Services and packages

This module introduces participants to the concept of a Comprehensive Package of Programmes and Services for Key Populations from the SWIT and details the Key Elements of a Comprehensive Response from the HIV & Sex Work Collection as regional best practice. The WHO/UNDP Regional MSM Guidance also sets out the Comprehensive Package for these populations, as do the WHO Consolidated Guidelines for Key Populations. Having a nationally-adapted Comprehensive Package of Services and Programmes in place assists provincial and local authorities and NGOs to work together to ensure that people from Key Populations can access the full range of services they need. It is not necessary for agencies to provide all elements of the Package - different agencies across a geographical area contribute different elements of the Package to ensure the full range of services across the area.

  • Session 1: Overview of Comprehensive Package

    This Sesson presents the most recent global guidance and recommendations, then talks participants through the main elements of a comprehensive SRH & HIV response for Key Populations.

    The .ppt presentation introduces global guidance for sex workers, MSM and transgender people, including the SWIT and the WHO 2014 document which contains high-level recommendations (with notations about the level of supporting evidence for each). This document underpins the Global Toolkit and the Regional Guidance that follows and is useful advocacy tool for participants who may need to explain and justify Key Population programming in their country.

    GLOBAL GUIDANCE: THE SWIT: Implementing Comprehensive HIV/STI Programmes for Sex Workers, UNFPA 2014

    The SWIT is a global toolkit that was developed to provide practical approaches to implementing comprehensive HIV/STI programmes with sex workers. It was based on the recommendations of the Global Guidance above and published by UNFPA in 2014. It is constructed around a set of linked approaches set out in the slides.

    • Regional Guidance for Asia and the Pacific is provided through the HIV and Sex Work Collection: Innovative responses in Asia and the Pacific, 2012
    • Developing a Comprehensive Package of Services to reduce HIV among MSM and Transgender Populations in Asia and the Pacific (UNDP, WHO, 2009)

    GLOBAL GUIDANCE: THE CONSOLIDATED GUIDELINES on HIV prevention, diagnosis, treatment, care and support for key populations, WHO 2014

    The short policy briefing released with these guidelines sets out recommendations for each of the areas of the Comprehensive Package. In the mapping exercise below, small groups have an opportunity to go through some of these elements and assess the extent to which they are being provided for populations in their area.

  • Session 2: Mapping available services and programmes against the Comprehensive Package

    Session 2 details the main elements of the Comprehensive Package set out in the Consolidated Guidelines (or in the national Comprehensive Package if it exists).

    Throughout this session, each key element will be detailed individually, and then participants will undertake a Comprehensive Package activity in small groups to explore whether these elements currently exist in local programming, how they could be integrated into programmes and the critical enablers that are required to support implementation of these elements, to improve the SRH and HIV response among Key Populations. Only the Essential Health Sector Interventions will be covered in this session – the Critical Enabler elements will be discussed in Module 4.