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An estimated 37 million people are living with HIV today. Differentiated antiretroviral therapy (ART) delivery, a part of differentiated care, aims to improve retention and viral suppression by optimizing models of drug and care delivery. Models fall into four categories: health care worker-managed group; client-managed group; facility-based individual; and out-of-facility individual. The case studies presented here from FHI 360’s LINKAGES projects in Botswana, Haiti, Kenya, and Malawi are examples of the out-of-facility individual model, sometimes referred to as the community model.
PEPFAR has made anti-retroviral treatment (ART) available for many people, including sex workers. However, PEPFAR funding contracts with organisations specify that a certain amount of this money be spent on abstinence programming. Contracts include a clause that the organisation accepting funding is opposed to prostitution. This has been called the 'anti-prostitution pledge' or 'anti-prostitution loyalty oath.' This NSWP briefing paper explains how the pledge affects sex worker organisations and HIV programming with sex workers; the effects on programming and organising; effects on sex workers; and looks at what can be done.