Long-acting HIV prevention technologies have the potential to transform HIV outcomes across Africa, yet sex workers continue to face stigma, criminalization, and exclusion from health systems that limit equitable access to these innovations.
This policy brief by the African Sex Workers Alliance (ASWA) presents evidence from 66 sex workers across Anglophone and Francophone Africa on the acceptability of next-generation HIV prevention tools, including CAB-LA and Lenacapavir. It highlights strong interest in discreet, long-acting options and underscores the clear preference for community-led, non-judgmental service delivery.
The brief outlines key barriers, policy gaps, and strategic recommendations, calling for governments and donors to integrate new technologies into national frameworks while formally recognizing and investing in sex worker–led health responses.
