Challenges in HIV care

Published: May 23, 2011

Objectives
?Human challenges : sexual identity vs sexual behavior / practices Cultural norms and religious belief systems
?Systems challenges : Health systems vs government Policies / Protocols / Guidelines for treatment & care of HIV in MSM ?HIV prevention strategies among MSM ?ART challenges among MSM population

MSM?
• Definition :Men who have Sex with Men (MSM) is a term that defined by behavior rather than identity, and thus intended to be inclusive of all adult males who engage in consensual male to male sex, including those
self-identifying as gay, bisexual, or heterosexual in their sexual orientation, and including individuals who are biologically male regardless of gender identity.

WHY MSM ?
Men who have Sex with Men (MSM) IN NSP
• MSM risky behaviour seem to influence HIV epidemic among the general population in the country.
• MSM has also not been considered to any great extent in national HIV and AIDS interventions.
• Biologically, MSM who practice receptive anal intercourse have an elevated risk for HIV infection.

WHY MSM?
• MSM practices are also likely to occur in particular institutional settings such as prisons, often underpinned by coercion and violence.
• MSM behaviours and sexualities are wide ranging and include bisexuality, and the HIV epidemic amongst MSM and the heterosexual HIV epidemic are thus interconnected.

To be Gay in Soweto
Solidity and substanceA portrait of Edgar’s wedding ring, which formed part of an exhibition in mid-2008 of gay, lesbian and transsexual people in Johannesburg. For gay men during apartheid wearing a wedding ring meant you were straight or in the closet. (Zethu Mathebeni, Gay and Lesbian Memory in Action

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