HIV and AIDS

In the Dominican Republic and in Guyana, HIV prevalence rates among key populations are significantly higher than those in the countries’ general population. This disparity highlights the disproportionate vulnerability of populations such as female sex workers (FSW), men who have sex with men (MSM), transgender (TG), migrant and mobile populations to HIV. High HIV prevalence among these key affected populations also suggests the potential for continued spread of the virus. In both the Dominican Republic and Guyana, Advancing Partners & Communities’ (APC) efforts are geared towards contributing to a sustainable reduction in HIV transmission among key populations and an improved quality of life for people living with HIV. By strengthening the technical and organizational capacity of NGOs and community-based organizations through sub-grants, monitoring, and mentoring, APC enables grantees to establish the foundations for increasing the quality of HIV services and reduce stigma and discrimination. APC provides technical and organizational capacity building for USAID-supported NGOs implementing HIV prevention, counseling and testing (HCT) and care and support programming, as well as technical assistance (TA) to the Ministry of Health (MoH).

Photo credit: This child is HIV-positive and has come to the Muranga District Hospital in Kenya for treatment from a USAID-backed program run by the International Center for AIDS Care and Treatment Programs, Columbia University School of Public Health. Photo credit: Casey Kelbaugh, International Center for AIDS Care and Treatment Programs, Columbia University School of Public Health

Below are select resources related to key issues within gender.

Gender-Based Violence

Gender-based violence is pervasive worldwide. Violence against women in particular has implications for community health programs, especially those that address family planning. Women and girls who experience sexual violence and coercion have an urgent need for family planning, including emergency contraception, to prevent unintended pregnancies. Women experiencing intimate partner violence may have lower demand for family planning, are more likely to use contraception in secret, and have higher rates of both unintended pregnancies and unsafe abortions.

Gender-based violence also increases during pregnancy, which has serious implications for maternal health. Children of women who experience violence during pregnancy also suffer poor health outcomes.

Community health services present an opportunity to screen women and girls for gender-based violence and to refer them to appropriate services for support.

Flowchart: Integrating GBV Screening Within HIV Support Services in Guyana
November 2017 | Infographic

This flowchart breaks down the process for GBV screening within HIV support services in Guyana.

Gender-Based Violence & You: Know Your Rights
November 2017 | Brochure

This brochure provides information on how to get help for gender-based violence.

Gender-Based Violence Screening Tool
November 2017 | Training Guide

This screening tool was developed by APC Guyana to screen gender-based violence.

Guyana Gender-Based Violence Services Resource Directory
November 2017 | List

This directory from Guyana provides a rating system that is geared towards collecting information on how acceptable GBV services of each organization are for members of the key population.

Addressing Stigma and Gender-Based Violence to Improve HIV Service Delivery to Key Populations
November 2017 | Assessment

This rapid assessment was conducted to gather information on the programmatic and capacity needs of the NGOs supported through APC to implement services for key populations as well as the structural challenges faced by these NGOs.

Integrating Gender-Based Violence Screening Into HIV Services Provided by Non-governmental Organizations in Guyana
November 2017 | Toolkit

The following protocol was created to assist community-based nongovernmental organizations in Guyana with implementing gender-based violence screening. Social workers can use this tool to understand ways to detect GBV and to better prepare themselves for implementation of GBV screening.

HIV and AIDS

Civil Society Organizations Forge a Place within the Dominican Republic’s HIV Response
June 2018 | Brief

In the Dominican Republic (DR), HIV-focused civil society organizations (CSOs) developed a platform to expand access to primary health care (PHC), including HIV services, for key and vulnerable populations.

Family Planning and HIV Integration: Important Contributions to the Global HIV Goals
January 2018 | Infographic

Integrating FP into HIV services can help ensure that people living with HIV, young women, key populations, and male partners can access critical information and services that empower them to fulfill their reproductive health needs and goals.

Family Planning/HIV Integration Quality Assurance Tool
January 2018 | Toolkit

This tool is designed to assess the extent to which facilities offering integrated family planning (FP) and HIV services are meeting basic minimum standards for the provision of quality FP services, identify any gaps in the provision of integrated services, and serve as a starting point for improving FP service delivery.

Pilotaje RIE República Dominicana
August 2016 | Publication

Lecciones aprendidas de una estrategia de colaboración entre la Dirección Regional de Salud V, organizaciones comunitarias, organizaciones nogubernamentales, y la sociedad civil.

DIAGNÓSTICO DE LAS NECESIDADES DE SALUD DE LAS POBLACIONES TRANS DE LA REPÚBLICA DOMINICANA
August 2016 | Study

En la República Dominicana, la epidemia del Virus de Inmunodeficiencia Humana (VIH) se caracteriza por estar concentrada en poblaciones como la de hombres que tienen sexo con hombres (HSH) y las mujeres trans. La prevalencia del VIH en HSH es de un 5.2 % , mientras que en algunos estudios en poblaciones trans, el VIH oscila entre 12 y 17 % .

