Tremendous scientific advancements have been made in the last decade to prevent the transmission of HIV and improve the lives of people living with HIV. Today the world can see the possibility of an AIDS-free generation, but many challenges remain. In 2012 there were still 2.3 million new HIV infections and 35.3 million people living with the virus worldwide.
We are committed to taking an active role in creating an AIDS-free generation by implementing evidence-based, cost-effective interventions in collaboration with country governments and other partners.
Our HIV prevention and treatment programs are based upon a commitment to producing measurable health impact and an emphasis on rigorous research and evaluation. Since inception, our HIV and STI programs have prevented millions of new infections and improved the lives of countless people living with, and affected by, HIV.
We apply the combination prevention framework of evidence-based biomedical, behavioral and structural interventions to reduce the burden of HIV. Our network members market high-quality, affordable products, such as male and female condoms, lubricants and sterile injecting equipment.
We offer high quality health services including voluntary medical male circumcision, HIV testing and counseling, HIV treatment, care and support, and diagnostic and treatment services for STIs. Using social marketing and social franchising, we strengthen the public and private sector’s ability to provide these important HIV and STI products and services to the populations most vulnerable to HIV infection.
We also employ evidence-based behavior change communication techniques to promote correct and consistent use of our products and to reduce high-risk behaviors. Informed by commercial marketing techniques, our theory-informed behavior change communication programs are tailored to the unique barriers and facilitators of behavior change in a specific population. Campaigns are delivered through innovative and appropriate channels to reach those most at risk.
Finally, we work to address the structural factors that pose barriers to HIV prevention across communities and countries. These include restrictive or oppressive policies, stigma and discrimination, gender inequality and gender-based violence.
In 2013, our HIV and STI programs averted an estimated 254,792 HIV infections and over 10.5 million DALYs.
To address the burden of HIV and other Sexually-Transmitted Infections (STI) in the countries where we work, PSI implements biomedical, behavioral and structural interventions using a combination prevention framework. Read more about our interventions.
- Behavior Change Communication: We promote behavioral change, reduce risky behaviors and address negative social norms through innovative communication activities.
- Combination Prevention: Combination prevention is the backbone of our efforts to deliver HIV prevention solutions at scale across the globe.
- Condoms and Lubricant: We use private sector marketing strategies to increase demand for and access to attractively packaged, affordable, and high-quality male latex condoms, female condoms, and water based lubricant.
- Gender-Based Violence: Our network leverages HIV programs in a number of countries to address gender-based violence.
- HIV Counseling and Testing: We provide HIV counseling and testing services through a network of directly and indirectly managed health service delivery sites.
- Needle and Syringe Distribution: Our comprehensive harm reduction programs work to reduce the risk faced by people who inject drugs.
- Prevention of Mother-to-Child Transmission: There are four pillars of prevention of our mother-to-child transmission efforts, each of which is critical to ensuring effective HIV prevention.
- Reproductive Health/HIV Integration: We offer contraceptive methods and services when and where other healthcare services are offered to increase client access to the information and care needed to manage sexual and reproductive health.
- STI Screening and Diagnosis: As part of a combination prevention approach, our HIV programs provide clients with STI screening, diagnosis and treatment services.
- Stigma and Discrimination: We sensitize healthcare providers to care for vulnerable populations with respect and to offer them services that best fit their needs.
- Treatment Care and Support: Since HIV testing and counseling acts as the entry point to HIV care and treatment, where we provide HIV testing and counseling services we work closely with treatment programs in the public sector.
- Underserved Populations: These populations are often marginalized and disproportionately affected by adverse health events. We create targeted interventions to ensure accessible and affordable products and services reach them.
- Voluntary Medical Male Circumcision: We have launched and scaled up VMMC service delivery, communications and advocacy initiatives in 9 African countries.
- Vulnerable Populations: Although we work with many vulnerable populations, four populations are particularly central to our work–people who inject drugs, men who have sex with men, female sex workers and youth.
