title: Increasing access and ownership of clinical services at an HIV prevention project for sex workers in Mysore, India.
abstract: Increasing sex workers' (SWs) access to and utilisation of health care services is a key part of HIV prevention. An HIV prevention project in Mysore, India, has been particularly successful in fostering a new norm of health care seeking among local SWs while facilitating community ownership of health care delivery. This paper describes how the use of occupational health ideologies, along with the creation of enabling environments, facilitated the uptake of project healthcare services and transformed power relationships between SWs and their healthcare providers. These changes led Mysore's SWs to initiate health-enhancing actions that moved beyond project imperatives to serve self-identified community needs.
authors.affiliation: Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada. vnessdixon@gmail.com
authors.forename: Vanessa
authors.initials: V
authors.lastname: Dixon
authors.forename: Sushena
authors.initials: S
authors.lastname: Reza-Paul
authors.forename: Fathima Mary
authors.initials: FM
authors.lastname: D'Souza
authors.forename: John
authors.initials: J
authors.lastname: O'Neil
authors.forename: Nadia
authors.initials: N
authors.lastname: O'Brien
authors.forename: Robert
authors.initials: R
authors.lastname: Lorway
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D006297:Health Services Accessibility; D006801:Humans; D007194:India; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D009786:Occupational Health Services / Q000458:organization & administration*; D011209:Power, Psychological; D060386:Sex Workers / Q000193:education / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology*