Monitoring Guide and Toolkit for HIV Prevention, Diagnosis, Treatment, and Care Programs with Key Populations
This guide and toolkit is designed to help governments, civil society organizations (CSOs), and other partners implement and monitor programs for HIV prevention, diagnosis, care, treatment, and viral load testing with key populations (KPs)—sex workers (SWs), gay men and other men who have sex with men (MSM), transgender people, and people who inject drugs (PWID). KPs bear a disproportionate burden of HIV but have much lower access to HIV-related services and other services than members of the general population.1
In keeping with the global commitment to end AIDS by 2030, governments and donors have put renewed emphasis on developing programs that target KPs. The LINKAGES project (Linkages across the Continuum of HIV Services for Key Populations Affected by HIV), supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the United States Agency for International Development (USAID), aims to accelerate the ability of partner governments, KP-led civil society organizations (CSOs), and private-sector providers to plan, deliver, and optimize comprehensive HIV prevention, care, treatment, and viral load (VL) testing services at scale. The goal is to reduce HIV transmission among KPs and extend the lives of individuals who are HIV positive.
The LINKAGES approach is summarized in the cascade framework that presents services along a continuum of HIV prevention, diagnosis, care, treatment, and VL suppression (Figure 1). The cascade is aligned with the United Nations 95–95–95 objective—that by 2030, 95 percent of all people living with HIV (PLHIV) will know their HIV status, 95 percent of people diagnosed with HIV infection will receive sustained antiretroviral therapy (ART), and 95 percent of people receiving ART will have viral suppression.