The Sauti project in Tanzania is a community-based HIV prevention and treatment initiative for men who have sex with men and female sex workers that includes positive health, dignity and prevention, the active involvement of PLHIV in the response and family planning services. It works within an atmosphere of persistent stigma and discrimination and unfriendly services for KPs. The project includes access to a core package of tailored, quality, community and client-centred services, including combination prevention (biomedical, behavioural and structural).
The implementation of the project was undertaken in phases and included the standardization of materials, competencies and procedures such as training, training aides and monitoring tools. Vital aspects of the project have been strategic partnerships and the involvement of PLHIV in health service delivery. KPs were integrally involved in mapping, consultation, planning, implementation and monitoring. The innovative use of social media and data dashboards has been a key aspect of its success. The project recently added PrEP and self-testing to its services.