The exploration of MSM intervention models in China
Z. Liu1, L. Wang2, H. Chen2, J. Huang2
1NCAIDS, China CDC, Beijing, China, 2China-MSD HIV/AIDS Partnership, Beijing, China
Background: MSM have become one of the main high-risk populations in China. It is time to take effective intervention in a prompt manner. These studies were aimed at exploring the C-MAP funded MSM intervention models.
(1) Model 1: NGO-led HIV testing model: it has a characteristic with fixed sites, time and targeted groups. It expanded the coverage of MSM access and utilization HIV testing by using a snowball approach.
(2) Model 2: CDC-led, targeted group participatory behavior change intervention: Through the formation of specialized working groups, gatekeeper involvement, targeted group participation, behavior change was promoted and improved;
(3) Model 3: HIV testing promotion and STI clinic-based intervention.
The appropriate intervention sites were selected, key peer educators recruited, a peer educator network formed. STI treatment, psychological counseling, care and support provided by doctors.
Results: 1. There were 1376 people tested. 68 people were HIV positive and 282 had syphilis.The HIV-positive MSM management improved and the follow-up rate went up to 80% or more; 2. The rate of awareness of targeted groups was up to more than 90%; the rate of condom use is up to more than 80%; the rates of HIV testing and syphilis testing is improved to over 70% . 3. The intervention covered 20000-50000 person-times. The rate of HIV/AIDS knowledge is over 90% and the rate of condom use was up to 71%. 156 HIV cases were detected and the MSM HIV positive cases management strengthened.
Conclusions: The practices showed that local MSM group-led model is suitable and cost-effective to improve the access of testing service and follow-up rate, with a good MSM network backup; the behavior change of MSM needs a participatory approach, with all stakeholders involvement and a strong technical support from CDC; STI clinic-based intervention is more sustainable and acceptable for MSM intervention.