Webinar: Strategies to Increase Male engagement in eMTCT of HIV and Syphilis
May 2016 | Webinar

Please join WHO and the Human Reproduction Programme on June 10, 2016 from 1530-1700 (Geneva Time) / 9:30-11:00 (Washington Time) for a webinar discussion on Strategies to Increase Male engagement in eMTCT of HIV and Syphilis.

This is the first instalment of a new RHR Webinar series focusing on male engagement in SRHR.

Understanding and Challenging HIV and Key Population Stigma and Discrimination: Caribbean Facilitator's Guide
February 2015 | Guide

Developed by the USAID- and PEPFAR-funded Health Policy Project, this guide is a training tool that provides a standard for stigma reduction. It is a resource for facilitators seeking to train participants to reduce HIV and key population stigma and discrimination, and for leaders of community dialogue and policy development in this area. The guide has been piloted in the Caribbean and other settings and can be readily adapted for other contexts.

Delivery of Integrated Family Planning and HIV Testing and Counseling Services by Community-Based Health Workers
October 2014 | Brief

To increase access to and use of HIV testing and counseling (HTC), FHI 360 and the Uganda Ministry of Health developed an innovative model to add HTC services to the family planning services provided by government-endorsed community health workers, known as village health teams (VHTs), in two districts in Uganda. 

Policy brief: Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations
July 2014 | Brief

This policy brief provides an overview of key findings, data and figures of the new consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations. In addition, it offers an overview of the comprehensive package on interventions and a table summarizing WHO recommendations concerning key populations.

Abriendo Puertas: Feasibility and Initial Effects of a Multi-Level Intervention among Female Sex Workers Living with HIV in the Dominican Republic
February 2014 | Study

This study aims to assess the feasibility and initial effects of an integrated prevention and care model for female sex workers (FSW) living with HIV called Abriendo Puertas and to assess the feasibility of engaging the male regular partners of FSW living with HIV in prevention and care services.

AIDSTAR-One Project Highlight: Integrating and Mainstreaming HIV Services
December 2013 | Series

This project highlight combines key resources from AIDSTAR-One related to the Global Health Initiative and the U.S. President’s Emergency Plan for AIDS Relief priority of integrating and mainstreaming HIV services to improve access to prevention, testing, treatment, and care.

Exploring the Positive Health, Dignity and Prevention (PHDP) Needs of Female Sex Workers, Men Who Have Sex with Men and Transgender Women in the Dominican Republic and Swaziland
March 2013 | Report

This report describes the current social and structural context of FSW, MSM, and TW in the DR and Swaziland, particularly as it relates to stigma and discrimination among PLHIV. It also examines the specific PHDP needs of FSW, MSM and TW who are living with HIV, including challenges to accessing ongoing prevention, treatment, care and support service. Finally, it identifies ways in which PHDP interventions and services can be tailored to meet the needs of FSW, MSM, and TW, including specific program models and communication messages.

A Global HIV Stigma Reduction Framework Adapted and Implemented in Five Settings in India
January 2013 | Report

This report synthesizes the lessons learned from the process, including the feasibility and relevance of the framework for use by the NACP and other global stakeholders in informing stigma reduction interventions and measurement.

Below you will find links to resources created by APC and other organizations.

External Resources

AIDSTAR-One Project Highlight: Integrating and Mainstreaming HIV Services
December 2013 | Series

This project highlight combines key resources from AIDSTAR-One related to the Global Health Initiative and the U.S. President’s Emergency Plan for AIDS Relief priority of integrating and mainstreaming HIV services to improve access to prevention, testing, treatment, and care.

HIV and adolescents: Guidance for HIV testing and counselling and care for adolescents living with HIV
November 2013 | Guide

These guidelines provide specific recommendations and expert suggestions — for national policy-makers and programme managers and their partners and stakeholders— on prioritizing, planning and providing HIV testing, counselling, treatment and care services for adolescents.

Exploring the Positive Health, Dignity and Prevention (PHDP) Needs of Female Sex Workers, Men Who Have Sex with Men and Transgender Women in the Dominican Republic and Swaziland
March 2013 | Report

This report describes the current social and structural context of FSW, MSM, and TW in the DR and Swaziland, particularly as it relates to stigma and discrimination among PLHIV. It also examines the specific PHDP needs of FSW, MSM and TW who are living with HIV, including challenges to accessing ongoing prevention, treatment, care and support service. Finally, it identifies ways in which PHDP interventions and services can be tailored to meet the needs of FSW, MSM, and TW, including specific program models and communication messages.

The Expansion of Holistic and Integrated HIV Services in Guyana
March 2013 | Report

USAID’s Guyana HIV/AIDS Reduction and Prevention Project, PHASE TWO (GHARP II) refined and implemented interventions introduced in GHARP I and actively involved stakeholders, partners, and beneficiaries in tailoring these interventions to the Guyanese context and in building local capacity toward an improved national response to HIV. The project’s technical spectrum included HIV prevention, care and support, counseling and testing, and health systems strengthening.

A Global HIV Stigma Reduction Framework Adapted and Implemented in Five Settings in India
January 2013 | Report

This report synthesizes the lessons learned from the process, including the feasibility and relevance of the framework for use by the NACP and other global stakeholders in informing stigma reduction interventions and measurement.

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