providers in Samoa as having high risk for HIV and STI’s, or unique health needs with regards to prevention or treatment. This includes the following groups; • Transgender men and women (fa’afafine and fa’atama) • Sex workers • Inmates • Drug Users • Pregnant women • Youth

Samoa continues to face high rates of STI’s, but good progress has been made in increasing the coverage of HIV & STI testing, which is crucial to detecting cases, treating them, and preventing further transmission.

The first case of HIV recorded in Samoa was in 1990. Since then, 24 cumulative cases have been reported. Currently there are 11 living cases of HIV. Though this is a low prevalence, low testing rates (4-5%) indicate that there are many more cases likely undetected.

• The incidence of HIV in Samoa is low, with a cumulative total of 24 cases. • We estimated that there are approximately 25,000–30,000 men who have sex with men (MSM) and transgender (TG) in Samoa and around 400 female sex workers (FSW).

The goal is to boost awareness on prevention measures for HIV and STIs among the general population, with an emphasis on young and at-risk people, and to bring health promotion to local communities who were often not adequately reached by conventional service delivery.

Samoa has historically adopted a treat all approach to those that test positive for HIV, giving all people ART free of cost. It is therefore essential that providers in Samoa are fluent in the latest practices for treatment.

HIV prevalence in the country remains low, however incidence of other STIs is rising, especially amongst young people up to 25 years of age. Contraceptive use amongst married women in Samoa is steady at 28.7% (for any method, 26.7% for any modern method), and there is a good mix of contraceptives procured at the

Women's share of population ages 15+ living with HIV (%) Mortality from CVD, cancer, diabetes or CRD between exact ages 30 and 70, female (%) Probability of dying among youth ages 20-24 years (per 1,000)

Incidence of HIV, all (per 1,000 uninfected population) Prevalence of HIV, female (% ages 15-24) Adults (ages 15+) and children (ages 0-14) newly infected with HIV

HIV Testing Services (HTS), which involves clinicians, laboratories, public health, and the communities themselves in detecting infections and connecting people to the services they need. Samoa has historically adopted a treat all approach to those that test positive for HIV, giving all people ART free of cost.