Background:
In Ethiopia, HIV prevalence among female sex workers (FSWs) is alarmingly high—estimated at 23% compared to a national average of 0.9%. While biomedical interventions such as antiretroviral therapy have made strides in HIV prevention, FSWs remain disproportionately affected due to stigma, mobility, and gaps in service delivery. Pre-Exposure Prophylaxis (PrEP) offers a promising tool for HIV-negative individuals at substantial risk, yet access remains limited. Prior to this project, no structured PrEP services existed in key population DICs.

About the project:
This project aimed to introduce and integrate PrEP services into three key population DICs in Addis Ababa. The approach included capacity-building for healthcare providers, orientation for peer educators, and advocacy with health authorities. Training materials were developed in line with national guidelines, covering PrEP screening, adherence, side effects, and stigma. A facility readiness assessment ensured infrastructure and supply chains were adequate, and demand-creation brochures in Amharic were disseminated. PrEP was initiated for 30 eligible FSWs, with the goal of ensuring 80% adherence.

Results:
The project successfully launched PrEP services across the three DICs, marking a first in integrating this HIV prevention tool into existing key population services. Healthcare workers and peer educators were trained, demand-creation strategies were implemented, and 30 FSWs began PrEP. Early monitoring indicated strong adherence and increased demand. The initiative has since been positioned as a model for scale-up, contributing to national efforts to reduce new HIV infections and aligning with SDG 3.3.