Health Policy Project

The Health Policy Project has ended, but work continues under a new USAID five-year project, Health Policy Plus (HP+).


HIV Policy Analysis and Advocacy Decision Models for
Key Populations

The Health Policy Project (HPP) HIV policy analysis and advocacy decision models are systematic structures and methodologies designed to help stakeholders create an inventory of country policies, analyze these policies against international best practices and human rights frameworks, assess policy implementation, and create a strategic advocacy plan.

Decision models are grounded in international human rights and best practices and allow for policy analysis and comparison across country and regional borders. The primary goal of the model is to identify the policies that most directly affect access to and sustainability of key services and the needs and opportunities for policy advocacy that will improve access to services in both near and longer terms.

Policy Analysis and Advocacy Decision Model for Services for Sex Workers, Transgender, and Males Who Have Sex with Males

cover of document Designed to help country stakeholders build a public policy foundation that supports access to and implementation and scale-up of evidence-informed services for MSM/TG/SWs, the Decision Model helps to clearly identify and address policy barriers to services. Its policy inventory and analysis tools draw from the extensive body of international laws, agreements, standards, and best practices related to MSM/TG/SW services, allowing the assessment of a specific country policy environment in relation to these standards. This customizable, in-depth, and standardized approach will build stakeholders’ capacity to identify incremental, feasible, near-term opportunities to improve the legal environment and the resulting quality of and access to services for MSM/TG/SWs while long-term human rights strategies are implemented.

Download the MSM/TG/SW Decision Model (PDF) 

Download the MSM/TG/SW Decision Model Overview (PDF) 

Read about the MSM/TG/SW Decision Model's application in Togo 

MSM/TG/SW Decision Model Briefs
This series of briefs examine the legal environment surrounding HIV services for men who have sex with men, transgender people, and sexworkers, and specific-barriers to access for trasngender people. The briefs also explain how the MSM/TG/SW decision model can help in these key areas.

Policy Analysis and Advocacy Decision Model for HIV-Related Services: People Who Inject Drugs

Image of PWID Decision Model cover page In collaboration with the Eurasian Harm Reduction Network (EHRN), HPP has designed a policy decision model focused on persons who inject drugs (PWID). The PWID decision model identifies the existence of restrictive, poorly written, or absent enabling policies that may serve as obstacles for programs to provide both sustained and accessible HIV counseling and testing, antiretroviral therapy, hepatitis, tuberculosis, opioid substitution therapy, and sterile needle and syringe program services for PWID. It is also inclusive of issues such as stigma and discrimination, gender-based violence, and criminal justice systems.

While designed for global adaptation and application, the decision model specifically addresses policy barriers common in Eastern Europe.

Download the PWID Policy Analysis and Advocacy Decision Model in English (PDF, 2MB)

Download the PWID Policy Analysis and Advocacy Decision Model in Russian (PDF, 2MB) 

PWID Decision Model Briefs

This series of briefs examine issues of policy barriers and effective advocacy, legal environment surrounding services for people who inject drugs, women’s increased risk for HIV, and barriers to access for youth, and explains how the PWID decision model can help in each area.

Read more about Health Policy Project HIV programs



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The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project's HIV-related activities are supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). It is implemented by Futures Group, in collaboration with Plan International USA, Avenir Health (previously Futures Institute), Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and White Ribbon Alliance for Safe Motherhood (WRA). The information provided on this Web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development or the U.S. Government.

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