1. Owen Ryan, Deputy Director, Public Policy Demand for programs for key populations in Africa from countries receiving international donor assistance Owen Ryan, John Macom, Michelle Moses-Eisenstein

2. Owen Ryan, Deputy Director, Public Policy Source: Beyrer C, Baral SD, Walker D, Wirtz AL, Johns B, Sifakis F. The Expanding Epidemics of HIV Type 1 Among Men Who Have Sex With Men in Low- and Middle-Income Countries: Diversity and Consistency [published online ahead of print June 23 2010]. Epidemiol Review. 2010;32(1):137–51.

3. Owen Ryan, Deputy Director, Public Policy

4. Methods: PEPFAR COPs 2007 to 2010 Global Fund proposals Rounds 1 through 10 Eastern / Western & Central / Southern Men who have sex with men, people who inject drugs, female sex workers Search terms Excluded proposals: unsearchable, non-English, regional / multi-country, not approved, rolling continuation channel, single stream funding Note on “MARPs” and “IDU”

5. Owen Ryan, Deputy Director, Public Policy 164 Total PEPFAR 69 PEPFAR 69 GFATM 95 GFATM 95 Eastern 56 Eastern 56 West/Central 46 West/Central 46 Southern 62 Southern 62

6. Owen Ryan, Deputy Director, Public Policy

7. Proposals with key populations programming by region and donor 107 proposals contained at least one program for female sex workers (65%) 47 proposals contained at least one program for MSM (29%) 21 proposals contained at least one program for IDU (13%) Note: interplay of programs for female sex workers, MSM and IDU.

8. Owen Ryan, Deputy Director, Public Policy Proposals with key populations epidemiology by region/donor 2007 - 2010 Matched = proposal contains epidemiological information specific to one of these three populations and programs intending to serve the same population.

9. Owen Ryan, Deputy Director, Public Policy Cascade of proposals by donor 2007-2010

10. Owen Ryan, Deputy Director, Public Policy

11. Results: Of the 164 searchable documents, nearly two-thirds contained at least one program serving female sex workers (65 %, 107 proposals), less than one-third contained at least one program serving men who have sex with men (29%, 47 proposals), and a minority proposed programming for people who inject drugs (13%, 21 proposals). Demand for these programs was highly concentrated in a subset of countries. Epidemiological data for at least one key population was included in a majority of these proposals (63%, 67 proposals), but in many cases these data were not linked to programs.