Karla came from a troubled home where there was domestic violence, drug use, and general turbulence. She was repeatedly sexually abused by a relative in her home.
In 2008, Karla participated in the In School Youth (ISY) HIV prevention program at her secondary school in Region 4, Guyana.
Agape Network Incorporated, a USAID-funded, faith-based organization, leads the ISY program. Agape receives technical assistance from USAID's Guyana HIV/AIDS Reduction and Prevention Program, Phase II (GHARP II), led by Management Sciences for Health with Howard Delafield International and AIDS Healthcare Foundation,