General objective of the research:

The general objective was to improve SRH for all women by expanding and strengthening sexual and reproductive health (SRH) services, and providing and testing targeted interventions for female sex workers (FSW) in the context of existing health systems.


Specific scientific and technical objectives:

  1. To assess the feasibility and practicability of integrating a combination of new SRH services into existing services for general population women;
  2. To assess the feasibility and practicability of linking and/or integrating services for FSW into existing services for the general population, within district or Primary Health Centre level facilities and at community drop-in centres;
  3. To assess the feasibility and practicability of participatory processes involving FSW, local service delivery partners and the general population in design and delivery of improved SRH services for FSW;
  4. To design packages of SRH care interventions which are feasible, appropriate, sustainable, effective, scalable and tailored to the conditions of each study site, to improve SRH among FSW and the general population;
  5. To implement and evaluate site-specific packages of improved SRH services delivered at facilities, at TI sites (mobile/satellite clinics for FSW), and within the community by peer educators;
  6. To evaluate effectiveness of 3 years of strengthened services by conducting a cross-country assessment of the determinants of improved SRH services and outcomes pre and post-intervention, and to measure cost effectiveness of improved SRH care for FSW;
  7. To engage policy makers from the outset in planning, implementing, evaluating and expanding the project;
  8. To inform SRH policy and service delivery guidelines development that serve the needs of the general population and vulnerable groups such as FSW, thus aiming to improve reproductive health and health equity.