Individuals from At-Risk Populations Reached by the USAID Combination Prevention Program

Insight & Innovation Guide HIV Care in Central America

Explore evidence on the impact of the USAID Combination Prevention Program for HIV in Central America. Discover how its creative strategies are reaching men who have sex with men, people living with HIV, and other vulnerable populations with meaningful messages and accessible services.

About the USAID Combination Prevention Program

The five-year program funded by USAID and implemented by PSI's independent network member, the Pan-American Social Marketing Organization (PASMO), International Planned Parenthood/Western Hemisphere Region, Cicatelli Associates Inc., and Milk ā€˜Nā€™ Cookies, aims to reduce HIV transmission among at-risk populations in six Central American countries. PASMO works with international and local partners to deliver a package of essential prevention and health services to key populations at greater risk for HIV and people living with HIV.

Key Populations at Greater Risk for HIV
  • Men who have sex with men (MSM)
  • Transgender women (TW)
  • Female Sex Workers (FSW)
  • Clients and potential clients of FSW (men at risk for HIV)
  • Caribbean populations such as Garifuna in Guatemala, Mixquito in Nicaragua, and Guna in Panama
  • People living with HIV
Central American Countries
  • Guatemala
  • El Salvador
  • Nicaragua
  • Costa Rica
  • Panama
  • Belize

Intervention Components


Behavior change communications (BCC) promote positive behaviors like using condoms, having fewer sexual partners, and seeking health services.


Clients are referred to screening and treatment for HIV and other sexually transmitted and opportunistic infections.


Clients are referred to complementary services such as family planning, support groups, legal counsel, and alcohol and drug abuse programs.