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Description:Project Shikamana (“Let’s Stick Together” in Swahili) is a community empowerment HIV prevention intervention for female sex workers in Tanzania. The intervention is comprised of (1) a community-led drop-in center to stimulate social cohesion and mobilization activities; (2) venue-based peer education, condom distribution, and HIV counseling and testing; (3) peer service navigation and social support to promote HIV treatment access and adherence; (4) HIV clinical care provider and police sensitivity trainings; and (5) text messages to promote solidarity and intervention engagement, and reminder messages to promote care engagement and ART adherence among HIV-positive women. Workshops are held at the drop-in center and focus on the following topics: stigma, discrimination, genderbased violence, family planning, HIV/STD prevention, ART adherence, financial security, and sex worker rights and community mobilization strategies. In the peer education component that is held monthly, peer educators distribute condoms and health materials developed by participants and a local artist. Mobile HIV testing and counseling is offered twice during the intervention period. Provider sensitivity trainings take place on a quarterly basis with a group of HIV clinical care providers, in coordination with peer navigators, to promote respectful quality health services tailored to FSW needs. Additional intervention activities are ongoing and are based on community priorities such as cervical cancer screenings, community health education fairs, and a workshop with local police and justice sector officials regarding support in accessing gender-based violence services and justice.
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