
| PEPFAR Ghana's key strategic priorities include prevention of HIV in persons engaged in high-risk behaviors; reducing HIV transmission from most-at-risk populations to the general population; and providing comprehensive prevention, care, and access to treatment for those infected, their partners, and their families. The U.S. Government team in Ghana concentrates its efforts in 30 of Ghana's 165 districts, whose selection is |
| based on statistically high concentration of most-at-risk populations and the presence of other donor activities, such as the Global Fund. Other prevention interventions focus on partner reduction, condom use, clinical services, and an anti-stigma campaign for health staff, which is expected to increase the uptake of counseling and testing. PEPFAR Ghana will work with high-risk groups such as cocoa farmers and the Ghana Armed Forces on prevention and will develop public-private sector partnerships with cocoa-buying companies to reduce high-risk behaviors during the cocoa season. PEPFAR will also support Ghana Armed Forces' prevention program, following new United Nations guidelines concerning sexual exploitation regulations during peacekeeping operations. Additionally, PEPFAR provides grassroots support for volunteers and communities to implement prevention programs. PEPFAR Ghana will also provide nutritional support for people living with HIV/AIDS, including individuals starting antiretroviral therapy and for children born to HIV-positive mothers. PEPFAR will support orphans and vulnerable children through military wives' clubs and through the Ambassador's Small Grants program. The Ambassador's Small Grants program also supports activities that support vulnerable women, including developing income-generating activities and providing prevention counseling. PEPFAR will also provide training and support for caregivers, and will work with the military to upgrade safety procedures in the military's laboratories. PEPFAR Ghana will support health system strengthening activities, with an emphasis on the national logistics system, which delivers antiretroviral drugs, HIV test kits, tuberculosis drugs, and other laboratory supplies, as well as Ghana's strategic information systems. |