Achieving an AIDS-Free Generation for Gay Men and Other MSM in Southern Africa: Executive Summary

Achieving an AIDS-Free Generation for Gay Men and Other MSM: Executive Summary
This report provides a comprehensive analysis to date of HIV-related funding and programming for MSM. The report also suggests actionable steps to improve the HIV response among MSM. A careful examination of MSM-related policies through donor and multilateral agencies reveals improved efforts but persistently inadequate investments and limited accountability for better results. On-the-ground consultations in eight epidemiologically diverse countries highlighted some models for success combined with persistent, widespread stigma in all contexts and a lack of even the most basic HIV prevention services for MSM in most. The research in this report confirms that countries that criminalize same-sex sexual practices spend fewer resources on HIV-related health services for MSM, do less to track and understand the epidemic in their nations, and are more likely to repurpose donor funds intended to fight the epidemic among MSM. However, criminalization is only one obstacle to effective HIV programs for MSM. Stigma and discrimination in all contexts play equally important roles.
Year of publication: 
2012

Achieving an AIDS-Free Generation for Gay Men and Other MSM in Southern Africa

Achieving an AIDS-Free Generation for Gay Men and Other MSM in Southern Africa
This report provides a comprehensive analysis to date of HIV-related funding and programming for MSM in six Southern African countries (Botswana, Malawi, Namibia, Zambia, Zimbabawe and Swaziland). The report also suggests actionable steps to improve the HIV response among MSM. A careful examination of MSM-related policies through donor and multilateral agencies reveals improved efforts but persistently inadequate investments and limited accountability for better results. On-the-ground consultations in the six countries highlighted some models for success combined with persistent, widespread stigma in all contexts and a lack of even the most basic HIV prevention services for MSM in most. The research in this report confirms that countries that criminalize same-sex sexual practices spend fewer resources on HIV-related health services for MSM, do less to track and understand the epidemic in their nations, and are more likely to repurpose donor funds intended to fight the epidemic among MSM. However, criminalization is only one obstacle to effective HIV programs for MSM. Stigma and discrimination in all contexts play equally important roles.
Year of publication: 
2013

MSM in Sub-Saharan Africa: Health, Access and HIV

MSM in Sub-Saharan Africa: Health, Access and HIV
Within the context of an uncontrolled epidemic among men who have sex with men (MSM) in Sub-Saharan Africa and new attempts to scale-up MSM-targeted programming, this policy brief aims to address some of these gaps by examining current access to basic HIV prevention and treatment services among MSM in Sub-Saharan Africa. These findings combine the quantitative and qualitative data from the 2012 Global Men’s Health and Rights (GMHR) study, and interviews with LGBT-led CBOs across six countries. The brief concludes with recommendations for action to support the successful scale-up of MSM-targeted HIV programs in the region.
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