The USAID Combination Prevention Program for HIV in Central America
United States Agency for International Development, USAID
October 1, 2010 to January 31, 2020
Guatemala, El Salvador, Honduras, Nicaragua and Panama
Men who have sex with other men (MSM), transgender women, people living with HIV (PHIV) and their partners
Support the USAID Regional Combination Prevention Strategy that focuses on providing cost-effective, sustainable interventions designed to achieve increased access to HIV prevention interventions by key populations and persons living with HIV (PHIV).
The Program’s interventions seek to achieve the following results:
1.-Reduced prevalence of high-risk behaviors among key populations (KPs) and PHIV.
2.-Increased effective interventions implemented to decrease hostility in social environments that foment and tolerate homophobia and stigma and discrimination attitudes related to sexual orientation, occupation or status.
3.-Increased access by KPs to a minimum package of essential prevention and health services, especially HIV testing and counseling (HTC), emphasizing the involvement of private laboratories.
4.-Strategic information obtained through research and monitoring to design or modify prevention activities.
5.-Increased capacity of local NGOs to submit proposals and implement projects funded by international donors, as part of a broader sustainability efforts
-HIV diagnosis / case finding among key populations (KPs) and linkage to the HIV continuum of care, thus contributing to the first two pillars of the 90-90-90 goals.
-Provision of mobile HIV testing and counseling (HTC) services, especially in partnership with private laboratories who are sensitized to provide quality, KP-friendly services.
-Use of a unique identifier code (UIC) for confidential patient tracking along the HIV continuum of care.
-Accompaniment services for reactive individuals to confirmatory testing and linkage to care.
-Index testing services for the partners of reactive individuals.
-Cyber-educators conducting online interventions focused on reaching difficult access MSM and referring them to HTC services, in addition to online follow-up for linkage to care.
-Accompaniment and in-depth support for PHIV, especially around treatment adherence, through online patient advocates who also facilitate WhatsApp support groups.
-Mobilization of organizations, public institutions, volunteers, and private sector companies for the institutionalization of non-discrimination through the Generación Cero social movement.
-HIV self-testing (HIVST) assessment and pilot with including an HIVST market assessment.
-Rigorous monitoring, in addition to research, evidence and strategic information for decision-making.
-Strengthening of local NGOs through technical assistance focused on building the capacity of local organizations to apply for, and implement projects funded by international donors.
-14,739 at-risk individuals from key populations reached with combination prevention interventions in Central America during 2018, of which 8,051 were reached online through cyber-educators.
-9,058 at-risk individuals received HIV testing and counseling services where 1 of every 20 tests had a reactive result and 64% of reactive cases were linked to comprehensive care services in 2018.
-More than 30 private laboratories were sensitized and providing KP-friendly HIV testing and counseling services under the Program during 2018.
-XX new cases of HIV averted in Central America during 2018 as a result of the Program’s prevention efforts.