Prévention et traitement de l’infection à vih et des autres infections sexuellement transmissibles chez les hommes ayant des rapports sexuels avec d’autres hommes et chez les personnes transgenres

Cette directive fournira des recommandations pour les partenaires régionaux et nationaux sur appropriée interventions visant à répondre aux besoins des HSH et transgenres. Il fournit également un occasion de souligner et de mettre l’accent sur la corrélation entre la prévention et de traitement en la réponse à l’épidémie de VIH chez les HSH et les personnes transgenres, en particulier à la lumière de plus en plus évident sur le bénéfice préventif de la thérapie antirétrovirale (ART ). Ceci peut conduire à une réduction substantielle de la transmission au niveau de la population.

Year of publication:

2011

Media:

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Access to HIV Prevention and Treatment for Men Who Have Sex with Men

The Bill & Melinda Gates Foundation commissioned the Global Forum on MSM & HIV (MSMGF) to identify barriers and facilitators of PrEP uptake among MSM globally. The MSMGF took this as an opportunity to strengthen understanding of the structural-, community-, and individual-level factors that influence access to services for MSM more broadly, placing challenges to access within the context of lived experiences and concerns of MSM. Toward this goal, the MSMGF developed a global multilingual online survey to examine barriers and facilitators to service access for MSM around the world.

This report first describes the methods and results of the online survey, followed by the methods and results of the focus group discussions. These sections are followed by a discussion section that explores the barriers and facilitators revealed by quantitative data in the survey, as well as the broader context of these barriers and facilitators as revealed in the focus group discussions. The report ends with a look forward at future directions.

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Advancing the Sexual and Reproductive Health and Human Rights of Men who have Sex with Men Living With HIV

Published in 2010 by GNP+ and MSMGF, Advancing the Sexual and Reproductive Health and Human Rights of Men Who Have Sex with Men Living with HIV is a detailed and comprehensive report that describes the key areas of policy and practice change needed to advance the sexual and reproductive health and human rights of people living with HIV.

The report is also available in French and Spanish.

Media:

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Engaging with Men Who Have Sex with Men in the Clinical Setting

This 2011 primer published by the MSMGF is intended to serve as a guide on information related to men who have sex with men (MSM) for physicians, nurses, and other health care providers delivering HIV and primary care services in diverse clinical settings. Longstanding evidence indicates that MSM experience significant barriers to quality health care due to widespread stigma against homosexuality in mainstream society and within health systems. Social discrimination against MSM, or homophobia,a has also been described as a key driver of poor health outcomes in this population across diverse settings. In nearly every country around the world, MSM are disproportionately burdened with HIV and other sexually transmitted infections (STIs) when compared to the general adult population. Higher rates of depression, anxiety, smoking, alcohol abuse, substance use, and suicide have been reported among MSM as a result of chronic stress and disconnection from a range of social services and support mechanisms.

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Young Men Who Have Sex with Men: Health, Access, & HIV

Young men who have sex with men (YMSM) face the heightened risks of both populations, as well as a number of vulnerabilities that are unique to YMSM. Despite the clear need for intervention, YMSM are often left out of research, policy, and programs designed for general MSM, general youth, and the general population. While data on HIV among YMSM are extremely
limited, existing studies show high HIV prevalence among YMSM around the world.

This policy brief examines HIV risk factors and access to services among YMSM using data from the Global Forum on MSM & HIV (MSMGF)’s 2012 Global Men’s Health and
Rights survey (2012 GMHR). The brief concludes with a set of recommendations for addressing the global HIV epidemic among YMSM.

Media:

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Technical Bulletin Compendium: HIV Prevention and Treatment Strategies for MSM

Intended as a primer for MSM advocates and service providers, this series covers key interventions and frameworks that have been central to the current global dialogues on HIV prevention, treatment and care. Topics were identified and prioritized based on results of the MSMGF’s 2010 Global Men’s Health and Rights study (GMHR), which surveyed more than 5,000 MSM worldwide regarding access to and knowledge of the current spectrum of HIV prevention strategies. Each bulletin was developed utilizing a balanced approach, highlighting both the benefits and challenges of a given intervention based on existing evidence.

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The Global HIV Epidemics among Sex Workers

Since the beginning of the epidemic sex workers have experienced a heightened burden of HIV. Unfortunately, sex workers’ HIV and health-related risks and rights have often gone unattended and global resource allocation related to HIV prevention, treatment and care has not been based on rigorous analysis in terms of the evidence related to sex work and HIV. To inform an equitable, effective, and sustainable response to HIV which promotes and protects the human rights of sex workers, the following questions were addressed in this analysis, focusing largely on female sex workers from lower and middle income countries:

What is the global burden of HIV among sex workers? How do sex worker HIV burdens compare to the general population? How does this vary by region?
How does the policy and social context shape sex workers’ HIV risk across geographic settings? How does this context influence the provision and coverage of HIV services?
To what extent can comprehensive HIV prevention at-scale among sex workers modify HIV transmission dynamics among sex workers and the general population?
What are the most cost-effective HIV prevention, treatment, and care interventions in the context of sex work? What combinations of services are most cost-effective?
Given this evidence, what are the implications for allocative efficiency in HIV prevention programs?
How does violence against sex workers affect their health and human rights and HIV transmission dynamics among sex workers and the general population across settings?
What has been the role of sex worker leadership in promoting the human rights of and reducing the burden of and risks for HIV infection among sex workers across contexts?

Prevention and Treatment of HIV and other Sexually Transmitted Infections for Sex Workers in Low- and Middle-income Countries: Recommendations for a Public Health Approach

Sex workers in many places are highly vulnerable to HIV and other sexually transmitted infections due to multiple factors, including large numbers of sex partners, unsafe working conditions and barriers to the negotiation of consistent condom use. Moreover, sex workers often have little control over these factors because of social marginalization and criminalized work environments. Alcohol, drug use, and violence in some settings may further exacerbate their vulnerability and risk.

The objective of this document is to provide technical recommendations on effective interventions for the prevention and treatment of HIV and other STIs among sex workers and their clients. The guidelines are designed for use by national public health officials and managers of HIV/AIDS and STI programmes, nongovernmental organizations including community and civil society organizations, and health workers. Regions and countries are encouraged to adapt these guidelines to support acceptable services for sex workers taking into account the epidemiological and social context. These guidelines may also be of interest to international funding agencies, the scientific media, health policy-makers and advocates.

Year of publication:

2012

Media:

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