In the NSP, the NDOH recognized the need to address growing HIV epidemics in the key populations of commercial sex workers (CSW), men who have sex with men (MSM), injecting drug users, and mobile populations However, South Africas ability to monitor progress towards meeting the targets for these populations has been hampered by poor coordination of program activity and lack of data. To date, there has been little coordination on inputs, outcome measures, and feedback of ethnographic, survey, and program monitoring and evaluation (M&E) data to understand the dynamics of these epidemics and to effectively allocate resources to the areas of greatest need among these high-risk populations. The strategy of this project is to work with local institutions to provide the training, technical assistance and long-term capacity building to improve the quality of HIVprevention interventions by enhancing local organizations capacity to conduct routine HIV surveillance and program M&E related to high-risk, underserved populations of MSM, IDU, and SW; and to utilize surveillance and M&E data to guide planning, program improvements and allocation of resources for these populations. The proposed project will build local institutional capacity to sustainably reduce HIV transmission and improve the capacity for collecting and using high-quality data among high risk populations. In addition, UCSF will also be implementing a Public-Private Partnership (PPP) with the Gates Foundation targeting HIV prevention activities among truck drivers and commercial sex workers along one high volume trucking corridor in South Africa by conducting the baseline assessment including mapping, population size estimations and a bio-behavioral survey in the target geographic area.

This is Year 2 of a surveillance activity targeting high risk populations including mapping, population size estimation, and bio-behavioral surveillance. FY 2011 activities for UCSF focused on female commercial sex workers include baseline assessments and community mapping, stakeholder sensitization and buy-in, protocol and tool development, ethical clearance, training for study team members and data collection in two sites. In year two, FY 2012 data collection will take place at two additional surveillance sites including HIV and STI testing and a behavioral interview for each participant.

This is Year 2 of a surveillance activity targeting high risk populations including mapping, population size estimation, and bio-behavioral surveillance. FY 2011 activities for UCSF focused on female commercial sex workers include baseline assessments and community mapping, stakeholder sensitization and buy-in, protocol and tool development, ethical clearance, training for study team members and data collection in two sites. In year two, FY 2012 data collection will take place at two additional surveillance sites including HIV and STI testing and a behavioral interview for each participant.

In addition, UCSF will also be implementing Year 2 surveillance activities truck drivers and commercial sex workers along one high volume trucking corridor in South Africa by conducting a bio-behavioral survey including HIV and STI biomarkers and a behavioral survey among these two populations in the targeted geographic area.