A/HRC/17/25
knowledge grew, and the hysteria surrounding its modes of transmission gradually abated,
the extremity of the responses decreased, but identification of the symbiotic relationship
between achieving public health and development outcomes, and protecting and promoting
human rights, took longer to gain widespread acceptance. It remains overlooked in certain
spheres of development, and the lessons learned regarding the effectiveness of responding
to HIV using human rights are being increasingly forgotten. Nevertheless, where
approaches utilizing human rights have been employed to address HIV, outcomes have
been extremely encouraging.
44.
The experience of the Sonagachi Project, started by the All India Institute of
Hygiene and Public Health in Kolkata, India in 1992, is indicative of the potential of right
to health-based interventions. While the project began as a traditional STD/HIV
intervention amongst sex workers in the red-light areas within the district, it soon evolved
into one that had at its core central facets of the right to health framework – most
importantly, community participation – in an effort to empower the sex worker community
to realize their own rights, and ultimately prevent the spread of HIV. The programme noted
successful outcomes in respect of health and development; its most quantifiable effects
included significantly improved condom usage,53 and reduced HIV rates amongst the
Sonagachi sex worker population.54 However, its processes and their effects have also been
thoroughly researched, reflecting its successes in advocacy and community leadership.
45.
These processes – participation-based empowerment intervention strategies – are
grounded in the right to health framework, and had a broad impact on factors reducing
vulnerability of sex workers to infection with HIV and other STDs. Outcomes of these
processes also included improved knowledge of STDs and condom protection and the
establishment of social support amongst sex workers.55
46.
The Special Rapporteur notes that this set of interventions, which has ultimately
resulted in significant development of affected communities, successfully applied core
elements of the right to health framework, including participation and non-discrimination.
The interventions also acknowledged and promoted the fundamental freedoms and
entitlements of the sex workers involved in the project; particularly, the right to control
one’s health and body, including sexual and reproductive health. The programme moreover
secured health services for sex workers, most notably through improving their acceptability
and accessibility.56
47.
Similarly, the experience of the UNIFEM South Asia Partnership with the Positive
Women Network (PWN+) and Centre for Advocacy and Research (CFAR) is a good
example of how a rights-based, gender-sensitive response to HIV added significant value to
pre-existing programming strategies in this area. The PWN+ has over 5,000 members
throughout India, and works to support women living with HIV/AIDS by destigmatizing
the illness; educating affected women; and establishing support, referral and empowerment
systems.57 The partnerships’ activities included initiation of national consultations of HIV53
54
55
56
57
14
D. T. Swendeman, et.al., “Evidence for the efficacy of the Sonagachi project in improving condom
use and community empowerment among sex workers: results from a cohort-control study”, paper
prepared for the International Conference on AIDS, (July 2004), pp. 11-16.
S. Jana, I. Basu, et. al., “The Sonagachi Project: a sustainable community intervention program,”
AIDS Educ Prev. , vol. 16, No. 5, (October 2004), pp. 405-14.
Dallas Swenderman et. al., “Empowering sex workers in India to reduce vulnerability to HIV and
sexually transmitted diseases” Social Science & Medicine, vol. 69, No. 8 (October 2009), p. 1165.
Smarajit Jana et al, “The Sonagachi Project: A Sustainable Community Intervention Program” AIDS
Education and Prevention, vol. 15, No. 5 (October 2004), pp. 408-409.
P. Kousalya et. al, “Using Rights-Based Processes Towards Building Gender-Sensitive Responses for
Women Living with HIV/AIDS: The UNIFEM South Asia Partnership with the Positive Women
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