This program review is a direct response to the urgent need to strengthen and expand HIV prevention for men who have sex with men (MSM) and sex workers (SW) in West Africa. This review focuses on the programmatic context, and it complements epidemiologic and policy reviews also commissioned by PEPFAR funded through the U.S. Agency for International Development (USAID). The review furthers the renewed emphasis of PEPFAR on matching interventions and investments with epidemiological trends and needs in order to improve impact.
The review examines available data on the HIV epidemic in both countries, with particular focus on prevalence among most-at-risk populations (MARPs), which has proven difficult to estimate. This translates into challenges in measuring the needs of these populations for HIV-related services.
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