Various populations have, however, not benefited equally. Data collected from these cohorts are used to develop, test and refine locally responsive and appropriate management guidelines. Operational research is also conducted at these sites, aimed at improving the quality of service and providing the SAG with data to assist in future health planning. Although important, such centres of excellence are expensive and not scalable. Therefore, the core activity advocated by the Anova model is widespread sensitivity and skills training for healthcare workers already active in state sector HIV, sexually transmitted infection STI , tuberculosis TB and primary health clinics.
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Recently, the importance of targeting key populations and marginalized groups, including men who have sex with men MSM and transgender people, has been added to the national agenda. This mini-review explores the current state of empirical research on HIV risk and MSM, women who have sex with women WSW , lesbian, gay, bisexual and transgender LGBT populations in South Africa in order to assess the current state of research and identify gaps in the literature. Research and HIV prevention has therefore been focused primarily on HIV surveillance and intervention programs for the prevention of heterosexual transmission and prevention of mother-to-child transmission PMTCT [ 3 Department of Health. Pretoria
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