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Included! How change happened for key populations for HIV prevention

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.

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

Case studies

  • Fellow Kenyans: How Kenya achieved national HIV policy commitments for key populations by 2010. Read...
  • Changing attitudes in Kisumu: Reducing discrimination and improving inclusion for men who have sex with men in the context of HIV, Kisumu County, Kenya Read...
  • Pollsmoor: Reducing overcrowding in a South African remand detention facility
  • Out of sight: Addressing sexual violence in South African prisons
  • Cracks in the walls: Access to improved services for HIV in Zambian prisons. Read...
  • From prohibition to harm reduction: HIV prevention policy for people who inject drugs in Tanzania
  • The stars aligned: The journey to the launch of South Africa’s National Sex Worker HIV Plan
  • PrEP for Sex Workers! Public sector policy and implementation in South Africa
  • A Manual for Swaziland healthcare workers: A cooperative venture in developing a key population manual
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