In the past 15 years there has been increasing recognition of the significant contribution of key populations – MSM, sex-workers, people who inject drugs (PWID) and people in prison – to HIV transmission in eastern and southern Africa.
The heightened need for effective HIV prevention for key populations has been recognised with significant policy developments, funding, and provision of services in some countries. In others, conservative social values mean that antagonism towards key populations remains widespread, and policy and programming lag behind. In many countries sex work, homosexuality and injecting drug use remain illegal. In the language of the Sustainable Development Goals, these populations are potentially going to be left behind.
EHPSA therefore commissioned research to understand key examples where positive change has come about for key populations, which have been included in the HIV prevention response. The research was in the form of nine illustrative case studies covering all four key populations and five countries. These case studies investigate the processes leading to a significant step, or steps, in progressing HIV prevention. They also identify the key actors and understand important contributing factors and tactics that brought about the change. The research analysis has specifically reviewed the role of civil society organisations in contributing to change. Significant findings and issues arising from the case studies have been synthesised into a discussion paper.
The long struggle for HIV prevention for key populations in eastern and southern Africa: Emerging lessons from case studies across the region. Presentation