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Add to that the perceived shame of both homosexuality and HIV in Pakistan, and the fact that sex education in Pakistani schools is severely lacking, and the risk of spreading STDs is even greater. Only 8. Dostana gives out free contraceptives and lubricants, and will soon begin distributing pre-exposure prophylaxis under a Global Fund grant in collaboration with the National Aids Control Programme.

While he acknowledged that same-sex relations have always been possible, Haidar said apps and social media have made approaching strangers easier, particularly for men. Gay relationships outside marriage are easier to conceal than heterosexual ones, which are considered equally dishonourable. Seven years ago, at the age of 19, Ayan started out as a sex worker to support his family.

Ayan was a child when his father died, and the oldest son. Sex work came to replace his plans of going to college.


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Two years ago, soon after learning about the disease, he was diagnosed with HIV. Still, he has continued his work. For Ayan, apps and social media have not only made life safer by allowing him to approach customers off the street — out of the sight of violent police who often demand bribes — but are also good for business, even mainstream platforms like Facebook.

Yet many remain unaware of the risks of HIV, allowing the spread of the virus to accelerate. Some names have been changed to protect the identity of sources. Topics Global health. Reuse this content.

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