The PAHO monitoring framework for HIV services for key populations
In Latin America and the Caribbean, 70-80% of new HIV infections occur among key population groups as well as in their clients or sexual partners. Therefore, it is essential to focus on the monitoring of HIV prevention services offered to these populations. The provision of these services and their monitoring systems must be sustainable and adapted to the needs and capacity of the countries.
The new PAHO monitoring framework is the result of an agreement between PAHO and the Global Fund. It involves a longitudinal follow-up of people through a package of essential services measured through proxy indicators of the continuum of care for both HIV-negative and HIV-positive people from key populations. The novelty of this framework is that the impact of HIV services will be determined not only from the number of people from the key population living with HIV maintaining an undetectable viral load but also from the number of people from the HIV-negative key population that are kept HIV-free through the provision of essential services.
The framework establishes a new HIV-prevention cascade that completes the already existing HIV-care cascade. Countries are asked to disaggregate by key populations the information for both cascades as well as the other indicators established in the framework.
Showing the contribution of civil society in the response against HIV and STIs is essential to guarantee their sustainability and financing from national sources. The monitoring framework encourages the disaggregation of the cascade information by agent providing the services, differentiating the contribution of ministries of health, civil society organizations, and others.
The document shown here is a guide for Latin American and Caribbean countries to improve strategic information related to HIV services for key populations through strengthened monitoring using a combination prevention approach.