Owen Ryan, Deputy Director, Public Policy
Demand for programs for key populations in Africa from countries receiving international donor assistance
Owen Ryan, John Macom, Michelle Moses-Eisenstein
Owen Ryan, Deputy Director, Public Policy
Argentina
Bolivia
Brazil
Cambodia
China
Colombia
Ecuad
orEg
ypt
El Sa
lvador
Georgi
aGhan
a
Guatemala
Honduras India
Indonesia
Jamaic
aKen
ya Laos
Malawi
Mexico
Nepal
Nicarag
ua
Nigeria
Pakist
an
Panam
a
Paragu
ayPeru
Seneg
al
Serb
iaSu
dan
Tanzan
ia
Thail
and
Ukraine
Urugu
ay
Vietnam
Zambia
0tan28a566028
0tan4a56604
0tan9a56609
0tan14a566014
0tan19a566019
0tan24a566024
0tan29a566029
0tan4a56604
HIV Prevalence Among MSM Population Prevalence of HIV (Ages >/= 15 years)
%
Source: Beyrer C, Baral SD, Walker D, Wirtz AL, Johns B, Sifakis F. The Expanding Epidemics of HIV Type 1 Among Men Who Have Sex With Men in Low- and Middle-Income Countries: Diversity and Consistency [published online ahead of print June 23 2010]. Epidemiol Review. 2010;32(1):137–51.
Owen Ryan, Deputy Director, Public Policy
Methods:
• PEPFAR COPs 2007 to 2010
• Global Fund proposals Rounds 1 through 10
• Eastern / Western & Central / Southern
• Men who have sex with men, people who inject drugs, female sex workers
• Search terms
• Excluded proposals: unsearchable, non-English, regional / multi-country, not
approved, rolling continuation channel, single stream funding
Note on “MARPs” and “IDU”
Owen Ryan, Deputy Director, Public Policy
164 Total
PEPFAR69
GFATM95
Eastern56
West/Central46
Southern62
Owen Ryan, Deputy Director, Public Policy
Proposals with key populations programming by region and donor
• 107 proposals contained at least one program for female sex workers (65%)• 47 proposals contained at least one program for MSM (29%)• 21 proposals contained at least one program for IDU (13%)
• Note: interplay of programs for female sex workers, MSM and IDU.
Owen Ryan, Deputy Director, Public Policy
Proposals with key populations epidemiology by region/donor 2007 - 2010
Matched = proposal contains epidemiological information specific to one of these three populations and programs intending to serve the same population.
Owen Ryan, Deputy Director, Public Policy
Global Fund PEPFAR0tan28a566028
0tan9a56609
0tan19a566019
0tan29a566029
0tan9a56609
0tan19a566019
0tan29a566029
0tan9a56609
0tan19a566019
ProposalsProposals with programsProposals with epiMatched Proposals
Cascade of proposals by donor 2007-2010
Owen Ryan, Deputy Director, Public Policy
Results:
• Of the 164 searchable documents, nearly two-thirds contained at least one program serving female sex workers (65 %, 107 proposals), • less than one-third contained at least one program serving men who have sex with men (29%, 47 proposals), • and a minority proposed programming for people who inject drugs (13%, 21 proposals).
• Demand for these programs was highly concentrated in a subset of countries.
• Epidemiological data for at least one key population was included in a majority of these proposals (63%, 67 proposals), but in many cases these data were not linked to programs.
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