Senegal has a relatively low rate of HIV infection among the general population of 0.5%, but it is much higher among marginalised and criminalised communities. The HIV prevalence rate among men who have sex with men (MSM) was 41.9% in 2015, and the latest figures among sex workers were recorded at 18.5% in 2013. Over half of people living with HIV in Senegal are women.

We have been working with Alliance Nationale des Communautés pour la santé (ANCS) to tackle this. ANCS's work focuses on preventing HIV among marginalised groups. Through a Global Fund project, ANCS reached thousands of sex workers, MSM, young people and women with testing, antiretroviral treatment and prevention of mother-to-child transmission of HIV in Senegal.

In November 2016, ANCS became the Principal Recipient for a Global Fund regional programme on harm reduction in five countries, which include Burkina Faso, Côte d’Ivoire, Guinea-Bissau, Cap-Vert and Sénégal. The programme focuses on improving human rights and access to TB and HIV prevention and treatment services for people who use drugs.

ANCS also provides HIV and sexual and reproductive health services; in 2016 they reached almost 66,500 people with these services. They also reached over 3,000 sex workers and 35,338 people from mobile populations with a package of prevention HIV services.