Rapid Assessment: Priorities for Local Aids Control Efforts (PLACE)
How do we know where to find key population community in Windhoek?
Priorities for Local Aids Control Efforts (PLACE) is a rapid assessment tool to monitor and improve HIV/AIDS prevention programs in countries with high prevalence of HIV/AIDS coupled with resource constraints such as Namibia. PLACE is ideal for targeting priority areas to prevent new infections and identify gaps in current prevention strategies.
Namibia has a generalized HIV epidemic, but certain populations experience a greater disease burden and risk for infection based on their behaviour. Most notably, female sex workers (FSWs), transgender (TG) women, and men who have sex with men (MSM) have higher prevalence rates compared to the general population. Previous studies have examined these populations through their social networks, but this study used a time-location sampling methodology to:
The study design is based on PLACE methodology, which was developed by MEASURE Evaluation, a project funded by the United States Agency for International Development (USAID) and the United States President’s Emergency Plan for AIDS Relief (PEPFAR). The methodology is a It is a multistep process:
Although FSWs, MSM, and TG women were the populations of interest for our study, they were not targeted or asked to self-identify. This allowed for a less stigmatizing process and for data to be collected with the general population at those spots.
These data suggest that:
The findings from this study are currently being used in the program to improve reach and access to services by key populations. For example, new hot spots frequented by key populations are targeted for outreach activities.
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