HIV and gender-based violence (GBV) are mutually reinforcing epidemics.

To address gender-based violence as a barrier to HIV epidemic control, USAID implements the following strategy:

Graphic 1: GBV programming across the HIV clinical cascade


Evidence-based HIV Prevention Approaches

  • HIV prevention interventions must integrate GBV prevention and link to the clinical cascade.

Initiate on PrEP

  • Integrated GBV case identification and first line support and referrals to GBV services help increase PrEP adherence.


Access HTS (95%)

  • GBV case identification and first-line support is a minimum standard of safe and ethical index testing services and supports treatment initiation or uptake of prevention services.

Care and Treatment

Initiate on ART (95%) & Continue on ART & viral suppression (95%)

  • Integrated GBV case identification and first- line support should become standard in HIV treatment, with survivors provided with or referred to GBV clinical care.
  • Increasing the reach and improving the quality of GBV services is critical to support retention and adherence to HIV treatment.

USAID’s HIV/GBV Programmatic Highlights

  • Nigeria uses custom indicator data to improve GBV case identification, first-line support, and referrals within HIV clinical services
  • Uganda partners with the Government of Uganda to train health care providers on responding to violence against children within HIV service delivery.
  • Zambia delivers clinical post-violence care services at standalone one-stop-centers and integrated GBV/HIV treatment sites
  • Namibia implemented a violence prevention intervention that reached 1800 young men and boys and linked them to HIV prevention services.
  • South Africa analyzed HIV incidence and GBV prevalence hotspots to identify sites to prioritize for the delivery of post- violence clinical care services.