Global HIV Archive
The Global HIV Archive subscription site contains 10 evidence-based HIV prevention programs that have been implemented and evaluated in low-resource countries and have demonstrated significant, positive effects on HIV-related behaviors and/or HIV infection rates. This interactive web-based resource, available in English, Spanish and French, works to bridge the gap between research and practice in low-resource regions of the world and will be a valuable resource for individuals focusing in the international arena of public health, social work, counseling, nursing and medicine.
The program packages contain manuals, media resources, and guidelines necessary to implement, adapt, and evaluate evidence-based HIV prevention programs in a new setting. GHA also provides access to customized interactive tools to assist in program selection; budget development; program adaptation; evaluation; and outcomes dissemination. The complete sample program mDOT Program: For Individuals Receiving Highly Active Antiretroviral Therapy is provided below.
Peer educators monitor daily highly active antiretroviral therapy (HAART) doses of individuals recently starting HIV medications to increase adherence to medication regimes. For 6 weeks, peers provide social support, adherence advice, and health information to participants in addition to directly observed therapy.
Community-based "DOT workers" monitor daily highly active antiretroviral therapy (HAART) doses of individuals living with HIV to increase medication adherence. For 11 months, DOT workers provide directly observed therapy, social/emotional support, and health education information. Other program staff (supervisors, nurses) helps facilitate aspects of the participant's medical care including accompanying participants to hospital visits and outpatient appointments.
Entre Nous Jeunes uses a peer-education strategy among youth to teach STI/HIV information and prevention. After a one-week peer educator training, peer educators hold discussion groups and distribute educational/promotional materials in the community. The program increases knowledge of contraceptives and STIs, in addition to increasing use of contraceptives.
Facilitators deliver an HIV prevention curriculum during five 4-hour sessions and optional booster sessions once a month for five months. Facilitators provide HIV transmission and prevention information to groups of soldiers who are at high-risk of acquiring STIs/HIV through contact with female sex workers.
IMAGE is an innovative approach to the prevention of HIV/AIDS that explicitly addresses key structural factors driving the epidemic, such as poverty, gender-based violence and broader gender inequalities. By integrating a program of gender awareness and HIV education into an existing microfinance initiative, IMAGE attempts to address the HIV epidemic in settings where poverty and gender inequalities continue to pose a critical challenge to prevention efforts.
Counselors deliver a brief session (35 minutes) using Motivational Interviewing techniques one-on-one with female sex workers. The counselor discusses motivations for practicing safer sex; challenges to condom use; safer sex negotiation; and social support to increase participants' knowledge, self-efficacy, and motivations regarding safer sexual behavior.
Peer educators teach and promote safer sex behaviors, distribute condoms, and create and share HIV prevention educational materials. These educators provide HIV prevention information to "bridge" populations, or those at risk of transmitting HIV from high-risk groups (e.g., commercial sex workers) to the general populations (e.g., other sexual partners).
Counselors deliver counseling sessions before and after sex workers receive STI/HIV testing. In order to increase awareness of infection risks, STI/HIV knowledge, and consistent use of condoms, counselors work with participants to complete risk assessments, identify challenges related to risk reduction, create risk reduction plans, and practice condom use skills. After the STI/HIV tests, the counselor shares test results and reviews treatment options and risk reduction plans.