<strong>ICAP</strong>’s commitment to prevention is paying off A community mobilizer encourages men to get a voluntary medical circumcision, which can help prevent HIV transmission. Mocuba, Mozambique HIV-positive or negative? The moment a person tests <strong>for</strong> HIV is a pivotal one. For those who test HIV-positive— whether they reside in sprawling Nairobi or rural Mozambique— <strong>ICAP</strong> supports stronger health care systems to ensure that all have access to quality, lifelong HIV care and treatment. For those who test HIVnegative, <strong>ICAP</strong> works diligently to ensure that health care providers can equip them with the most upto-date in<strong>for</strong>mation and prevention methods to help them stay negative. <strong>ICAP</strong> works at the cutting edge of HIV prevention, conducting research, small-scale pilots, and evaluations, and supporting the scale-up of prevention tools that have been shown to work. <strong>ICAP</strong> has been a leader in seeking an end to HIV infection among children around the world. Whether establishing the first peer support groups <strong>for</strong> pregnant women living with HIV in Côte d’Ivoire, conducting pioneering research to evaluate a new combination prevention approach in Eswatini, or revamping Cameroon’s national evaluation system <strong>for</strong> preventing mother-to-child transmission of HIV, <strong>ICAP</strong>’s teams are doing the hard work needed to achieve an HIV-free generation. With definitive studies demonstrating that medical circumcision helps prevent HIV among men, <strong>ICAP</strong> works to expand access to safe male circumcision in Africa. In Tanzania, Kenya, and Mozambique, <strong>ICAP</strong> launched campaigns, trained health workers, and equipped mobile teams to offer the service, resulting in more than 450,000 men and boys benefiting from this prevention method. Most recently, <strong>ICAP</strong> has turned its attention to pre-exposure prophylaxis (PrEP)—the use of HIV drugs to prevent individuals from acquiring HIV. <strong>ICAP</strong> is conducting research to understand how to best use PrEP among young sex workers in Kenya and wives of migrant miners in Mozambique. <strong>ICAP</strong> is also evaluating new and exciting, long-acting drugs <strong>for</strong> PrEP among men who have sex with men in Harlem and the Bronx, as well as among women at risk <strong>for</strong> HIV in Eswatini. An HIV support group counselor conducts a condom demonstration. Bouafle, Côte d’Ivoire “ Whether pursuing a new prevention approach or designing a novel way to reach a <strong>for</strong>gotten group at risk <strong>for</strong> HIV, <strong>ICAP</strong> brings a tradition of innovation and ingenuity combined with sensitivity to the contexts and settings where it works. Community sensitization and drama groups help get the word out about male circumcision. Tanzania Mark Fussell, MPA Deputy Director and Chief Operating Officer <strong>ICAP</strong> at Columbia University
Stemming the tide Clinicians perfrom medical male circumcision in mobile tent clinics near the Kagera Sugar Company. Tanzania Patient counseling at <strong>ICAP</strong>’s Harlem Prevention Center. New York City
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