Introduction

In its second phase, TL introduced a more comprehensive set of HIV prevention and care strategies, based on the STEPs Model:

• Raising awareness about HIV and STIs and increasing skills and increasing access to male and female condoms

• Focussing on a long-term engagement with people from Key Populations

• Helping people access STI and VCT services through accompanied referrals

• Working with HIV treatment and care clinics on treatment support and adherence and community support of PLHIV

• Addressing the drivers of HIV risk and impact – alcohol use, violence, marginalisation, discrimination

TL Experience/ Learning

• Large general-community awareness-raising events were not reaching people from key populations

• Passive referrals (without accompanying people to clinics to negotiate their access) was not resulting in greater access for people from Key Populations

• Having people from Key Populations work alongside clinic staff decreased stigma and discrimination experienced by Key Populations

• It was possible to bring health workers, police and community members together to provide innovative service delivery – such as night clinics at truck stops

TL Intervention tools/models

STEPs Model

Basic HIV Training Materials

Discussion Guides

Campaigns and posters

Referrals and Service pathways

Liklik Lipstik

New models of cooperation to increase service access

Case Studies:

Video of TL Field Teams talking about working with mobile men with money

Video of TL Field Teams talking about working People Living with HIV

Video of TL Field Teams talking about working with sex workers and other women exchanging sex

Video of TL Field Teams talking about working with gay men and other men who have sex with men