Disseminating Avahan Lessons in South Africa (DALSA)


The Disseminating Avahan Lessons to South Africa (DALSA) project (2011-2015) is a a four-year project funded by the Bill and Melinda Gates Foundation (BMGF). The project strengthens the capacity of South African Government to scale up HIV prevention, care and treatment interventions for key populations, primarily sex workers, men who have sex with men, long-distance truck drivers and other groups in high-transmission areas. 

DALSA builds on the Gates-funded India AIDS Initiative, known as the Avahan project, a large-scale HIV prevention program for female sex workers (FSWs) and their clients, truckers, as well as men-who-have-sex-with-men (MSM), and injecting drug users.

FHI 360 is an implementing partner for the Avahan project in Mumbai & Thane districts of India, where the project provides services for the prevention and treatment of sexually transmitted infections (STIs), as well as condoms and behaviour change communication through community peers. 

Through exchange visits, the DALSA project has identified key lessons from the Avahan experience in designing, implementation and execution of activities, adapted to the South African national and provincial context. The aim of the dissemination of lessons from Avahan is to improve prevention programming for key populations through a technical collaboration model.

To this end, the DALSA project assists the South Africa National AIDS Council (SANAC), the National department of Health (NDOH), and KwaZulu-Natal Department of Health (KZN DOH) to refine their efforts and focus on proven approaches to prevent HIV transmission among high risk groups.

March 8, 2016
Year of publication
Resource types
Reports and Fact sheets
sex work, sex workers, HIV, HIV prevention, treatment, key populations, men who have sex with men (MSM), female sex workers (FSWs), sexually transmitted infections (STIs), long distance truck drivers, LDTD, MSM, HIV prevention programs, injecting drug users (IDUs), IDUs, social and behavior change communication (SBCC), SBCC, prevention and treatment services

Similar Resources

In preparation for the implementation of the Kenya AIDS Strategic Framework 2014/15-2018/19, the Kenya National AIDS and STI Control Programme facilitated a national polling booth survey as part of a baseline assessment of HIV-related risk behaviours among FSWs, MSM, and PWID, and their…

This issue of the Southern African HIV Clinicians Society's "HIV Nursing Matters" online magazine focuses on vulnerable populations, including TB in prisons and intimate partner violence in the context of HIV.

This issue of the Southern African HIV Clinicians Society's "HIV Nursing Matters" online magazine focuses on key populations.

In all countries where there is an HIV epidemic, certain subgroups of the population are at greater risk of HIV than others. These “key” populations include female sex workers (FSWs), men who have sex with men (MSM), transgender people, and people who inject drugs.

Remarkable progress is being made on HIV treatment. Ahead of World AIDS Day, UNAIDS has launched a new report showing that access to treatment has risen significantly. In 2000, just 685 000 people living with HIV had access to antiretroviral therapy.

The women, men, and transgender people who sell sex globally have disproportionate risks and burdens of HIV in countries of low, middle, and high income, and in concentrated and generalised epidemic contexts. The greatest HIV burdens continue to be in African female sex workers.

Sex work occurs in many forms and sex workers of all genders have been affected by HIV epidemics worldwide.

The HIV epidemic in Tanzania has existed for three decades and has claimed many lives. Over the year’s collective efforts to control the epidemic has seen HIV prevalence decline progressively among adults aged 15-49 from 7% in 2003 to 5.1% in 2011.

Poverty, gender inequality and social exclusion continue to pose major challenges to HIV prevention efforts.