- The Effectiveness of Social Marketing in Global Health: a Systematic Review
Social marketing is a commonly used strategy in global health. Social marketing programmes may sell subsidized products through commercial sector outlets, distribute appropriately priced products, deliver health services through social franchises and promote behaviours not dependent upon a product or service. The document aims to review evidence of the effectiveness of social marketing in low- and middle-income countries, focusing on major areas of investment in global health: HIV, reproductive health, child survival, malaria and tuberculosis.
- Perspectives of Parents and Health Care Workers on Early Infant Male Circumcision Conducted Using Devices: Qualitative Findings From Harare, Zimbabwe
This paper presents findings from a qualitative study in Zimbabwe that assessed parental and health care workers’ perspectives of EIMC conducted using devices.
- Safety, Acceptability, and Feasibility of Early Infant Male Circumcision Conducted by Nurse-Midwives Using the AccuCirc Device: Results of a Field Study in Zimbabwe
This paper presents the results of a field study of EIMC conducted in Zimbabwe to determine the safety, acceptability, and feasibility of early infant male circumcision.
- Comparative Cost of Early Infant Male Circumcision by Nurse-Midwives and Doctors in Zimbabwe
This is a comparative cost analysis of early infant male circumcision performed by nurse-midwives and doctors using the AccuCirc device in Zimbabwe.
- An Effective Model for the Integration of Modern Family Planning Services into Community-Level HIV Programming for Female Sex Workers in Ethiopia
Despite significant improvements in access to and voluntary uptake of modern family planning (FP) methods in Ethiopia, certain marginalized groups, including female sex workers (FSWs), remain underserved. Integrating voluntary, modern FP services into ongoing HIV prevention programs that reach FSWs can be an appropriate and cost-effective means to address this important coverage gap.
- Centers Drive Higher Yield and Better Linkage to Treatment for FSWs in Ethiopia
The project established 54 drop-in centers (DICs) in areas with a high density of female sex workers (FSWs) in towns with more than 500 sex workers. A total of 25,068 FSWs received HIV testing services at DICs between Oct., 2014-Sept, 2015. Altogether 802 women were diagnosed with HIV, for a yield of 3.2%.
- Ensure Key Population Get Access to Condoms and Lubricant
To avoid new infections and reduce HIV risk, PSK provides technical assistance to socially market HIV prevention products, aiming to increase visibility and availability of condoms and lubricant among KPs in high-risk venues. A “peer-to-peer sale approach strategy” has been employed by PEPFAR/USAID-funded Flagship program to implement on-site peer marketing of condoms and lubricants. The success of this innovation was recognized, and it has been replicated as a core activity in the National HIV/AIDS strategic plan for 2014-2020 under the prevention package. Additionally, it has been replicated under the Global Fund’s New Funding Model.
- Strategy for Identifying Populations at High Risk of HIV Infection in Zimbabwe.
This study was aimed at identifying geographic clusters of HIV based on positivity threshold of 10% countrywide in Zimbabwe. Routine data from the outreach HIV testing and counselling programme administered by PSI Zimbabwe’s New Start Centre network and collected between January and March 2016 was used for this analysis. Results suggest geographic variation in the transmission of HIV in Zimbabwe.
- “Reaching the Higher Hanging Fruits”: Tracking VMMC Uptake and Behavioural Determinants: Results From Multi-Year National Cross-Sectional Surveys in Zimbabwe
In 2009, PSI implemented the national communications strategy to increase demand for VMMC through both mass media and interpersonal communication channels in Zimbabwe. Knowledge about VMMC and uptake and perceived availability of services increased over time reflecting the impact of demand creation and scaling up of services in Zimbabwe. The initial increase in intention to go for VMMC implies that demand creation was effective to motivate early adopters.
- POC CD4 Testing Improves Effective Referrals From Community to Clinical Settings in Lesotho
The study conducted a retrospective analysis of 42,605 records of clients 2 years and older, seen between October 2014 and September 2015, through mobile HTC, home-based and static sites in Lesotho. A higher proportion of those receiving POC CD4 count were successfully linked to HIV care. Overall, these findings support deployment of more PIMA machines particularly at mobile and stand-alone HIV testing services where there are more HIV positives.