Angelina Nyanor, a Ghaninan HIV expert, shared this presentation at the AIDS 2018 conference as part of her work for JSI on the USAID Strengthening the Care Continuum Project. During the session, Nyanor shared the success the Project has had in linking members of key populations (men who have sex with men and female sex workers) in HIV treatment. The Project is designed to improve the capacity of the Government of Ghana and its partners to provide quality and comprehensive HIV services for key populations and people living with HIV. Using a coordinated and sustainable country-owned and led approach, JSI is strengthening key populations’ access to and use of HIV services while reducing stigma and discrimination in health settings for key populations and people living with HIV.

1. USAID STRENGTHENING THE CARE CONTINUUM PROJECT
Enrolling and retaining Key
Populations in treatment
Angelina Kodua Nyanor
July 23, 2018

2. 2
HIV Care Continuum Pathway for KP
Adapted from USAID Chana, 2016 by JSI Research & Training Institute, Inc.,

3. 3
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
HIV+ YIELD FOR MSM AND FSW
Q1 PY2
HLC Introduced
April 2017
Q2 PY2 Q3 PY2 Q4 PY2 Q1 PY3 Q2 PY3 Q3 PY3
Trend of HIV+ve Yield Over Time
HIV PREVALENCE AMONG KPS IN GHANA:
• GMS II (2018) = 18.3%
• FSW IBBSS (2015) = 6.9%

4. 4
HIV Positivity and ART Initiation Rates for KPs
MSM: HIV POSITIVITY & INITIATION
TRENDS
FSW: HIV POSITIVITY & INITIATION
TRENDS
47.4%
64.5%
93.6%
69.3%
91.0% 90.2%
5.1%
12.6% 13.6% 14.3% 14.5%
16.8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Q2 PY2 Q3 PY2 Q4 PY2 Q1 PY3 Q2 PY3 Q3 PY3
67.8%
75.7%
102.1%
88.3%
84.8%
98.9%
5.3%
8.3% 8.0% 9.9% 9.2% 9.0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
110%
Q2 PY2 Q3 PY2 Q4 PY2 Q1 PY3 Q2 PY3 Q3 PY3
ART INITIATION RATE HIV POSITIVITY RATE

5. 5
Initiation of KPs on ART
QS AVG (DAYS) FSW AVG (DAYS) MSM TOTAL
0
5
10
15
20
25
30
35
40
AVG # DAYS FOR INITIATION ON ART AT
BEKWAI GOV. HOSPITAL
FY18FY17
TECHIMAN HOLY FAMILY: % OF MSM
INITIATED
SAME DAY, 62%
1-5 DAYS, 31%
6+ DAYS, 8%

6. 6
KPs retained on ART
822
1157
1505
742
1117
1490
1 14 167 20 22
0
200
400
600
800
1000
1200
1400
1600
KPS RETAINED ON ART DURING THE 3 QUARTERS OF FY18
Q1 PY3 Q2 PY3 Q3 PY3
CURRENTLY ON ART FSW CURRENTLY ON ART MSM STOPPED ART FSW STOPPED ART MSM

7. Thank You!