NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The Secretaria de Salud or Ministry of Health (MOH) in Honduras is responsible for the oversight of the HIV response and has launched a new National HIV Strategy for a continuum of prevention, care and treatment within the recent Health Sector Reform framework. The strategy outlines key activities to provide greater access to a basic package of HIV services at all levels. Honduras struggles with disproportionately high HIV prevalence rates among key populations (KPs), such as the ethnic Garifuna population (4.9%); FSW (15.3%); transgender women (32%); and MSM(11.7%). KPs are currently underserved and the quality, usage, and financing of critical services must be improved. The MOH works in an environment of hostility and stigma towards HIV and PLHIV and prevention services for KPs are mostly provided by local NGOs and funded by external funds. The goal of this IM is to reduce new infections in KPs. Under the auspices of new National HIV Strategy implementation this IM will support the provision of prevention services for KPs through results based contracts with local NGOs and the piloting of implementation of the new HIV strategy in five prioritized areas. For a second time the MOH will contract with local NGOs for the provision of HIV-related services to KPs. This model of an effective governmental funding mechanism to hire local NGOs represents an innovative approach to linking the MOH to KP prevention and a strategy for long term sustainability which can serve as a model for the region. This IM contributes to the Partnership Framework goals, aligns with the COMISCA Regional Strategy, and includes the following methodologies: coordinated community response, Optimizing Performance and Quality, and human resources management strengthening.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.