HIV Expenditure on MSM Programming in the Asia-Pacific Region
According to UNAIDS, at least 5–10 percent of all HIV cases worldwide are due to sexual transmission between men, though this figure varies considerably by country. In the Greater Mekong region, HIV prevalence among men who have sex with men (MSM) ranges between 3 and 17 percent, equal to 5–15 times higher than the general population. As a group, MSM continue to be hidden and severely stigmatized, complicating the implementation of successful prevention programs. Beyond the benefit of preventing HIV transmission among MSM, HIV prevention interventions designed for MSM also benefit populations at lower risk of HIV infection. This is because the percentage of MSM reporting having sex with a woman is significant—ranging from 22 percent (in China and Vietnam) to as high as 43 and 70 percent in Cambodia.
The aim of the paper is to (1) compile information on expenditure for HIV prevention programs for MSM in the Asia-Pacific region and compare it with overall HIV prevention expenditure; (2) identify the main financing sources of MSM expenditures and the implications from a public economics perspective, raising specific issues such as predictability, sustainability, and additionality, among others, as they apply to the financing of MSM programs; and (3) estimate the resource requirements for MSM-related programming in the Asia-Pacific region and, based on current expenditure, quantify the resource gap.
Based on the available data, it appears that in the Asia-Pacific region’s expenditure on HIV prevention programs for MSM is very low relative to overall prevention expenditure. Based on the limited data, MSM expenditure appears to be accounting for less than 4 percent of total prevention expenditure. The analysis brings to light the low coverage rates of prevention interventions for MSM, and questions the data quality where high coverage estimates have been reported.
-Full text of report can be found at link below-