Several meta-analyses and systematic reviews of the literature examining factors associated with care entry, engagement and retention show that optimal lifelong engagement in HIV care can be threatened by a range of factors at the individual, social, and structural levels. Mobility affects many of the factors found to contribute to delayed entry or lapses in care, including psychological factors (e.g. seeking care away from home because of stigma), clinic characteristics (e.g.
Access to HIV care and treatment for migrants between Lesotho and South Africa: a mixed methods study
Fact Sheet: BLC’s Migration Corridor Program: Meeting the HIV prevention needs of mobile populations
Southern Africa has a long history of cross-border migration (movement of people across international borders) and internal migration (movement of people within a country). People migrate for political, social, and economic reasons. Highly mobile workers include farm workers, miners, domestic workers, migrant youth, cross-border traders, truck drivers, sex workers, and economic and political refugees - each with their own dynamics and vulnerabilities. The association between population mobility, migration, high risk sexual behavior, and HIV prevalence is well documented.
It is said, necessity is the mother of innovation and creativity. This is true for Nkathalo Wellness (Nkathalo), one of the partners working with the USAID-funded Building Local Capacity for Delivery of HIV Services in Southern Africa Project (BLC), which has gone the extra mile to share HIV prevention messages and distribute condoms in taverns.
In Zambia's border towns and commercial corridors, the HIV prevalence rate has been spiked due to an increasingly transient population. In response, the Corridors of Hope program works in border towns and corridor communities to promote HIV prevention and testing efforts to the general population and among at-risk groups.