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 2015 there were still 2.1 million new HIV infections and 36.7 million people living with the virus worldwide.
PSI is 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.
We implement our HIV programs through a combination of preventative actions: providing 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 also provide high-quality health services such a HIV testing and counseling, voluntary medical male circumcision, ARV-based prevention and HIV treatment. Using our social marketing and social franchising expertise, we strengthen the public and private sector’s ability to provide these important HIV products and services to priority populations who are at risk of HIV infection. Since inception, our HIV programs have prevented millions of new infections and improved the lives of countless people living with, and affected by, HIV.
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 in the countries where we work, PSI implements biomedical, behavioral and structural interventions using a combination of preventative actions. 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.
- 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.
- Stigma and discrimination: We sensitize healthcare providers to care for priority 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.
- Voluntary medical male circumcision (VMMC): We have launched and scaled up VMMC service delivery, communications and advocacy initiatives in nine African countries.
Priority populations: Although we work with many priority populations, four populations are particularly central to our work: people who inject drugs (PWID), men who have sex with men (MSM) and female sex workers (FSW).
- Can Online Interventions Enhance HIV Case Finding and Linkages to Care? Comparing Offline and Online Monitoring Data from a Combination Prevention Program with MSM and Transgender Women in Central America (WEPEC166)
Under the USAID Combination Prevention Program for HIV in Guatemala, El Salvador, Honduras and Panama, the Pan American Social Marketing Organization (PASMO) implements offline and online interventions to increase HIV testing services (HTS) uptake among at-risk MSM and transgender women (TW), and link reactive cases to care.
- “Stigma And Discrimination-Free Zones”: An Innovative Approach to Engaging the Private and Public Sectors in Creating More Inclusive Environments for Key Populations in Central America (TUPED509)
Central America's HIV epidemic is concentrated in key populations (KPs). Despite existing HIV laws and policies that respond to KP's specific needs, there is evidence of widespread discriminatory attitudes and practices towards these populations, and stigma and discrimination continue to be important barriers to accessing HIV services and care. In 2016, under the USAID Combination Prevention Program for HIV in Central America, PASMO designed an intervention entitled “stigma and discrimination-free zones” as part of a broader initiative known as Generation Zero, contributing to the goal of “getting to zero discrimination.”
- An Integrated Approach of Addressing GBV and HIV for AGYWs. The Case of DREAMS Project in Malawi (WEPED564)
Half of the 100,000 new HIV infections in Malawi occur among young people (15-24 years). Through the DREAMS initiative, PSI Malawi offer integrated health services including GBV to Adolescent Girls and Young Women (AGYW) in Machinga district. Health services on offer to AGYW's through mobile outreach clinics are STI screening, HIV testing and first-line support to survivors of GBV. Program data was used to understand the effectiveness of integrating GBV and HIV service for AGYW.
- STAR 2018 Roadmap
- Social Network Methods for HIV Case-Finding Among People Who Inject Drugs in Tajikistan (THSA16)
HIV testing programs have struggled to reach the most marginalized populations at risk for HIV. Social network methods such as respondent-driven sampling and peer-based active case-finding may be effective in overcoming barriers to reaching these populations. Under the USAID Central Asia HIV Flagship Project, we compared the client characteristics, yield, and number of new cases found through two RDS strategies and an ACF approach to HIV case-finding among people who inject drugs (PWID) in Tajikistan.
- Community HIV Care and Treatment for Female Sex Workers in Ethiopia: Successful Service Provision Through Drop-In Centers (THPEE774)
Female sex workers (FSWs) in Ethiopia are disproportionately affected by HIV, with a prevalence of 23%. To improve uptake of ART among FSWs living with HIV, the USAID-funded MULU/MARPs project began offering ART in 25 FSW-friendly drop-in-centers (DICs) in October, 2016. DICs are safe hubs for FSW located in hot-spots, and providing integrated behavioural and clinical services including peer support in a “one-stop-shop” format.
- HIV Care is Fine, But What if I Get the Flu? (THPED546)
In Guatemala, a concentrated epidemic within a highly stigmatizing social context creates an environment fraught with challenges for reaching, testing, and linking vulnerable men who have sex with men (MSM) and transgender women (TW) with HIV testing and care. PASMO commissioned an ethnographic study in 2016-2017 to understand the sexuality, identity construction, health care seeking behaviors, and MSM/TW-health provider relationships to design consumer-focused strategies to facilitate access to HIV services.
- Understanding the Uptake and Retention Patterns of PrEP Users in Zimbabwe by Sub Population (THPEC343)
PSI Zimbabwe has been offering PrEP as an additional HIV prevention method at New Start centers in six districts in Zimbabwe since August 2016. The New Start PrEP program is one of the demonstration projects that will help inform the national PrEP implementation plan to introduce PrEP nationwide as a new HIV prevention strategy. The primary target populations include adolescent girls and young women (AGYW) aged 15-24 years, female sex workers (FSWs), men who have sex with men (MSM), and serodiscordant couples.
- Online MIS Database to Improve HIV Case Detection and Case Management Tracking in Central Asia (THPEC233)
PSI Central Asia (PSI/CA) previously used the MS Access database for project management. While useful, this tool did not allow reviews until the end of a quarter, when partners sent their data to the country program teams. This delay hindered ongoing data quality checks and real-time data-driven decision making. Through the new USAID Central Asia HIV Flagship Project, the project staff decided to move to a web-based MIS database that would eliminate the disadvantage of these delays.
- Rapid ART Initiation and Index Client Testing Outcomes of Commlink: A Community-Based, HIV Testing, Mobile HIV Care, and Peer-Delivered, Linkage Case Management Program – Swaziland, 2017 (THAC0401)
Few persons diagnosed in community settings receive antiretroviral therapy within seven days of diagnosis (rapid ART) in accordance with World Health Organization recommendations. To improve rapid ART for clients diagnosed in community settings in Swaziland, we implemented CommLink, an integrated community-based HIV testing (CBHTS), mobile HIV care, and peer-delivered linkage case management (LCM) program.