.3  Knowledge and skills Using condoms Oral sex Non-penetrative sex and fantasies Kissing Douching and cleaning Microbicides The female condom Menstruation management Safe transgender sex Recognising STD symptoms

6  Health and safety for mobile populations and drug users
 

	6.1  Migration, mobility and health Types of mobility Health promotion and care
	6.2  Strategies for drug users Harm reduction Other injecting substances Non-injectable drugs Women's health and drug use

7  Making projects successful 
 

	7.1  Assessing needs What is the situation? Who should be involved? What are the sexual health needs? What sexual services are practised? How is sex work organised? What STD services are used? Do services and projects already exist? What policies do services have? What is the legal context?
	7.2  Assessment techniques Gathering existing information Collecting new information
	7.3  Project planning and design Making sense of the problems Turning problems into objectives Activities Measuring change Identifying assumptions
	7.4  Monitoring and evaluation Is the project working? Monitoring Start at the beginning Types of evaluation
	7.5  Project planning: an exercise

Further reading
Key information sources and suppliers

Dedication  This book is dedicated to  Danny Cockerline  Lindy Rogers  Iris de la Cruz Rico Harley  Fiona Stewart  Brenda Lee