Prevention of Sexual Transmission in Haiti (PrevSIDA)

Overview
Haiti has both the largest number of people infected with HIV and the second highest prevalence rate in the Caribbean region.  According to the 2012 Demographic Health Survey, HIV prevalence among adults aged 15-49 years is 2.2 percent.  However, prevalence among most-at-risk populations (MARPs) is markedly higher. Based on the Integrated Biological and Behavioral Surveillance 2012 data, the HIV prevalence among men who have sex with men is 18.1 percent, while the prevalence among commercial sex workers is 8.4 percent.  Furthermore, since 2000, the proportion of women in Haiti infected with HIV has gradually increased; the Joint United Nations Program on HIV/AIDS now estimates that more women are infected than men.  
 
Prevention is a key component of the Haitian national response.  The extended National Strategic Plan 2012-2015 cites risk reduction through behavior change and the promotion and distribution of condoms focused on MARPS as integral aspects of HIV prevention.  To reduce new incidence, it is important to work with these key populations; as they may act as “bridges” for HIV transmission to the general population. 
 
Objectives
PrevSIDA aims to increase the understanding of patterns and settings of risky sexual behavior; increase risk assessment and condom use; improve condom availability; and increase access to HIV/AIDS, health, and other related services.   
 
Activities
  • Conducted formative research to design evidence-based HIV prevention interventions; all of the project’s prevention activities are driven by this updated data.
  • Synthesizing existing research regarding MARPs and conducting new mapping exercises, allowing the team to identify and address information gaps to inform messaging and other activities. 
  • Developing a strategic behavior change communications plan; standardizing inter-personal communication (IPC) modules and support materials; conducting IPC activities; facilitating advocacy; addressing stigma; and increasing condom access. 
  • Improving intra-department communication on the availability of the socially marketed condom PANTE and increasing linkages with communication and service delivery activities.
  • Melding HIV services mapping with MARPs and venue maps; reaching mobile and vulnerable populations through outreach, counseling, and testing services; and expanding access to diagnosis and treatment.
 
Anticipated Results 
  • USAID’s PrevSIDA project is creating a strong mechanism to coordinate HIV prevention efforts in Haiti.  It will strengthen linkages between community-based prevention programming and clinical services around the country.  PrevSIDA aims to:
  • Increase understanding of patterns and settings of risky behaviors; 
  • Increase risk assessment and condom use;
  • Improve condom availability; and
  • Increase access to HIV/AIDS, health, and other related services. 
 
Additional Program Information
Budget: $9 million
Life of Project: October 2010 – March 2015
Implementing Partner: Population Services International (PSI) 
 
 
 
 

Last updated: September 11, 2013

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