Combination Prevention is a framework used for HIV prevention. It is the backbone of our efforts to deliver HIV prevention solutions at scale across the globe.
No single HIV prevention intervention offers a magic bullet. Therefore, effective HIV prevention programs require a combination of behavioral, biomedical and structural interventions. Combination prevention forms the backbone of PSI’s efforts to deliver HIV prevention solutions at scale across the globe.
We design evidence-based and cost-effective solutions specifically to meet the needs of populations at risk of HIV, and tailor them to the epidemiological contexts where each program operates.
Our behavioral interventions include a range of behavior change communication activities designed to promote HIV risk-reducing and protective behaviors. These activities span, and often combine mass media, community mobilization, advocacy and interpersonal communication (IPC) such as one-to-one or one-to-group educational activities.
We deliver behavior change solutions to prevent HIV in nearly every country where we work and use these communication activities to promote the use of products (such as condoms), health services (such as HIV testing and counseling or voluntary medical male circumcision) and to promote protective barrier methods / behaviors.
Certain medical interventions can prevent HIV infection, decrease infectiousness and/or reduce the risk of infection. These interventions include:
- Male and female condoms, which we deliver in 37 countries.
- HIV testing and counseling, which we deliver in 28 countries.
- Voluntary medical male circumcision, which we deliver in six countries.
- Antiretroviral therapy (ART), which we deliver in nine countries.
We also deliver pre-exposure prophylaxis (or antiretroviral-based prevention) in Zimbabwe and have plans to scale up this work in 2017 and beyond.
Structural interventions refer to strategies meant to change social, political and economic factors that increase an individual’s vulnerability to HIV. In each country where we operate, we tailor structural interventions to the local context. Programs address stigma and discrimination toward people living with HIV and key populations, gender inequality and gender based violence. Structural interventions also support income-generating activities, promote the integration of health services and advocate to governments for supportive policies.
Making a Difference
The Pan-American Social Marketing Organization (PASMO), our network member in Central America, uses a combination prevention approach to reach men who have sex with men with essential HIV prevention and treatment services, including through a cyber-educator program. Cyber educators work to identify, contact and engage MSM online outreach for behavior change, referrals to HIV testing, human rights and psychosocial support organizations.