Transexual sex worker on the streets of Jakarta takes a smoke break. Street workers are the most vulnerable.

This mother was infected by her husband who drives a truck and, consequently, is away from home for long periods. She became pregnant with her second child and tested positive for HIV. Her husband then blamed her for his infection. He tried to kill her late one night by poring kerosene on her and lighting her on fire- a "Kitchen Accident". She survived and is in a PLWA safe house in western India.

This outreach worker tends to Mr Trung's sores in rural Vietnam. Most outreach workers are members of the PLWA community and have banded together to bring services to the community.

M (green shirt) was born HIV positive and is now an AIDS orphan. She has taken advantage of a program that pays for her university schooling.

Laotian sex workers learning how to apply condoms with their mouths. Men often demand to have sex without a condom putting these women at greater risk of infection. This seminar also included mental health services, lessons on negotiation, and education on how to prevent HIV infection.

This AIDS orphan outside of Kigali, Rwanda is supported through a program that helps pay for his food, lodging, and education. He lives in a community house with other orphans who support each other.

JC (white coat) is an ex-imnate who has returned to work as the HIV outreach officer in a maximum security prison in Paraguay. JC's rounds in the prison take him to areas that the guards refuse to go. He regularly supports men in the prison through education and the distribution of medication. Most of all, though, he listens.

TBK (at fire) lost her husband to AIDS. Soon after she discovered that she was pregnant. She tested positive. TBK enrolled in a Prevention of Mother to Child Transmission program. Once her child was born she tried to use formula and cow milk to feed her baby but quickly ran out of money. As a last resort she began to breast feed her child. He died of AIDS. TBK could not talk for months. Her mother in law (pictured) took her in. TBK discovered the local PLWA group and with their support began her recovery. She is now president of the group and routinely walks miles to care for other HIV positive people in rural Nepal.

Sex worker in Nicaragua holds condoms that an outreach worker just gave her.

This man walked days to get to the health center in rural South Sudan. He made it just in time and his prognosis is good.

T (standing in rear) lost his heroin addicted father to AIDS. He then watched his brother drift into addiction. That was enough. T quit his comfortable government job to work on the front lines of the HIV pandemic. He now visits shooting galleries, putting his own health at risk, to work with users.

An HIV positive father greats his HIV negative daughter after a day at work in rural Kenya.

This migrant worker in Myanmar lives in a marginalized community of barely floating houseboats near Yangon. PLWA often find themselves discriminated against in housing and employment.

This mother is also her daughter's madam. She has brought her child into the sex trade at age 13. Her daughter is HIV positive.

This mother is an ex-sex worker in Cambodia and HIV positive. She passed her infection to her first child. However, once she joined the PLWA club in her neighborhood, she learned how to protect her daughter from infection. The young girl (pictured) is negative.

In Lusaka, Zambia a child headed household of 6 AIDS orphans struggles to survive. The eldest daughter quit school to get a job. She is now at risk for the sex trade. The second daughter talked her way onto a TV talk show and consequently brought the family onto the PLWA community's radar. They are now in a program that helps pay for food and schooling. The eldest daughter still works, but has revived her hopes of becoming a nurse.

Her son became addicted to heroin. She fought the addiction. He lost his job and sold everything in his house. Then he sold everything in her house. They live in a shelter. She will not leave his side. He is in recovery.

Streetwalking is dangerous. Providing outreach to the street sex workers is dangerous. Peer educators are often seen as a threat to illegal behaviors. Here a peer educator councils a sex worker in a poor neighborhood of Manila.

Gay men's clubs are illegal in China. Underground communities are especially at risk for HIV infection. Often the only way to effectively reach these communities is through peer educators.

Transexual sex workers in El Salvador work with PLWA community to help each other.

In prison, HIV positive, and pregnant. This woman volunteered to enter the Prevention of Mother to Child Transmission program after a peer educator counseled her.

With the most common HV transmission vector becoming heterosexual, discordant couples (one partner positive and one partner negative) are becoming more common. Both children are negative.

Isolation and fear in marginalized communities often keep people from entering health systems. The PLWA community works hard to get people at risk tested and, if needed, into healthcare system.

These women are learning how to cook for a large group of AIDS orphans in Zambia. These skills can be transferred to jobs in the private sector.

Often AIDS orphans are taken care of by their grandparents. S has graduated from high school today.

PLWA communities send their members to isolated neighborhoods that government workers are not welcomed. This young girl listens as the outreach worker councils her mother in rural Zimbabwe.

Things in Cuba are changing. Men who have sex with men are finding new strength in a gradual opening of acceptance. This discordant couple was celebrating the first International Day Against Homophobia celebration in Havana attended by Mariela Castro, Raul's daughter.

Women from miles around gather once a month in this rural Gambia health center to learn about HIV.

A mother learns how to keep her young child free of HIV infection in rural South Africa.