Priority HIV and sexual health interventions in the health sector for men who have sex with men and transgender people in the Asia-Pacific Region

Published: May 13, 2010

Priority HIV and sexual health interventions in the health sector for men who have sex with men and transgender people in the Asia-Pacific Region

Table of Contents

Acronyms…v               
Acknowledgements …vii         
Foreword…viii             
Purpose, target readers and structure of this document…xi
Purpose of this document …xi
Target readers …xi
Structure of the document… xi
Glossary … xiii
Consensus statement: comprehensive package of interventions….xvi

1. Introduction…1
     1.1 Definition of men who have sex with men and transgender people…1
     1.2 Epidemiological and behavioural situation of HIV and STI among MSM in Asia–Pacific…2
     1.3 The health sector response ….8
     1.4 A partnership approach …9
     1.5 Enabling environment for effective interventions…10     
     1.6 Priority interventions: an overview …12

2. Prevention…4
     2.1 Maximizing the health sector’s contribution to HIV prevention …14
     2.2 Key issues in HIV prevention for MSM…15   
     2.3 Promoting and supporting condom use …17
     2.4 Peer and outreach education…19
     2.5 Drop-in centres…20    
     2.6 Communication strategies… 21
     2.7 Post-exposure prophylaxis … 22
     2.8 Prevention for particular populations …24

3. Sexual health …32
     3.1 Sexual health needs of MSM and TG …32
     3.2 Detection and management of sexually transmitted infections …34
     3.3 Enabling people to know their HIV status…36
     3.4 Counselling…. 38
     3.5 Female partners …39

4. Access
     4.1 Continuum of care …40
     4.2 Treatment and care interventions …..41
     4.3 Transgender health ….49
     4.4 Mental health …51
     4.5 Vaccinations ….52
     4.6 Coinfections (TB and hepatitis)…53
     4.7 Substance use …55
     4.8 Laboratory issues …56

5. Strategic information…59
     5.1 Estimating the size of the MSM population …  59
     5.2 Surveillance for HIV, STIs and related behaviours …61
     5.3 Research …62
     5.4 Monitoring and evaluation ….64
     5.5 Using strategic information effectively for programme improvement… 66

6. Strengthening health systems …70
     6.1 Service delivery ….71
     6.2 Health workforce …73
     6.3 Financing ….74
     6.4 Leadership and governance …75
     6.5 Coalition building and partnerships…76
     6.6 Stigma and discrimination …78

References…80
     Chapter 1: Introduction…80
     Chapter 2: Prevention…81
     Chapter 3: Sexual health …86
     Chapter 4: Access to care, support and treatment …89
     Chapter 5: Strategic information…99
     Chapter 6: Leadership and governance…103

Full text of report can be found at link below-

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