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In 2014 to 2015, PSI developed and implemented the key populations behavior change communication strategy, In 2015, with funding from the Australian Government, PSI developed the National Aids Councils Faith Based Organization Sub-strategy: Building an Enabling Environment for Key Populations Accessing a User-Friendly Service. A 2013 study in Bougainville, PNG found that one in five women aged 18 to 49 reported that their first sexual experience was forced (Jewkes, Fulu and Sikweyiya, 2015).Economic and emotional abuse are also commonly reported by women (Jewkes, Fulu and Sikweyiya, 2015; Lewis, Maruia and Walker, 2008).Heterosexual transmission is the predominant means of infection.From 2007 to 2011, PSI/PNG implemented a behavior change communication program with support from the Asian Development Bank (ADB), the Australian Government and the New Zealand Aid Programme (NZAID) to reduce the incidence of HIV in six of PNG’s rural economic enclaves for mining and agro-industrial companies.Due to the country’s geography and poor infrastructure, access to care remains a central challenge for those living in rural and remote areas. The HMM program extends access to malaria diagnosis and treatment beyond aid posts and health facilities using a network of volunteer community-based distributors (CBDs) that live in the most rural areas of the three implementing provinces: East Sepik Province (managed by Save the Children) East New Britain Province (managed by the Burnet Institute) and in Sandaun Province where PSI directly implements.The program allows for the delivery of lifesaving malaria interventions for communities and those most at risk, including children under five.In addition, malaria interventions are exceedingly challenging in PNG due to the presence of all four malaria parasite species.

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With the goal of improving the quality of primary relationships through better sexual health and greater intimacy, the workshops were so well-received that PSI/PNG went on to develop a similar workshop for both men and women in 2010.

Ensuring this group has access to early diagnosis and treatment of simple malaria contributes to an overall reduction in child mortality.

Implemented in communities outside the reach of existing health facilities, HMM is a key national strategy to expand access to malaria testing and treatment beyond aid posts and health facilities.

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Consistent with global evidence on the links between violence against women and HIV (Garcia-Moreno and Watts, 2000), sexual abuse was found to be strongly associated with HIV positive status (Lewis, Maruia and Walker, 2008).

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