Working to Advance
Health Equity in Africa

Linking Policy to Programming

Linking Policy to Programming

Strengthening Legal and Policy Environments for reducing HIV Risk and Improving Sexual and Reproductive Health (SRH) for Young Key Populations in Southern Africa

Young key populations in Southern Africa face significant barriers to accessing HIV and SRH services. Many of these barriers originate from country laws and policies that are punitive, discriminatory, conflicting and restrictive. Criminalisation of same-sex relationships, age restrictive laws prohibiting young people’s access to HIV testing, contraceptives, abortion and SRH services (or only with parental consent) and restrictive policies on provision.

In order to improve HIV/SRH outcomes in young key populations, HIV/SRH legal, policy and strategy environments for young key populations need to be strengthened and monitored. This project seeks to support national governments in reviewing and reforming country laws and policies and to facilitate citizen input and accountability for implementation.

The underlying theory of change is that effective and sustainable responses for HIV/SRH will require a reduction of the stigma associated with HIV/SRH and most affected populations, a legal environment that is gender-sensitive and that enables access to and use of key prevention, treatment services and commodities and the political will to include and protect marginalized (young) key populations in policy and governance. The long-term objective of the project is to improve sexual and reproductive health outcomes for young key populations in SADC countries. At medium-term, the project seeks to strengthen HIV/SRH related rights of young key populations in law, policy and strategy in five SADC Countries. The project focuses on young sex workers of all genders, young men who have sex with men, young lesbian, gay, bisexual, transgender and intersex people, young people who inject drugs and young prisoners.

Objectives

A HEARD core team of highly qualified and experienced researchers will undertake baseline studies in each of the five countries, collaborating with local research institutions and project partners on the ground. One of the objectives of this baseline is to identify research gaps as well as the most pertinent questions for the operational research component of the project.

The operational research will take place in each of the five countries on context-specific questions, whilst cross-cutting themes will serve as a basis for cross-country research and comparative analyses. As this type of research on young key populations in the five countries is very limited, HEARD seeks to proactively share the knowledge and resources derived from this project – as well as other ongoing research projects of HEARD on SRH – through a portal with a wider audience. Its core researchers will contribute to the portal on a regular basis, aiming to build up country profiles of the SRH and young key populations contexts that scientists, policymakers, non-governmental organizations, but also students, can use to rapidly increase their knowledge on these issues.

Resources