HIV Prevention

HIV prev body

Decentralized, community-based HIV prevention interventions are designed to improve HIV-related knowledge and decrease engagement in high-risk sexual behaviors and usually involve a combination of behavioral, biomedical, and structural approaches. Combination HIV prevention interventions require empowerment approaches; efforts to address legal and policy barriers; strengthening of health and social and child protection systems; and actions to address stigma, discrimination, and gender inequality. Behavioral interventions can include sexual education, programs to reduce stigma and discrimination, counselling, and cash transfer programs. Biomedical interventions can include condom distribution, treatment of HIV and other sexually transmitted infections, prevention of mother-to-child transmission, needle exchange, and testing. Structural interventions tend to address inequality, decriminalization of sex work, homosexuality, drug use, legal protections for people living with HIV, and increased access to school for young girls. Importantly, evidence- and rights-based community-owned combination HIV prevention interventions have been shown to have the greatest effect in reducing new infections.

MEASURE Evaluation reached out to PEPFAR (United States President’s Emergency Plan for AIDS Relief)—and other donor-supported programs implementing programs at the community level that support HIV prevention activities among key populations, including LINKAGES—to obtain data collection tools. The tools received are used by community workers in Nigeria, Ethiopia, South Africa, Uganda, Kenya, Côte d’Ivoire, the Democratic Republic of the Congo, and Botswana to track and monitor community HIV prevention interventions. The most common data elements among these tools were incorporated into the indicators in this collection. Each indicator is accompanied by a definition. These definitions were specifically designed to inform data collection by community programs and agents. To learn about the work of MEASURE Evaluation in HIV/AIDS, as well as associated tools and resources, go to the MEASURE Evaluation HIV/AIDS main page.

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