The main objective of the project is to plan, implement, monitor and optimize HIV prevention, care, support and treatment services that reduce HIV transmission among men who have sex with men (MSM), male sex workers (MSWs) and transgender (TG) people, and extend the life of people living with HIV(PLHIV) in Kailali district, Nepal.

Result Areas and Activities of the Project
Result Area 1: Increased availability of comprehensive prevention, care and treatment services, including reliable coverage across the continuum of care for MSM, MSW, TG people and PLHIV.
This result area includes major activities to support mobilization of clinical staff in the static clinic run by LINKAGES Nepal IA Nepal National Social Welfare Association (NNSWA) to provide services for MSM, MSW and TG people through both static and mobile clinics; facilitated referral and follow-up to PLHIV identified to the nearest ART center for care support and treatment; mobilization of Community-Based Supporters (CBS) and Peer Navigators (PNs) to provide education for adherence, retention and positive prevention and to refer for care, support and treatment for PLHIV and to provide risk reduction education among discordant couples and refer HIV negative partner for HIV test and participate in promotion and implementation of any new technology for HIV screening and testing.

Result Area 2: Demand for comprehensive prevention, care and treatment services among MSM, MSW, TG people and PLHIV enhanced and sustained.
This result area includes major activities to mobilize CBS and PNs to identify and reach MSM, MSW and TG people to provide education, referral and follow-up for HIV testing and counseling (HTC) and sexually transmitted infection (STI) check-up; provide education for positive prevention, adherence and retention, treatment literacy and support for referral and linkages for care and support .

Result Area 3: Strengthened systems for planning, monitoring, evaluating and assuring the quality of programs for MSM, MSW, TG people and PLHIV.
This result area includes major activities to conduct rapid community assessment (RCA) and mapping in collaboration with FSGMN and use of the findings for program planning and monitoring; prepare, analyze and use continuum HIV prevention care and treatment (CoPCT) cascade; collect and compile routine project data, report, success stories, good practices and lessons learned, analyze and use for program improvement and conduct supportive supervision, monitoring, review and assessment to ensure quality of project activities and data.

Coordination and Networking:

Sudur Paschim Samaj will liaise very closely with various government and non-government stakeholders to create an enabling and supportive environment, improve coordination and collaboration, increase access to CoPCT services, sustain positive behavior change among key populations (KPs) and PLHIV and reduce HIV-related stigma and discrimination.