MARPI PROGRAMMES

Key Population Programme

Tailored services for communities facing higher HIV burden and barriers to care.

MARPI was founded to address gaps in focused, targeted and high-quality services for key and priority populations. The programme combines biomedical, behavioural and structural interventions with community participation and stigma-free service delivery.

MARPI community-centred key population programming
MARPI works with key and priority populations according to programme scope, including sex workers, MSM, transgender people, people who use or inject drugs, and other underserved or vulnerable groups.
35+Districts ReachedAcross MARPI operations over the years
30DICs / Service PointsCurrent website service network
IntegratedService PackageHIV, TB, STI and SRHR
CommunityLeadershipPeers and CBOs shape implementation

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.

  • Differentiated HIV testing and self-testing
  • PrEP, condoms/lubricants and combination prevention
  • HIV care, treatment, adherence and retention support
  • STI, SRHR, cervical cancer, TB and other integrated services
  • Peer navigation, outreach and DIC-based service access
  • Community empowerment, human-rights barrier reduction and advocacy

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.

Listen to Communities

Use community insight, peer networks and data to understand barriers and service preferences.

Tailor Delivery

Choose facility, DIC, outreach, peer-led or differentiated approaches for each context.

Provide Integrated Services

Offer a broad package rather than a single isolated intervention.

Strengthen Community Systems

Work with CBOs, CSOs, peers and local structures to build ownership and capacity.

Address Barriers

Use advocacy, dialogue and referral to reduce stigma, discrimination and structural barriers.

Measure & Learn

Monitor reach, service cascades, quality and community feedback to improve programmes.

CORE COMPONENTS

What Happens in Practice

These are the main operational components clients, communities and partners are likely to see during implementation.

Sex Workers

Tailored prevention, testing, treatment, SRHR and community support according to programme eligibility and need.

MSM

Confidential prevention and care linked with STI, PrEP, testing and peer-led access.

Transgender People

Responsive prevention packages, community linkage and support to reduce barriers to health services.

People Who Use / Inject Drugs

Integrated prevention and linkage approaches adapted to drug-use context and programme scope.

Priority & Mobile Populations

MARPI also reaches other priority and vulnerable groups where programmes identify unmet HIV/SRH needs.

Community Organisations

CBOs, CSOs, peer leaders and networks contribute to mobilisation, service design, accountability and follow-up.

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.