▁a ▁practice ▁known ▁as ▁sar ▁d h aki ▁– ▁demonstr ating ▁that ▁despite ▁target ed ▁efforts ▁to ▁ensure ▁sa fer ▁working ▁conditions ▁this ▁remain ▁an ▁issue . ▁ ▁H IV ▁and ▁A ID S ▁patterns ▁in ▁M umb ai ▁ ▁Following ▁the ▁first ▁case ▁of ▁H IV / A ID S ▁identified ▁in ▁M umb ai , ▁efforts ▁to ▁prevent ▁the ▁disease ▁were ▁undert aken . ▁With ▁the ▁implementation ▁of ▁these ▁efforts ▁advoc ates ▁recognized ▁they ▁had ▁to ▁understand ▁the ▁function ing ▁of ▁the ▁sex ▁industry . ▁As ▁efforts ▁to ▁eng age ▁with ▁sex ▁workers ▁for ▁H IV / A ID S ▁prevent ion ▁increased , ▁many ▁of ▁these ▁concentr ated ▁sole ly ▁on ▁female ▁sex ▁workers , ▁neglect ing ▁male ▁and ▁trans gender ▁sex ▁workers . ▁From ▁ 2 0 0 6 ▁to ▁ 2 0 0 9 , ▁M umb ai ▁experienced ▁an ▁int ensive ▁H IV ▁prevent ion ▁campaign ▁and ▁there ▁was ▁increased ▁use ▁of ▁sa fer ▁sex ▁in ▁bro th els ▁and ▁among ▁street - based ▁sex ▁workers . ▁Program s ▁intended ▁to ▁reduce ▁the ▁spread ▁of ▁H IV / A ID S ▁range ▁from ▁but ▁are ▁not ▁limited ▁to ▁efforts ▁that ▁include ▁peer ▁based ▁education , ▁cond om ▁distribution , ▁increased ▁screen ing ▁and ▁treatment ▁of ▁sex ually ▁transm itted ▁in fe ctions ▁and ▁dise ases . ▁ ▁Between ▁the ▁years ▁ 2 0 0 6 ▁and ▁ 2 0 0 9 ▁the ▁rates ▁of ▁women ▁with ▁H IV ▁in ▁Mah ar as ht ra ▁went ▁from ▁