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Combating HIV Epidemic

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There was a time when it was
usual to link the AIDS issue to public health and
medicine only. The passage of time, accumulated
experience and wisdom has demonstrated that the
issue is much too complex to be seen from a
medical viewpoint alone. The Programme can achieve
success only if it addresses the wider
sociological and environmental issues associated
with the disease. And our realization has left its
mark on the development of the Program.

Based on this realization, SHIP has today ceased
to be just a medical intervention project. It has
assumed a wider dimension and has adopted a
holistic approach towards this threat to the world
of man. Durbar's eyes have opened to the fact that
sex workers only can serve as the best
change-agents to fight AIDS and they cannot play
this role unless society recognizes their
professional rights and regards them as human
beings. That is how Durbar became the first of its
kind in Asia.
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Phase 1:
[1992-1997] Building self esteem, Mobilization of
Sex workers community.
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Introduction of three "R" s: Respect,
Reliance and Recognition. |
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Leads to the development of self-organization of Sex
workers (DMSC) |
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Scaling up of intervention program in and around city
Kolkata |
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Responding to the perceived needs of the community,
DMSC- Introduced of non formal education program for sex workers as well
as for drop out children. |
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To reduce economic vulnerability: |
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- Initiation of USHA Co-operative Society.
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To create space for cultural expression |
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- Creation of a cultural wing (Komol Gandhar)
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Phase
2: [1998-2002] Hand over of project to the sex workers collective, DMSC

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Broadening the base of intervention (horizontal
expansion of the programme to support children, middle man, babus
(clients) and other family members of sex workers) |
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Moving from vertical HIV intervention project to
social approaches to health development. Incorporating and strengthening
program for the children of sex workers, fixed clients. |
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Expanding the social security frame work |
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Community mobilization process moves beyond the
geographical boundary leading to the development of national Network of
Sex Workers followed by a national conference held at Kolkata in 1997.
(More than 4000 sex workers attended the conference from all across the
country). |
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Rapid expansion of HIV program by 2001 DMSC initiated
intervention program in 51 sites covering more than 40,000 sex workers all
around the state of West Bengal. DMSC support. |
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The expansion of activities of Usha Multipurpose
Co-operative Society Limited (USHA) to ensure economic security of sex
workers vis-a- vis their negotiating power for safer sex practices. |
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Development of Mamata Care and Treatment Center
established to address issues and challenges of HIV positive women and
strategize to address stigma and discrimination of people living with
HIV/AIDS (PLWHA) |
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DMSC entered into the Anti-trafficking Program through
developing an unique approach in creating of Self-Regulatory Board (SRB).
SRB took a serious attempt to prevent the entry of minors and unwilling
women into sex sector and acts as principle arbitrator in dealing with
incidence of violence in sex work settings. |
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To further institutionalize the process of learning
DMSC has set up two libraries, one in Kolkata and the other in Kanthi, in
Midnapore district. |
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Phase 3: [2003-2007]

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Institutionalization of learning process |
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Influencing policy changes - through social and
political activism |
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Building strategic alliance with different
marginalized communities |
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DMSC plays proactive role in influencing Donors and
Policy makers in HIV programming, helping policy makers in articulating
critical elements of intervention. [ "Creating Enabling
Environment" in National AIS Control Program-II (NACP-II) and
"Community Organizing and Ownership building" in NACP-III as a
part of IV prevention strategy among different vulnerable groups e.g. Sex
workers, IDUs and Truckers etc. |
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DFID and Bill Gates Foundation decided to replicate
the Sonagachi model of in six high HIV prevalent States of India. |
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Theorization of Programming Principles of Sonagachi
project, which is articulated as 'Community Led Structural Intervention' (CLSI).
The various programme frameworks has made a paradigm shift in HIV
Prevention |
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Introduction of 4Ds; De-stigmatization of STI cases,
De-mystification of the technical aspects of STD services,
De-centralization of medical services Democratization of STI management
services in STI management process. |
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Expansion of research activities and collaboration
with different Universities and agencies both within and outside the
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Formation of the Community Led Capacity Building Unit
CL-CAB; consisting of technical experts and community leader expert from
sex workers, who provide help, building skills and leadership on issues
around HIV/AIS programming across 6 states in India. |
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Expanding program's horizon to tribal community and
entertainment industry. The organization has recently up scaled its
program and outreached its multitude of developmental activities among the
tribal communities of West Bengal. In addition to that DMSC is now all set
to enter into the arena of Entertainment industry with an objective to
ensure the social and economics security of the entertainment workers an
to explore opportunities that can initiate a sustainable developmental
process for the enfranchisement of this community. |
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