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Breaking the silence

South African HIV policies and the needs of men who have sex with men

Bibliographic Data

ID4885389
AuthorsLaetitia C Rispel (0000-0001-7806-6331, University of the Witwatersrand), Carol A Metcalf, Carol Metcalf (Human Sciences Research Council)
Year2009
Volume17
Issue33
Pages133-142
Publication date2009-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueReproductive Health Matters (JOURNAL)
Journal identifiersISSN: 0968-8080 • E-ISSN: 1460-9576
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1016/s0968-8080(09)33442-4
PMID19523590
OpenAlexW2033708390
LanguageEN
Citations received17
References cited19

Although the HIV epidemic among men who have sex with men (MSM) in South Africa preceded the onset of the generalised HIV epidemic by several years, current policies and programmes focus on heterosexual transmission and mother-to-child transmission. We used an adaptation of the UNAIDS Country Harmonised Alignment Tool (CHAT) to assess whether existing HIV policies and programmes in South Africa address the needs of MSM. This covered mapping of key risk factors and epidemiology of HIV among MSM; participation of MSM in the HIV response; and an enabling environment for service provision, funding and human resources. We found that current policies and programmes are unresponsive to the needs of MSM and that epidemiologic information is lacking, in spite of policy on MSM in the National Strategic Plan. We recommend that government initiate sentinel surveillance to determine HIV prevalence among MSM, social science research on the contexts of HIV transmission among MSM, and appropriate HIV prevention and care strategies. MSM should be closely involved in the design of policies and programmes. Supportive programme development should include dedicated financial and human resources, appropriate guidelines, and improved access to and coverage of HIV prevention, treatment and care services for MSM

Business · Economic growth · Environmental health · Family medicine · Focus group · Men who have sex with men · Political science · Service delivery framework · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine

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Unique citing works17
Citations per year1,13
Citation span2011 - 2022 (12)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 17

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