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The project works with teams of health workers, including community health workers identified by community organizations we partner with, to deliver high-quality HIV services to more people in Central America. A new report highlights that communities living with, at risk of, or affected by HIV are at the forefront of progress in the HIV response, including connecting people to HIV services, and calls for more action to enable and support communities in their leadership roles.
The project focuses on training and equipping health workers to deliver high-quality HIV care and treatment, reducing stigma toward key populations KPs and people living with or at risk for HIV, and improving adherence to ART. Stigma and discrimination, limited access to health care including HIV prevention initiatives , and migration make the region vulnerable to a growing HIV epidemic.
Our project provides technical and financial support to local community organizations that work with these KPs. This year we have sub agreements with five local NGOs, and we meet with them weekly. Through the community organizations, we identify KP peers in these communities to be trained as CHWs and link them to facilities and implement community outreach activities. For example, our previous USAID project in the region introduced health workers called adherence promoters to provide HIV counseling and testing and treatment support in health facilities.
They work closely with community liaisons, who conduct home visits to clients who drop out of treatment. Community liaisons coordinate with other community testing partners to improve linkage rates for referrals, so recently diagnosed users can be greeted and accompanied by them to clinical services. Wilfredo Esquivel third from left , an adherence promoter, is a key part of the team of health workers at Hospital de Puerto Barrios, Izabal.
