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.
- Total Market Approach: Swaziland
This case study describes the market for male condoms in Swaziland, and the roles of the public, social marketing, and commercial sectors in the market.
- Total Market Approach: Uganda
This case study describes the market for male condoms in Uganda, and the roles of the public, social marketing, and commercial sectors in the market.
- Integrating Family Planning into MULU/MARPs HIV Prevention project
Overview of a USAID funded national HIV prevention flagship project targeting most-at-risk populations in 168 Ethiopian towns.
- Besoins en Sante Reproductive Chez Les Femmes Vivant Avec Le Vih Au Mali
Reproductive Health Needs in Women Living with HIV in Mali
- Multiple Sexual Partnerships and Elevated HIV Risks among Men Who Have Sex with Men in Southwest China
A presentation at the American Public Health Association Annual Meeting in October 2015 featured results from a study that looked at the factors influencing sexual behaviors and HIV-related health outcomes among MSM in China.
- Le Magazine « 100% Jeune », Source D’Information éDucative Pour Les Jeunes en âGe De ProcréEr en RéPublique DéMocratique Du Congo (Rdc)
As presented in the Strategic Plan (2011-2015) of the National Program for Adolescent Health (NASP), young people aged 10 to 24 number more than 20 million people in the DRC. This layer of the population, particularly girls, faces problems related to sexual and reproductive health.
- Leading mHealth into the Smartphone Age in Myanmar
Prior to the start of its democratic transition in 2012, Myanmar was known as one of the last “un-phoned” countries. In 2014, SIM card prices dropped from $250 USD to $1.50, driving Myanmar to leap-frog over feature phones and computers directly to smart phones. PSI/Myanmar (PSI/M) has launched two digital interventions – a Facebook page and mobile app – to capitalize on this advancement and make Reproductive Health (RH) and Maternal Child Health (MCH) information more readily available to women of reproductive age (WRA).
- What You Ask and How You Ask It: Results of a Baseline Survey Among Very Young Adolescents (10-14 Years Old) in Honduras
The teenage pregnancy rate in Honduras is among the highest in the region at 22%. Challenges faced by young people are amplified due to low levels of educational attainment, limited economic opportunities, and limited access to AYSRH (adolescent, youth, sexual reproductive health) services. Population Services International (PSI) and PASMO/Honduras are working with young girls aged 10-19 to address harmful gender norms, which contribute to unintended teenage pregnancy.
- Integrating Family Planning Services: Family Planning HIV Integration Among Entertainment Workers, Cambodia
In Cambodia, the HIV prevalence among adult populations aged 15 to 49 gradually decreased from 2% in 1998 to a projected 0.7% in 2013. Despite this decline, high prevalence still exists among members of most-at-risk populations (MARPs): female entertainment workers (FEWs), men who have sex with men (MSM), transgender people (TG), and people who inject drugs (PWID).
- Providing Community Level Methadone Maintenance Therapy: An Evidence-Based Report on Effective and Sustaining Treatment for Opioid Substance Users
In Santikhiri, Thailand, access to health care services is a challenge. Transportation to the village is poor, different languages are spoken and the socio-economic status of the villagers is below the national average. These factors, coupled with the lack of access to health care services, has caused many to turn to illicit drugs for alleviation of pains and illnesses and, as a result, has cause many people in the community to become drug dependent.