WAPCAS/GLOBAL FUND NEW FUNDING MODEL III KEY POPULATION GRANT (2021-2023)

Project Title: Scaling up quality HIV care cascade through community engagement and addressing human rights barriers

Project Duration: 3 years (2021-2023)

Funding Agency: The Global Fund

Implementing partners: WAPCAS (PR) and Sub-recipients

• WAPCAS as implementing PR (FSW intervention)
• Sub-recipients (SRs)

           -PROLINK - FSW intervention

           - CEPEHRG - MSM intervention

           - MARITIME - MSM intervention

           - WAAF - MSM intervention

Goal

• To achieve HIV epidemic control and the fast track treatment targets of 90-90-90 by 2023
• To reduce new HIV infections by 42% by 2023

Objectives

• To increase ART initiation among HIV-positive KP (MSM) and (FSW) to 95% in 2023
  • To increase comprehensive HIV & AIDS knowledge among KP to 70% in 2023

Target population

• FSW (and women engaging in transactional sex)
• MSM
• FSW PWID & MSM PWID
• High Risk Men (clients of sex workers, non-paying partners/ intimate partners, long distance truck drivers, other men around sex work sites)

Implementation in 10 regions (10 for FSW, 8 for MSM)

• 53 districts in all
  • 40 districts for FSW (36 in year 1, 4 additional in year 2)
  • 36 districts for MSM (32 in year 1, 4 additional in year 2)

Target

• FSW – 45151 (YR 1), 50274 (YR 2), 54044 (YR 3)
• MSM – 35176 (YR 1), 39672 (YR 2), 43656 (YR 3)

Key actors for Human Rights activities

   - Ghana Police Service

   - WiLDAF (& Pro bono lawyers)

   - CHRAJ

Volunteers

• Peer Educators
  • 330 (320) FSW; 258 (232) MSM
• Peer Paralegals
  • 68 FSW; 55 MSM
• DIC attendants
  • 24 FSW (12 DICs); 16 MSM (8 DICs)
• Case Managers
  • 66 FSW; 49 MSM

Key Areas for the Intervention

• Behavioural Change Interventions
• Micro planning approach through peer education
• Condom and Lubricant programming
• Pre-Exposure Prophylaxis (PrEP)
• Post-Exposure Prophylaxis (PEP)
• Community Empowerment
• Sexual and Reproductive Health (SRH) services including STIs
• Harm reductions program for FSW PWID and MSM PWID
• Prevention and management of co-infections and co-morbidities
• Addressing stigma, discrimination, and violence
• Differentiated HIV Testing Service
• Self testing
• Facility based testing
• Community based testing
• Differentiated ART service delivery and HIV care for KPs
• Drop In Center (DIC) as DSD point – for drug refill
• Reducing Human Rights -Related Barriers to HIV/TB Services