HIV and gender-based violence (GBV) are syndemic. HIV epidemic control cannot be achieved without addressing gender inequality and GBV.

USAID implements activities to prevent GBV, enhance the safety of GBV survivors, and provide survivors with services to remain HIV-negative or to start HIV treatment.

USAID strengthened HIV post-exposure prophylaxis (PEP) service delivery and improved program quality for survivors of sexual violence through the use of custom program data.

PROBLEM: During the onset of the COVID-19 pandemic, incidents of sexual violence in Uganda were increasing while PEP completion was decreasing.

SOLUTION: Custom data was used to identify gaps in PEP initiation and completion and develop a series of interventions to improve PEP completion.

  • Engaging Locum counselors to provide counseling and PEP adherence monitoring.
  • Engaging community health coordinators and client linkage facilitators to conduct follow-ups through home visits and phone calls.
  • Conducting first-line support (LIVES) training and assigning GBV focal points to sites to supervise activities.