1. Office of Overseas Programming & Training Support (OPATS) HIV Prevention for Key Populations HIV Prevention

2. Session Objectives  Participants describe four appropriate and two inappropriate activities for PCVs targeting key populations  Participants use action planning to identify opportunities to conduct HIV prevention activities targeting key population communities

3. Key Populations in Country x  Review key populations status in country (MSM, PWID, SW, SW clients, TG)  Legal status  National prevention priorities  Any available HIV and health statistics  Homophobia/stigma  Include HIV prevalence estimates

4. Comprehensive Programming for Key Populations  Behavioral programming – targets individual behavioral and social change, community- based outreach that moves beyond info  Biomedical – HTC, STI diagnosis and treatment, condoms & lube, linkages to ART, TB & Hep C, VMMC, substance use treatment  Structural – create community, combat stigma, build advocacy capacity, combat violence

5. Human Rights and HIV  Human right to – Privacy – Confidentiality – Autonomy – Non-discrimination  Empowerment and accountability  Legal protection (and enforcement)

6. Harm Reduction and HIV Prevention 1  A set of practical strategies that reduce negative consequences of drug use and other high-risk behaviors  Incorporates strategies that range from safer use to managed use to abstinence  Meets and accepts individuals on their own terms 1 Taken from Harm Reduction Coalition Principles of Harm Reduction website. http://harmreduction.org/about-us/principles-of-harm-reduction/ Accessed January 6, 2013. http://harmreduction.org/about-us/principles-of-harm-reduction/

7. PCV Activities Targeting Key Populations  Educate on the link between high-risk behavior and HIV transmission  Promote KP-targeted HIV prevention services  Support formation and functioning of support, peer outreach groups  Train key populations in advocacy so they can assert their rights, organize for legal/policy reform, and communicate their HIV prevention needs  Conduct in-service training to HCW to promote harm reduction approaches and “-friendly” appropriate service provision  Ensure access to prevention commodities (male and female condoms and water-based lube,  Help groups network with uniformed services to increase safety, reduce extortion