MSM Glogal Forum policy Brief June 2010:

Excerpts:

UNAIDS Recommended Components for
Comprehensive HIV Prevention Programs with MSM

1. Promotion and guarantee of human rights; removal of legal barriers that undermine access to HIV-related services such as laws that criminalize consensual sex between men;

2. Access to and promotion of consistent condom and water-based lubricant use;

3. Detection and management of sexually transmitted diseases;

4. Confidential, voluntary HIV screening, care, treatment and support services;

5. Safer drug-use commodities and treatment services;

6. Empowerment of gay, lesbian, bisexual and transgender communities to participate equally in social and political life;

7. Safe virtual and/or physical spaces for MSM to seek information and referrals for care and support;

8. Training and sensitization of health-care providers to avoid discriminating against MSM;

9. Medical and legal assistance for boys and men who experience sexual coercion and/or violence;

10. Specific and targeted information on prevention and risk reduction strategies designed to appeal to and meet the needs of MSM;

11. Information, prevention and care services for the female and transgender partners of MSM;

12. Prevention and treatment of hepatitis; and

13. Availability of HIV-related prevention information, care and support services for transgender people who may not identify as MSM.

MOVING FORWARD:CORE PRINCIPLES OF PRACTICE

Principles of practice have long been deliberated, published and advocated by AIDS service providers and advocates but are often overlooked in policy discussions because of a narrow focus on evidence or science in substantiating HIV-related interventions and program strategies.

• The imperative of reducing STD and HIV infection rates should not impinge on personal freedoms;

• All people, including MSM and MSM living with HIV, deserve the same level of support, health care, support services and political rights as anyone else;

• All people, including MSM and MSM living with HIV, are entitled to a fulfilling and satisfying sex life;

• All people, including MSM and MSM living with HIV, have the right to be self-determining;

• MSM, including MSM living with HIV, should be actively and meaningfully engaged at all stages and levels in research, program and policy development, implementation and evaluation—participatory processes should be utilized throughout;

• HIV prevention programs and services should not be risk or deficit oriented—instead successful HIV prevention efforts should leverage, and be rooted, in the strengths, resources, competencies, social connections, capacities, and resiliency that are already present in MSM individuals and communities;

• Pleasure, gender, satisfaction, intimacy, love, and desire are key concepts in a fuller understanding of sex and sexuality among MSM and therefore in formulating more meaningful research, programmatic, and policy responses; and

• Researchers, prevention practitioners, and policy makers should consider structural, situational, and contextual factors in understanding HIV risk and in developing sexual health interventions tailored to the specific needs of MSM.

Broader adoption of these principles will provide a common foundation for the ongoing development and promotion of effective, evidence-based HIV prevention and sexual health services that address the specific needs of MSM. Principles of practice can also bring balance to discussions about HIV prevention with and for MSM, discussions that too often take place without us.

 

 

20,21 The following are some important core principles of practice that can serve as broad guidelines in the design, implementation, and evaluation of targeted HIV prevention programs and paradigms within MSM communities worldwide:

MSMGF

Executive Office

436 14th Street, Suite 1500

Oakland, CA 94612

United States

www.msmgf.org

For more information, please contact us at +1.510.271.1950 or contact@msmgf.org

HIV Prevention with MSM

Balancing Evidence with Rights-based Principles of Practice

June 2010

 

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Author: GLBTQ Jamaica Moderator

Activist and concerned gay man in Jamaica with over 19 years experience in advocacy and HIV/AIDS prevention work, LGBT DJ since 1996.

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