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Although HIV prevalence in Ghana has experienced a slow decline in the past decade, there remains a significant epidemic among men who have sex with men (MSM) and female sex workers (FSWs) in particular. HIV programming efforts of local nongovernmental organizations (NGO) required capacity building and organizational development to strengthen their ability to effectively implement, monitor, and evaluate HIV programs for key populations and people living with HIV (PLHIV). In response, FHI 360 Ghana was awarded Strengthening HIV/AIDS Response Partnership and Evidenced-based Results (SHARPER) in 2010 by USAID to reduce HIV transmission among MSM, FSWs, PLHIV and the sex partners of these groups.
Over the past 10 years, FHI 360 has implemented and refined a combination of outreach strategies — through the USAID-funded SHARP (2004-2009), SHARPER (2010-2014), and LINKAGES (2014-2019) projects — to overcome the structural barriers that prohibit key populations from safely accessing HIV prevention, care, and treatment services. Peer education, helpline counseling, social-media outreach, and outreach events have helped to fulfill a mandate of enrolling key populations in HIV care and treatment in Ghana.
In these 2014 consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations, the World Health Organization (WHO) brings together all existing guidance relevant to five key populations – men who have sex with men, people who inject drugs, people in prisons and other closed settings, sex workers, and transgender people – and updates selected guidance and recommendations.