DIFFER stands for ‘Diagonal Interventions to Fast-Forward Enhanced Reproductive health’ and aimed at improving access to sexual and reproductive health (SRH) for the most vulnerable by a better linkage between interventions targeted at most-at-risk populations, in particular female sex workers, and the general reproductive health services. It was implemented at four sites in Kenya (Mombasa), Mozambique (Tete), South Africa (Durban) and India (Mysore).

The DIFFER project was a five-year project, which started in October 2011 and ended in September 2016.

The project had a strong south-south component and translated previous successes and lessons learned in India to the Sub-Saharan African context. During the first 18 months a thorough policy and situational analysis identified the gaps and provided the information needed to design the intervention. A package of comprehensive SRH services was developed for both female sex workers and women of the general population together with site-specific models of how to best integrate these two packages.

At the end of the 5-years project the models were evaluated for their feasibility, acceptability, effectiveness, cost-effectiveness and sustainability. ICRH-Belgium took the lead and coordinated the project, the other partners being Ashodaya Samithi in India, ICRH-Kenya, ICRH-Mozambique, MatCH & the Centre for Health Policy of the University of the Witwatersrand in South Africa and University College London, UK. The DIFFER project was funded by the European Commission’s 7th Framework programme.