Background. Women who migrate to engage in sex work are at increased risk for infection with HIV and STIs. This study examines aspects of culturally sensitive HIV/STI prevention for female migrant sex workers.Methods. Semi-structured interviews with 12 experts (representatives of NGOs and health authorities) were conducted and analysed. Findings. Culturally sensitive HIV/STI prevention services address women's health issues and the provision of sex education as well as specific information on HIV and STIs. Outreach and low-threshold services are crucial to reach the women. Language skills and cultural competency are needed as well as cultural mediators and the training of sex workers as peer educators. Structural factors that affect vulnerability and protective behaviour need to be addressed.Conclusion. Culturally sensitive HIV/STI prevention services for migrant sex workers build on the principles and services that work well for sex workers in general. Additionally, the specific situation and needs of migrants need to be considered and information on women's health and on other aspects of living and working in Germany should be provided. © Springer-Verlag 2012.

Cultural sensitivity Sex work Migrants Prevention of sexually transmitted infections Expert interviews

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