Innovative HIV Prevention Practices and Programmes for Long Distance Truck Drivers and Sex Workers: Global Lessons and Opportunities in the SADC Region
HIV prevalence is disproportionately high among sex workers and long distance truck drivers compared to the general population, both globally and in the Southern African region. A recent HIV seroprevalence survey by the World Health Organization (WHO) at three border sites in Southern Africa found HIV prevalence rates of 53 percent among sex workers and 26 percent among long distance truck drivers. The vulnerability of these populations is fuelled by high levels of mobility, stigma and discrimination, poor access to HIV, sexually transmitted infection, tuberculosis, and other essential health services, and limited coordination by service providers along the transport corridors.
This situation leaves behind key priority populations, and if not addressed, will continue to be a source of HIV transmission and pose challenges to case detection, retention in care and management of both communicable and non-communicable diseases.
Southern African Development Community (SADC) member states are committed to the identification, adoption and implementation of evidence-based best practices, harmonization of standards, and revitalization of prevention strategies to achieve the UNAIDS 90-90-90 goals for an AIDS-free generation. However, the region will not be able to reach these targets unless it applies an inclusive approach targeting marginalized populations. This fact sheet describes innovative HIV prevention practices and programs for long distance truck drivers and sex workers globally and identifies opportunities for scaling up services to these target groups in the SADC region.