Understand Need
Use service data, community insight and local mapping to identify where prevention gaps exist.
MARPI PROGRAMMES
HIV Prevention Programme
Combination prevention built around choice, access and linkage.
MARPI combines biomedical, behavioural and community approaches so clients can access HIV testing, PrEP, condoms and lubricants, PEP, STI/SRHR support and linkage to care through clinic, DIC and outreach platforms.
Prevention is delivered as a package: clients are supported to choose the combination of services that fits their needs and current clinical guidance.
165,550HIV Tests2025 programme highlight
10,097PrEP Initiations2025 programme highlight
7.15MCondoms Distributed2025 programme highlight
8,896HIV Self-Test Kits2025 programme highlight
WHAT THE PROGRAMME DOES
How MARPI turns the programme into practical services.
MARPI combines community relationships, health-facility systems, differentiated service delivery and routine data so programmes do not stop at mobilisation—they connect people to prevention, treatment, referral and follow-up.
- HIV testing and counselling through differentiated approaches
- PrEP counselling, initiation and follow-up
- Condom and lubricant programming
- HIV self-testing and confirmatory linkage
- PEP assessment and referral after qualifying exposures
- STI, SRHR, TB and other integrated prevention services
IMPLEMENTATION MODEL
How MARPI Implements This Programme
The programme is organised as a connected pathway from understanding community need to delivering services, following up clients and using data for improvement.
Mobilise
Peers, community structures, DICs and partners create demand and connect clients to services.
Offer Choices
Provide combination prevention including testing, PrEP, condoms, HIVST and relevant integrated services.
Link
Connect clients to treatment when HIV-positive and to prevention options when HIV-negative.
Follow Up
Support refills, repeat testing, adherence, referrals and continuity according to client needs.
Use Data
Review uptake, reach, linkage and service quality to improve implementation.
CORE COMPONENTS
What Happens in Practice
These are the main operational components clients, communities and partners are likely to see during implementation.
Differentiated HIV Testing
Facility, community, self-testing and network-based approaches help reach people who may not use routine services.
PrEP Choice
Clients receive counselling on appropriate prevention options based on eligibility, preference and availability.
Prevention Commodities
Condoms, lubricants and other prevention commodities are distributed through clinic and community channels.
Risk-Reduction Communication
Small-group, one-to-one and community dialogue approaches provide practical prevention information.
Integrated Health Services
HIV prevention is linked with STI, SRHR, TB, hepatitis and other services where appropriate.
Referral & Continuity
Escorted or supported referral helps clients move between community, DIC and facility services.
CONNECTED PROGRAMMES
Explore the MARPI Programme Model
MARPI programmes are designed to reinforce each other rather than work as separate silos.
Programme information is summarised from MARPI's Strategic Plan 2021–2025, the 2025 Annual Report and current MARPI service architecture.
Need a service or want to connect with a programme?
Use Care Connect for services, or contact MARPI to reach a DIC, programme team or referral point.