The Global Fund requires all Country Coordinating Mechanisms (CCMs) to have representatives of key affected populations (KAPs) - sex workers, drug users, MSM, transgender and others. This survey interviewed members of CCMs in 6 countries in southern Africa (Swaziland, Lesotho, South Africa, Botswana, Zimbabwe, and Zambia) to understand how they interact with KAP representatives.
It asked KAP representatives how they presented their needs and information and what they thought about the quality of such representation.
Other studies of presence or absence of key populations have been done before. This is the first that asks questions about their ability to contribute or the constraints they face on the CCMs.
Key messages from the survey:
1. Raising the professionalism of how well KAP representatives are informed, what data they have in hand, and how they present the information is necessary to see the development of these individuals and the messages they transmit.
2. The lack of protection for many KAPs under national legal frameworks is almost universal, and will take time and effort to change. Meantime, continued strengthening and education at all levels of the health system that provides diagnosis, treatment, care and support must continue to be a priority.