keyword: | most-at-risk populations (MARPs) |
Case Study
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Both NGO and community-based organization (CBO) approaches can benefit HIV program management. This case study explores the significant role of com |
The Georgian Harm Reduction Network (GHRN) is a combination HIV prevention approach that includes a mix of strategies and risk reduction approaches |
In the Dominican Republic, two nongovernmental organizations offer comprehensive, integrated HIV and other health services that serve the special n |
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Social stigma and fear impede HIV prevention, treatment, care, and support efforts. This case study examines how a collaboration led by the Avert P |
Data from a 2009 modeling exercise suggested that Rwanda has a mixed HIV epidemic, meaning that transmission occurs within both most-at-risk popula |
High rates of HIV infection among men who have sex with men (MSM) in the Asia-Pacific region are a concern. Many MSM living with HIV remain unaware |
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In India, most new HIV infections are concentrated in specific groups within the population and in certain areas of the country. To effectively r |
Gender inequality is a major contributor to men who have sex with men's (MSM) vulnerability to HIV. Understanding the gender dynamics of MSM, as we |
Gender norms affect the behavior and life choices of both men and women. In Vietnam, these norms sometimes drive people into situations where they |
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Together, a support network plus access to legal and psychological support are essential components of HIV programming for most-at-risk populations |
In Peru, where cultural norms emphasize women's subordination and the importance of masculinity, programs with a focus on gender—particularly those |
Prompted by a growing knowledge of the complexity of HIV transmission, many countries are reassessing the nature of their HIV epidemics. "Mixed" ep |
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Integrating strategies to address gender inequity and change harmful gender norms is an increasingly important component of HIV programs. Howev |
Programs focused on promoting gender equity and combating detrimental gender norms play a key role in HIV prevention. This case study (one of nine |
Successful outreach to most-at-risk populations (MARPs) recognizes the sociocultural context and particularly the gendered norms in which MARPs liv |
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Integrating strategies to address gender inequity and change harmful gender norms is an increasingly important component of HIV programs, including |
The influence of religious groups in parts of Latin America positions them to target most-at-risk populations (MARPs) who may have been overlooked |
Launched in 2003, the Avahan-India HIV prevention program has become a global model for combination HIV prevention programming that meets the compl |
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Along the U.S.-Mexico border, a growing HIV epidemic fueled largely by commercial sex and injecting drug use threatens both countries. Working in a |
AIDSTAR-One's first case study in the Promising Approaches to Combination Prevention series examines the efforts of the Alliance-Ukraine to reach m |
Recent studies confirm that globally men who have sex with men (MSM) are at significantly greater risk for HIV infection than other adults of repro |
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Men who have sex with men (MSM) have been neglected in HIV programming in sub-Saharan Africa, frequently ignored in national strategies and hidden |
Promising Practice
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The Increase and Expand HIV Testing Options Program, or Quero Fazer as it is socially known, focuses on increasing HIV testing |
The Society for Family Health and the Population Services International (SFH/PSI) will manage a franchise network (under the b |
The Central Asian Program on AIDS Control and Intervention Targeting Youth and High-Risk Groups (CAPACITY) Project aims to bui |
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The donor-sponsored ICAS voucher scheme in Nicaragua is an example of effectively employing output-based aid. The voucher prog |
HIV Prevention Knowledge Base Entry
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Men who have sex with men (MSM) can be difficult to reach with HIV prevention messages and services, since many are secretive about their sexual ac |
Combination prevention is based on the idea that there is an optimal mix of interventions that will provide the greatest impact. Combination approa |
Pre-exposure prophylaxis (PrEP) aims to prevent acquisition of HIV through use of antiretroviral (ARV) agents before potential exposure to HIV. Sev |
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Antiretroviral therapy (ART), generally used to improve the health of the person being treated, can also serve as a preventive strategy by reducing |
Drug use is a major factor in the spread of HIV infection in many settings. Sharing equipment used for injecting drugs transmits HIV, and drug us |
Structural approaches reduce an individual’s vulnerability to HIV by creating the conditions in which people can adopt safer behaviors. For example |
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Peer outreach and education (POE) engage members of a specific group to influence other members to adopt healthy sexual behaviors and modify norms. |
Due to the complexity of HIV prevention, both programmatic and policy-related interven |
Many people are now aware that having multiple sexual partners increases their risk of contracting HIV. Fewer people are aware that having concurre |
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Alcohol use in virtually all cultures reduces both people’s perception of risk and their inhibitions against engaging in risky behaviors. Alcohol u |
Technical Consultation Material
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May 2013, Washington, DC- The goal of this two-day technical consultation was to provide a forum for key stakeholders in HIV research, |
September 2012, Guatemala - |
August 2012, Bangkok, Thailand - From August 28-30, 2012, the U.S. President’s Emergency Plan for AIDS Relief’s (PEPFAR) most-at-risk popula |
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February 2012, South Africa - This regional workshop, funded by PEPFAR's most-at-risk populations technical working group and supported by |
March 2011, Caribbean - This summit provided a forum for participants to discuss HIV programming for most-at-risk populations and other vu |
February 2011, Ghana - Seventy participants from 11 countries with mixed epidemics in sub-Saharan Africa, members of the PEPFAR Technical |
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December 2009, Guatemala - The purpose of the meeting was to share evidence and program experiences to inform policies, develop effective |
February 2009, India - This meeting centered on a discussion of essential program dimensions that must be part of any effort to reach MARP
capacity building, commercial sex workers (CSWs), community engagement, community mobilization, concentrated epidemics, generalized epidemics, human rights, men who have sex with men (MSM), mixed epidemics, monitoring and evaluation (M&E), most-at-risk populations (MARPs), people who inject drugs (PWID), universal access
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Report
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This program review is a direct response to the urgent need to strengthen and expand HIV prevention for men who have sex with men and sex workers |
This document provides key findings for guiding programming for most-at-risk populations in mixed epidemic settings.
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While there is emerging literature on the gender-related needs of MARPs, how programs are addressing these needs or integrating gender strategies i |
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Despite increased understanding of the link between gender and HIV and, more recently, the value of using multiple gender strategies to mitigate wo |
The countries of Central Asia are witnessing one of the fastest growing HIV epidemics in the world. AIDSTAR-One, at the request of USAID/Central |
Spotlight
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With recent epidemiology showing a continual rise in HIV rates among sex workers, Melissa Ditmore argues that now is time to develop holistic, eff |
Technical Brief
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This technical brief provides a systematic global review and synthesis of practical approaches, program examples, and resources to support human ri |
Gender inequity is a fundamental driver in the HIV epidemic, and integrating strategies to address gender inequity and change harmful gender no |
Testing and counseling tab page
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AIDSTAR-One provides health implementers resources for targeting MARPs in HTC programs, including a summary of HTC best practices for MARPs, a situ |
Health Policy Initiative Document
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This document summarizes recommendations regarding policy and interventions targeted towards MSM and TG. |
This document describes a project targeted at GHV in Mexico and Thailand, countries with concentrated HIV epidemics but differing services for MSM |
The HPI piloted HIV clinic-based screening for violence and other forms of S&D against MSM and TG in select sites in Mexico and Thailand. |



