LINKAGES Across the Continuum of HIV Services for Key Populations Affected by HIV Kevin Osborne, LINKAGES Project Director Interagency Working Group (IAWG) on SRH and HIV Linkages New York, USA March 9-10, 2015

Project Overview A 5-year field-support centered cooperative agreement designed to accelerate the ability of governments, key population (KP) organizations, and private sector providers to plan, deliver and optimize services that reduce HIV transmission among KP – men who have sex with men, sex workers, people who inject drugs, and transgender people – and extend life for those who are HIV-positive. June 2014 – September 2019

Project Goal and Results 1.To increase the availability of comprehensive HIV prevention, care and treatment services 2.To increase demand for comprehensive HIV prevention, care and treatment services 3.To strengthen systems for planning, monitoring, evaluating and assuring the quality of HIV programs for KP

The LINKAGES Framework

Cross-cutting Issues Competency and Capacity Development ‘Not just recipients of services’: Meaningful opportunities to have their voices heard in how services are delivered, improved and evaluated Gender Gender transformative responses: Safer communities, with less gender-based and other violence and stronger crisis response systems Human Rights HIV stigma free zones in health settings: KP-friendly HCWs who understand and address their multi- faceted needs in a non-stigmatizing way

Partnerships and Participatory Approaches: The “How” LINKAGES Advisory Board – Global KP network representatives as key part of the Board Capacity building – South-to-South mentoring – Institutional strengthening KP-led research – Gender analysis – GBV study in Latin America and the Caribbean – People Who Inject Drugs data and UIC’s

Current LINKAGES Buy-Ins, Country and RegionAfricaLACAsia AngolaDominican RepublicCentral Asia region BurundiEastern CaribbeanIndonesia CameroonHaitiLaos Cote d’IvoireHondurasThailand Democratic Republic of Congo Ghana Malawi Mozambique South Sudan

1. Family Planning Needs of KP Conduct a literature review on the FP needs of female KP, including FSW, women who inject drugs, and female partners of men who inject drugs Compile and appraise existing tools for meeting the FP needs of female KP Develop recommendations for programmatic resources needed to support better FP programming for female KP Incorporate FP content into assessment tools, SOPs, guidelines, trainings, and other materials developed under LINKAGES

2. Knowledge Management Develop and manage an online library of curated KP tools and resources Package existing evidence, new research and M&E results, implementation experience, lessons learned, and best practices into variety of formats to promote their use Disseminate through range of electronic channels, newsletters, and events Facilitate KP resource pack as “go to” resource for KP evidence, tools, and project activities

3. Tools and Trainings Consolidate existing tools and training that will enable community empowerment and agency for SW, MSM, IDU and transgender people – Focus on key tools for each KP based on IBBS and other data Develop KP protection guidance for service providers Prepare a key populations orientation training for use with LINKAGES staff, implementing partners, government representatives, US embassy staff and others Identify a core set of training and job aids for police Develop report cards for CSOs ready for direct donor support – Organizational Performance Index (OPI)

Looking Ahead…Pressing Issues UIC’s PrEP Agency of Key Populations –

LINKAGES 2014 Launch Event…Conversations

Staying Linked in The LINK Newsletter – Social media – Facebook linkagesproject – – Blog LINKAGESproject.wordpress.com – Research Digest Posted on: continuum-hiv-services-key-populations-affected-hiv-linkages

Acknowledgements