Senegal has a relatively low HIV prevalence among the general population at 0.4%, 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 6.6% among sex workers in 2016. The number of women living with HIV in Senegal (23,000) is almost double that of men (12,000).

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 2017 they reached over 66,700 people with these services. They also reached over 2,100 MSM, over 3,600 sex workers and over 7,300 people with disabilities with targeted packages of HIV prevention services.