Addressing key barriers and enablers

This Module looks at the Critical Enablers for HIV and SRH programmes. These are factors that work in the background to support strong connections between KPs and services. Some critical enablers include:

  • Supportive laws and policies
  • Efforts to minimize stigma and discrimination experienced by KPs
  • Opportunities for KPs to gather, mobilize, support one another
  • Minimization of violence against KPs


  • Session 1: Critical Enablers

    Fostering a strong connection between KPs and the full range of services they need in order to maximize their health and wellbeing does not happen in a vacuum. Many KPs live in environments where their sexual or drug-using behaviour is criminalized, where they experience intimidation, violence, coercion and stigma from government service and from people within the community. High levels of drug and alcohol use and mental ill health also compound their efforts to stay safe and healthy. Many are subject to arrest, fines and intimidation on a regular basis and find it hard to then trust government services to provide them with care.

    NGOs seek to act as intermediaries between KPs and health and other services, paving the way for people from KPs to receive non-judgemental high quality care.

    This session looks at Critical Enablers - the things that can be addressed to improve the chances of people from KPs accessing and staying connected to the services they need.


  • Session 2: Identifying Critical Enablers and priorities for change

    Session 2 involves group work looking at the elements in the environment that might be working against the health and wellbeing of people from KPs. It is important that the small groups are reminded to look back at their maps from Day 1, think about what was said in the panels on Day 2 and what they identified in the Prevention and Treatments Cascade as the main obstacles to achieving 100% at each level.