National HIV Prevention Programme: Addressing The needs of key population ( KP)
Globally, HIV prevention program recognizes the connection between prevention, care and treatment in reducing new infections and improving the health of people living with HIV.
The national HIV prevention programme recognizes the need to close the tap of new infection while ensuring PLHIV are place on treatment. The national prevention programme is delivered under the framework of MPPI- Minimum prevention package of intervention. This prevention program identifies the specific prevention needs for the general population and the most at risk population. It requires providing arrays of intervention, including behavioral, biomedical and structural intervention.
Key populations (MSM, FSW, and PWID) are disproportionately affected by HIV and AIDS, The risk factor is attributed to their behavioral practices. For example the MSM who are in involved in anal sex with a HIV positive partner without condom they are most likely to get the HIV infection. Most times you see young ones who are forced to have sex with an individual because they cannot afford to pay their school fees or buy books in school they end up having sex without condom. People who use and inject drugs are in the practice of sharing needles and syringes, increasing their risk of HIV infection. The key population that engages in transactional sex may not be able to negotiate for consistent condom use. Stigma and discrimination often prevent the key population from accessing appropriate HIV prevention services.
What the national programme should do: increase investment and scale up prevention programme for the key population. Build the capacity of the community members and support peer to peer education programme. Provide the biomedical tools that are known to work-Oral and injectable PrEP, PrEP ring, PEP, female and male condoms with lubricants, clean needles and syringes for PWID. More income generating activities to address poverty. Ensure enabling environment especially in the health care setting without any form of stigma and discrimination. These must be delivered in a sustainable manner.
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