FAMILY HEALTH INTERNATIONAL
The Prevention of Sexual Transmission of HIV/AIDS in Haiti among Most at Risk Populations (MARP) program was a cooperative agreement between USAID and Population Services International (PSI)/Haiti, with FOSREF, ARC, SEROVIE, and MARCH as implementing partners.
2015 · 19 pages

Abstract
The program aimed to reduce the number of new HIV infections in Haiti through increased adoption of safer behaviors by MARPs. The program was funded by USAID and PSI, with a total estimated budget of $9,696,668, of which $750,000 came from PSI. The program's goal was to identify the size, characteristics, and locations of target groups, standardize approaches to key target groups, and expand coverage nationwide through improved service delivery. The program's objectives were to increase understanding of the patterns and settings of risky sexual behaviors, risk reduction and condom use among MARPs, access to condoms, and access to HIV and health services for MARPs. The program targeted key populations, including sex workers, men having sex with men, and mobile populations such as truckers and migrant workers. The program's communication strategy was based on peer educators and a communication plan tailored to each target group. The program also established an IPC Task Force to improve the overall quality of PSI and partners' communication outreach activities. The program achieved significant results, including the training of 473 sex workers, 308 youth, and 28 MSM peer educators. The program also conducted IPC activities with their peers, reaching participants from unstable and unstructured groups. The program's results showed a 27% increase in condom use among MARPs and a 25% increase in HIV testing among the general population. The program's success was attributed to the collaboration between PSI and its partners, the establishment of the IPC Task Force, and the use of peer educators as a communication strategy. The program's lessons learned highlighted the importance of addressing the needs of MARPs, the need for a comprehensive communication strategy, and the importance of monitoring and evaluation. The program's final report highlighted the accomplishments and results of the program, including the increase in condom use, HIV testing, and HIV services access among MARPs. The report also highlighted the challenges faced by the program, including the difficulty in reaching MARPs due to stigmatization and discrimination. The program's success was also attributed to the use of archetypes, which were developed to better understand the behaviors and needs of MARPs. The archetypes were used to develop targeted communication strategies and to improve the effectiveness of IPC activities. The archetypes were also used to identify the needs and challenges faced by MARPs, including the need for access to HIV services and the importance of addressing the root causes of HIV transmission. The program's final report also highlighted the importance of addressing the root causes of HIV transmission, including poverty, lack of access to education, and social and economic inequality. The report emphasized the need for a comprehensive approach to HIV prevention, including prevention, treatment, and treatment adherence, and the importance of addressing the needs of MARPs. The program's success was also attributed to the collaboration between PSI and its partners, including FOSREF, ARC, SEROVIE, and MARCH. The program's final report highlighted the importance of collaboration and partnership in addressing the complex issues of HIV prevention and treatment in Haiti.
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Classification
USAID DEC