This report outlines the major activities and achievements of the Guyana HIV/AIDS Reduction and Prevention (GHARP) Project (2004–09). A joint project of the Government of Guyana and the US Government, GHARP was funded by PEPFAR through USAID and implemented by Family Health International, Cicatelli Associates Inc., Howard Delafield International, Management Sciences for Health, and The Caribbean Conference of Churches.

The report includes a preface by Guyana's minister of health and chapters that address what GHARP did to

• ensure reliable strategic information and health information systems, build organizational and institutional capacity, and engage the private sector in the response
• provide structured behavior change programs for groups most at risk, disseminate condoms to them, and improve and increase access to voluntary counseling and HIV testing
• strengthen and increase access to services that prevent mother-to-child transmission of HIV
• mitigate the impact of HIV/AIDS on adults and children

The final chapter addresses challenges overcome, lessons learned, and recommendations for future projects.