Tailored HIV combination prevention services are accessible for key populations, including sex workers, men who have sex with men, people who inject drugs, transgender people and prisoners, as well as migrants

During the 2016–2017 biennium, the Joint Programme supported countries, including civil society members, to implement the recommendations of the Global Commission on HIV and the Law. This is helping empower key populations to realize their right to health and it is support their access to HIV prevention, treatment care and support services. Cosponsors invested in targeted interventions to strengthen the evidence base on key populations. The Fast-Track approach to end the AIDS epidemic has continued to enhance access to prevention and treatment for key populations, including in cities. By the end of 2017, more than 200 cities and municipalities had signed the Paris Declaration pledging their commitment to reach the 90–90–90 Fast-Track targets.

UNAIDS’ 2016 Prevention gap report refocused attention on HIV prevention, including for key populations, and enabled the Joint Programme to make an evidence-based case to countries for achieving 90% coverage of prevention services for key populations.

The Joint Programme led landmark initiatives in 2016–2017 to revitalize the prevention agenda and make it more responsive to the needs of adolescents and young people, with a focus on adolescent girls and young women. The HIV Prevention 2020 Road Map outlined five pillars for strengthening national HIV primary prevention responses. The first pillar focuses on combination prevention for adolescent girls and young women and their male partners in locations with a high prevalence of HIV infection.

Another significant initiative was to the revision of the international technical guidance on sexuality education, which integrates results of an evidence review, online survey and global technical consultation. It reflects good practices and new evidence and reinforces focus on early pregnancy, puberty and gender equality. The revised guidance was presented at several international events, including the 2017 International Conference on AIDS and STIs in Africa.

Find more details in the SRA report.

Outputs 2016-2021

4.1Evidence-based HIV services for key populations implemented
4.2Comprehensive packages of harm reduction services established for people who inject drugs



Targets and Milestones 2019 Progress
Percentage of countries with comprehensive packages of services for key populations defined and included in national strategies (Men who have sex with men, Sex workers)

2021: 90%

2019: 80%

2017: 70%

All: 73% [64/88]

FT: 73% [24/33]

Percentage of countries with comprehensive packages of services for key populations defined and included in national strategies (Prisons and closed settings)

2021: 50%

2019: 35%

2017: 20%

All: 56% [49/88]

FT: 61% [20/33]

Percentage of countries implementing in combination the most essential interventions to reduce new HIV infections among people who inject drugs

2021: 60%

2019: 50%

2017: 30%

All: 56% [23/41]

FT: 61% [11/18]

Data source: 2019 JPMS country reports data. Final numbers may vary slightly.