Linkages across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES)

In June 2014, the U.S. Agency for International Development awarded FHI 360 the Linkages across the Continuum of HIV Services for Key Populations Affected by HIV Project (LINKAGES), a five-year cooperative agreement funded by the U.S. President's Emergency Plan for AIDS Relief. FHI 360 will partner with Pact, IntraHealth International and the University of North Carolina at Chapel Hill to conduct a range of activities to reduce HIV transmission among key populations — sex workers, men who have sex with men, transgender persons and people who inject drugs — and to improve their enrollment and retention in care.

Under LINKAGES, the FHI 360-led team will accelerate the ability of governments, organizations working with key populations at risk of HIV, and private-sector providers to plan and implement services that reduce HIV transmission among key populations and their sexual partners and extend the lives of those already living with HIV.

Project activities will enhance the HIV prevention and care cascade by increasing reach to key populations most at risk of acquiring or transmitting HIV, promoting routine HIV testing and counseling, and actively enrolling those with HIV into care and support interventions that enable them to remain in care. The project also will help countries use and scale up evidence-based approaches to service provision; help key populations mobilize and advocate for changes in laws and the conduct of police, health care workers and policymakers; and work with governments to make programs sustainable for the long term.

What LINKAGES means for key populations

  • Access to better quality, more integrated HIV prevention, care and treatment services closer to home in welcoming settings that protect their privacy
  • Support from trained peers who can help them access HIV testing and counseling and other HIV services, as well as legal aid, psychosocial and nutrition support, and economic opportunities 
  • Health care workers who understand and address their needs in a nonstigmatizing way
  • Safer communities with stronger crisis response systems and reduced gender-based and other forms of violence
  • Meaningful opportunities to have their voices heard in how services are delivered, improved and evaluated
  • Evidence-based information that empowers them to make decisions that lead to better health
  • Reduced threat of criminal prosecution under discriminatory laws

Project Newsletters

The Link is a quarterly newsletter that highlights LINKAGES’ work and new evidence, publications and tools related to HIV prevention, care, and treatment among key populations and their partners.

Research Digests

The project provides a quarterly compilation of article abstracts from peer-reviewed literature on HIV and key populations. Abstracts are grouped by type of key population.

Country Resources

Up-to-date knowledge and tools from LINKAGES country programs can be utilized to strengthen key population HIV and AIDS programming efforts worldwide.

Success Stories

These stories highlight the impact that LINKAGES is making around the world toward improving HIV prevention, care, and treatment among key populations.


Monthly webinars share the latest evidence on HIV among key populations.

Social Media


Learn more about LINKAGES and the HIV Cascade Framework for Key Populations by writing to



  • Angola
  • Barbados
  • Botswana
  • Burundi
  • Cambodia
  • Cameroon
  • Côte d'Ivoire
  • Democratic Republic of the Congo
  • Djibouti
  • Dominican Republic
  • Haiti
  • India
  • Indonesia
  • Jamaica
  • Kazakhstan
  • Kenya
  • Kyrgyzstan
  • Laos
  • Lesotho
  • Malawi
  • Mali
  • Nepal
  • South Sudan
  • Sri Lanka
  • Suriname
  • Swaziland
  • Tajikistan
  • Thailand
  • Trinidad and Tobago
Funder: USAID
Duration: 2014 - 2019