Today, the active participation of community-led organizations in the governance, planning and implementation of national HIV responses is the rule in many countries.

Members of key populations sit on national AIDS councils and the Global Fund to Fight AIDS, Tuberculosis and Malaria Country Coordinating Mechanisms. Sex workers, transgender people and gay men and other men who have sex with men are engaged in the development of national policies, guidelines and strategies related to their health in the majority of countries that have reported to UNAIDS in recent years. The engagement of other key populations—people who inject drugs and people currently or formerly in prison—is less common.