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      Outcomes of a community-based HIV-prevention pilot programme for township men who have sex with men in Cape Town, South Africa.

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          Abstract

          Men who have sex with men (MSM) in Cape Town's townships remain in need of targeted HIV-prevention services. In 2012, a pilot community-based HIV-prevention programme was implemented that aimed to reach MSM in five Cape Town townships, disseminate HIV-prevention information and supplies, and promote the use of condoms and HIV services.

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          The Sonagachi Project: a sustainable community intervention program.

          P. Newman, Siddhartha S. Jana, Mary Rotheram-Borus … (2004)
          High rates of HIV infection among sex workers in India indicate the importance of understanding the process of establishing a sustainable community intervention program. The Sonagachi Project, based in Calcutta, India, has been associated with lower HIV rates among sex workers as compared to other urban centers in India. The program defined HIV as an occupational health problem and included multifaceted, multilevel interventions addressing community (having a high-status advocate; addressing environmental barriers and resources), group (changing social relationships), and individual factors (improving skills and competencies related to HIV prevention and treatment). The Sonagachi Project's core concepts and strategies evolved as community needs were expressed and defined. In particular, the program was not initially conceptualized as a community empowerment project but emerged over time, allowing for project sustainability. Project components appear to be replicable across settings within India and worldwide.
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            "They see you as a different thing": the experiences of men who have sex with men with healthcare workers in South African township communities.

            T. Lane, T Mogale, H Struthers … (2008)
            To describe interactions between men who have sex with men (MSM) and healthcare workers (HCW) in peri-urban township communities in South Africa. Qualitative study using semistructured in-depth interviews and focus group discussions in the Gauteng province townships of Soweto and Mamelodi. 32 MSM were purposively sampled for in-depth interviews and 15 for focus group discussions. Topics explored included identity, sexuality, community life, use of health services and experiences of stigma and discrimination. MSM felt their options for non-stigmatising sexual healthcare services were limited by homophobic verbal harassment by HCW. Gay-identified men sought out clinics with reputations for employing HCW who respected their privacy and their sexuality and challenged those HCW who mistreated them. Non-gay-identified MSM presented masculine, heterosexual identities when presenting for sexual health problems and avoided discussing their sexuality with HCW. The strategies MSM employ to confront or avoid homophobia from HCW may not be conducive to sexual health promotion in this population. Interventions that increase the capacity of public sector HCW to provide appropriate sexual health services to MSM are urgently needed.
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              From personal survival to public health: community leadership by men who have sex with men in the response to HIV.

              Gift Trapence, Chris Collins, Sam Avrett … (2012)
              Community leadership and participation by gay men and men who have sex with men (MSM) have been central to the response to HIV since the beginning of the epidemic. Through a wide array of actions, engagement of MSM has been important in the protection of communities. The connection between personal and community health as drivers of health advocacy continue to be a powerful element. The passion and urgency brought by MSM communities have led to the targeting and expansion of HIV and AIDS research and programming, and have improved the synergy of health and human rights, sustainability, accountability, and health outcomes for all people affected by HIV. MSM are, however, frequently excluded from the evidence-based services that they helped to develop, despite them generally being the most effective actors in challenging environments. Without MSM community involvement, government-run health programmes might have little chance of effectively reaching communities or scaling up interventions to lessen, and ultimately end, the HIV pandemic. Copyright © 2012 Elsevier Ltd. All rights reserved.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Int AIDS Soc
                Title: Journal of the International AIDS Society
                Publisher: International AIDS Society
                ISSN (Electronic): 1758-2652
                ISSN (Print): 1758-2652
                Publication date (Electronic): Dec 02 2013
                Volume: 16 Suppl 3
                Affiliations
                [1 ] Desmond Tutu HIV Foundation, Cape Town, South Africa; Elizabeth.batist@hiv-research.org.za.
                Article
                Publisher Item ID: 18754
                DOI: 10.7448/IAS.16.4.18754
                PMC ID: 3852355
                PubMed ID: 24321116
                SO-VID: 3d05408f-8607-4aad-a1c8-79175263efc6
                History

                Keywords: African men who have sex with men (MSM),community-based,outreach,self-esteem,social network,stigma
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                Keywords: African men who have sex with men (MSM), community-based, outreach, self-esteem, social network, stigma

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