Priority Populations, Integration, and Rights
USAID's priority populations, integration, and rights activities are responsible for providing global leadership to maximize the impact of USAID's overall response to control the HIV/AIDS epidemic and achieve health equity through a population-specific approach.
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USAID’s Priority Populations, Integration, and Rights (PPIR) activities are responsible for providing global leadership to maximize the impact of USAID’s overall response to control the HIV/AIDS epidemic and achieve health equity through a population-specific approach and by addressing structural and contextual factors. PPIR activities improve access to comprehensive HIV services, including combination HIV prevention, testing, care, and treatment and addressing social, structural, and behavioral drivers that render priority populations vulnerable to HIV including key populations (men who have sex with men, sex workers and their partners, people who inject drugs, prisoners, and transgender individuals), orphans and vulnerable children (OVC), and youth including adolescent girls and young women (AGYW) and young men.
PPIR colleagues provide technical assistance and direction across the full clinical cascade and for HIV prevention to all OUs receiving PEPFAR-funded USAID support. PPIR work has a specific emphasis on reaching key and priority populations, as well as leading gender equity and gender-based violence prevention and response programming as well as supporting relevant human rights programming across the Division. PPIR programming addresses equity through innovative, optimized, and sustainable person centered HIV services for priority populations. Our programming reaches priority populations through:
Designing and managing projects that support implementation and scale-up of country and regional programs to achieve PEPFAR goals and targets;
Participatory approaches ensuring the engagement of the priority populations in program design and implementation monitoring;
Providing technical and programmatic expertise to develop sound person-centered strategies, policy guidance, and plans for implementation of HIV/AIDS programs; and,
Participating on cross-cutting teams and collaborating closely with other USAID Bureaus, Mission teams, and government agencies to plan, coordinate, and support service delivery programs for priority and key populations.
Specifically, PPIR:
Leads OVC programming to achieve treatment, care and prevention goals for children and families in priority sub-populations by addressing social determinants of health.
Advances key population prevention, 95/95/95, and sustainability by ensuring dedicated, evidence-based, tailored HIV programming delivered by high performing KP-led and KP competent providers who are committed to reducing structural barriers and protecting and advancing human rights for LGBTQI populations.
Leads implementation of DREAMS programming, leveraging USAID agency assets for comprehensive, evidence based HIV prevention based on the principles of positive youth development.
Leads OHA and Agency priorities in gender equity and equality, GBV, human rights, and LGBTQI activities, address gender and GBV-related barriers across the HIV clinical cascade and in HIV prevention.
USAID's Work with Priority Populations, Integration, and Rights Includes:
Key Populations
USAID's Investments in key populations help to prevent and respond to violence, address stigma and discrimination, foster enabling policies, promote legal literacy, and support health care worker sensitization and the provision of competent care.
Orphans and Vulnerable Children
USAID's investments in orphans and vulnerable children aim to improve health, education, protection, and socio-economic outcomes among children and adolescents living with and affected by HIV, their caregivers, and families.
Advancing Gender Equality and Responding to Gender-Based Violence
Gender inequality and gender-based violence impact HIV prevention and each phase of the HIV clinical cascade, underscoring the importance of addressing HIV, gender inequality, and gender-based violence concurrently.
Finding and Engaging Men
USAID, through PEPFAR, works to better understand the root causes and structural barriers to engaging men in HIV prevention and treatment, and applies evidence-based, tailored interventions to better serve this population to achieve epidemic control.
DREAMS
DREAMS builds upon USAID's decades of experience empowering adolescent girls and young women and advancing gender equality across many sectors including global health, education, and economic growth. USAID partners with community, faith-based, youth-led and and non-governmental organizations to help address the structural inequities that impact vulnerability to HIV.