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 the USAID Combination Prevention Program for preventing the spread of HIV among key populations in Central America
PSI/PASMO recently published four peer-reviewed articles on the effectiveness and innovation of the USAID Combination Prevention Program for HIV in Central America.
- Using Research to Inform the Development of Social Marketing Campaigns for HIV Self-Testing in Kenya and South Africa
- The Greatest Gift: Improving Couple HIV Testing Rates in South Africa
In South Africa, only 41% of the estimated 6.4 million people living with HIV know their status. In support of the National Counselling and Testing strategy, PSI’s affiliate, Society for Family Health, launched a campaign to encourage couples to get tested together.
- Cases supplement on the Total Market Approach
PSI sponsored two articles in a special supplement on the total market approach (TMA) in the Cases in Public Health Communications and Marketing journal. The first recounts PSI's experience in the markets for male condoms in Myanmar and Vietnam, and the second proposes a universal set of indicators to measure the success of TMA initiatives.
- One Million Voluntary Medical Male Circumcisions Infographic
In August of 2014, PSI circumcised its one millionth client. This milestone moment underscores the strong commitment and support of partners such as the President's Emergency Plan for AIDS Relief (PEPFAR), the Bill & Melinda Gates Foundation, domestic governments and other implementing organizations. View this infographic about our voluntary medical male circumcision programs.
- AEA 2014: Serving the Poor and Sustaining Condom Markets – An Evaluation of Six African Countries
The Total Market Approach is a system in which all sectors – public, social marketing, and commercial – work together to deliver health choices for all population segments. The goal is to ensure that the poorest communities receive free products, those with slightly greater resources benefit from partially subsidized products, and those with a greater ability to pay purchase products from the commercial sector. The objective of this evaluation is to determine if actions taken by all three market sectors over the last five to seven years have increased condom use in an equitable and sustainable way in six African countries.
- Social Marketing Evidence Base
In response to questions about the effectiveness of social marketing in global health, PSI systematically reviewed all literature published between 1995 and 2013 on social marketing for HIV, reproductive health, malaria, child survival, and tuberculosis in developing countries. After reviewing more than 6500 studies, we found 109 studies telling us about what social marketing programs can achieve.
- High HIV Prevalence Among Men Who Have Sex With Men in Nigeria: Implications for Combination Prevention
PSI conducted research to measure the prevalence of HIV among MSM in Nigeria and to determine which factors are associated with HIV-infection.
- Cyber-Educators In Latin America
In Latin America, PASMO has employed cyber-educators to reach young MSM with HIV prevention information through online chat rooms. Check out this video explaining their approach.
- Social Franchising Evidence
As an evidence-based model, social franchising puts high quality healthcare within the reach of people in need around the world. This report showcases results from four studies led by researchers from PSI, the University of California, San Francisco (UCSF), and Johns Hopkins University, which demonstrate how social franchising networks, like PSI/Myanmar's Sun Quality Network, improve the quality of health service delivery and health outcomes at-scale, cost effectively and equitably.