USAID HIV/AIDS Combination Prevention Program for MARPs

Combination HIV Prevention Program in Mexico and Central America (Guatemala, Belize, El Salvador, Nicaragua, Costa Rica and Panama)

This program was initiated in October 2010 and will have a duration of six years. It is financed by the U.S. Agency for International Development and is currently directed by Population Service International in collaboration with Cicatelli Associates, MEXFAM, Milk and Cookies and community organizations, faith-based organizations, NGOs, and the public sector in Guatemala, Belize, El Salvador, Nicaragua, Costa Rica and Panama. The goal is to improve access to HIV prevention interventions for Most-At-Risk populations.

The target population for this program are the populations most at risk of contracting HIV, including female sex workers, their clients and partners, men who have sex with men, trans populations (transgenders, transsexuals and travesties), and people living with HIV, in order to decrease the HIV infection incidence among these groups.

Combination prevention is defined as the strategic and simultaneous use of various prevention activities (biomedical, behavioral, social, structural) that play a role at various levels (individual, between couples, within the community, social), to respond to the specific needs of the public in particular and to the modes of HIV transmission, utilizing resources efficiently and prioritizing the collaboration and participation of the communities most affected.

The program has 4 main objectives, and CAI directly supports the development of the second objective: “Improving the effectiveness of planned interventions to reduce the hostility in social environments that promote and tolerate homophobia, stigma and discriminatory attitudes based on sexual orientation, occupation, or status.”