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Key populations — sex workers (SWs), gay men and other men who have sex with men (MSM), transgender people (TG), and people who inject drugs (PWID) — are disproportionately affected by HIV. At the same time, the stigma, discrimination, and threat of criminal prosecution faced by key populations around the world pose serious barriers to their ability to access quality, rights-based health care. The LINKAGES project (Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV), supported by the US President’s Plan for AIDS Relief (PEPFAR) and the United States Agency for International Development (USAID), aims to accelerate the ability of partner governments, key population-led civil-society organizations, and private-sector providers to plan, deliver, and optimize comprehensive HIV prevention, care, and treatment services at scale that reduce HIV transmission among key populations and extend life for those who are HIV positive.

LINKAGES is partnering with more than 20 countries in Africa, Asia, and the Caribbean. The LINKAGES approach is summarized in the cascade of services for HIV prevention, diagnosis, care, and treatment. The Cascade is aligned with the United Nations 90–90–90 objective by 2020, 90% of all people living with HIV will know their HIV status, 90% of people diagnosed with HIV infection will receive sustained antiretroviral therapy (ART), and 90% of people receiving ART will have viral suppression.