2016–2018 MID-TERM REPORT : A GFATM Regional HIV Programme in Southern Africa

BACKGROUND

The development of KP REACH 1 It focuses on eight countries, Botswana, Lesotho, Malawi, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. 2 Men who have sex with men – MSM, sex workers – SW, transgender people – TG and women who have sex with women – WSW 3 KP networks and organisations, including African Men for Sexual Health and Rights (AMSHeR), African Sex Worker Alliance (ASWA), Coalition of African Lesbians (CAL) and Southern Africa Trans Forum (SATF) (represented initially by Gender DynamiX), led the process to formulate KP REACH together with research and NGO partners including M & C Saatchi World Services, Positive Vibes (PV), SAfAIDS and the Southern African AIDS Trust (SAT).

Hivos together with the International HIV/AIDS Alliance supported and provided a coordination function for the initiative. 4 UNAIDS, Global AIDS Update 2016, page 9. KP Representation, Evidence and Advocacy for Change in Health – KP REACH – is a regional programme, developed and initiated in Southern Africa1 to contribute to a strengthened key population (MSM, SW, TG, and WSW)2 response to HIV. A consortium of KP networks and organisations3 collaborated in the design the programme with the aim of providing a joined up and sustainable regional community system strengthening approach that could address persistent deficits around capacity, evidence, and promote attitude change to reduce stigma and discrimination. The eight countries included in the program account for 81% of people living with HIV in sub-Saharan Africa. Despite the achievements in reducing AIDS-related deaths in the past decade and an overall decline in most countries, new infections in key populations are on the rise. The overall goal of the regional proposal is to strengthen region KP networks and communities systems in Southern Africa. The aim is for these groups to advocate for policy change and change in the attitudes and beliefs aimed at reducing HIV incidence and mortality among KP and to increase the sustainability of the HIV response.

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