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In the community of Abomey-Calavi, a local sex worker shares her transformative experience participating in the PEPFAR HIV prevention program at the Centre Hospitalier Universitaire de Zone (CHUZ) of Abomey-Calavi. This woman's journey, marked by her engagement with Pre-Exposure Prophylaxis (PrEP), offers a window into the broader impact of such healthcare initiatives in the fight against HIV/AIDS.

The introduction of PrEP at CHUZ Calavi, a crucial element in this PEPFAR initiative, has ushered in a new era of hope and protection for many, particularly those in the sex work industry. This woman's story, one of resilience and empowerment, serves as a testament to the effectiveness of PrEP. Regularly accessing this preventive treatment for over a year, she now has a sense of enhanced safety. PrEP, especially when used in conjunction with condoms, provides a critical defense, particularly in her high-risk encounters.

PrEP has been a game-changer. It's like a shield, giving me a sense of safety that I never had before.

The accessibility of CHUZ in Calavi has been instrumental in facilitating regular health visits and adherence to the PrEP regimen. Managed by USAID through FHI360, the PEPFAR program stands out for its efficient and rapid response to HIV related cases. Screening and immediate referral based on HIV status have ensured that individuals receive timely and appropriate care, significantly reducing the delay between diagnosis and treatment initiation.

Initially, FHI360 set up a system to offer us monetary incentives, which encouraged even those reluctant to reveal their HIV status to come forward for testing.

Ending AIDS in West Africa (#EAWA) activity implemented by FHI360's role in this transformation has been pivotal, particularly in addressing and reducing the stigma around HIV testing and status disclosure.The strategy used has gradually fostered an environment of empowerment and openness. This shift in attitude towards HIV testing and health status is a significant step forward in self-care and informed living.

The interviewee contrasts the current efficient services with the previous slow-paced system, emphasizing a deeper understanding and respect for the community's healthcare needs. Moreover, Ending AIDS in West Africa activity has built a supportive network that ensures continuity of care. Regular interactions with healthcare professionals and reminders for appointments have formed a safety net, especially for those who might otherwise be overlooked. In her plea, the sex worker calls for additional resources for the HIV/AIDS unit at CHUZ Calavi, aiming to centralize services and enhance accessibility. 

This sex worker's journey, enabled by the collaborative efforts of PEPFAR and FHI360 through the CHUZ Calavi, transcends a personal narrative. It stands as a symbol of hope and a successful model for HIV prevention and care. Her experiences, resonating with many in her community, highlight the transformative power of accessible and comprehensive healthcare services. This program is not just changing individual lives but is also shaping a more resilient future for the entire community in facing health challenges like HIV/AIDS.


*Note: In order to protect the interviewee’s privacy and due to the sensitive nature of healthcare, these are stock images.*

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PEPFAR sex worker

 

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HIV and AIDS PEPFAR Benin Stories