vulnerable populations


This annual report provides an overview of the project’s work in Guyana including assessing and reducing the stigma and discrimination met by PLHIV and members of groups practicing risky behaviors, partnering with MOH to successfully reduce the transmission of HIV in Guyana, and continuing to expand the condom transition plan.


After years of partnering with the Ministry of Health to reduce the transmission of HIV in Guyana, prevalence remains high in the hardest to reach most at risk populations. To address this, USAID/GHARP II looked for new methodologies and approaches that could be employed to reach people with prevention information and encourage them to access HIV testing and other services. In 2011, GHARP II worked with several NGOs to pilot new approaches, including social networking and reaching popular opinion leaders. During the end of the year, preparations began for an assessment among sex workers to provide information on the use of condoms and barriers that can inform behavior change approaches.

Literature Review

This paper reviews and describes research practices and program interventions addressing the SRH of VYAs and identifies promising program components and research/evaluation practices.


This report is designed to call attention to young people within the groups considered “most at risk” for HIV—those who sell sex, those who inject drugs, and young men who have sex with men. Despite the growing attention that has been given to programming for these groups, little explicit focus has emerged on the particular needs of young people in these populations.