The LGBTI Sector


  • Men who have Sex with Men (MSM) is specified as a Key Population in the National Strategic Plan 2011-2016
  • It is situated in a broader group – lesbian/gay/bisexual/transgender/intersex people better known with acronym LGBTI.
  • There have been about 5 HIV prevalence studies among MSM’s. In most recent study, it was found that 30% of respondents are HIV+.
  • We know very little about HIV prevalence among lesbian women, transgender and intersex people.
  • There is very little Government funding for programmes for the LGBTI community.

The Sector

  • The Sector consists of service providers who have done most of the groundwork in research, advocacy, training, treatment, support and care for the LGBTI community.
  • These service providers are OUT in Pretoria, ICAP-South Africa, Durban Gay and Lesbian Centre, Pietermaritzburg Gay and Lesbian Network, NACOSA, Triangle Project Cape Town, Anova Health, Desmond Tutu HIV Foundation Cape Town, Gender Dynamix, Intersex South Africa.

Sector Plans

  1. Review plans of Government Departments, other identified sectors and Provincial Government for inclusion and start to build relationships.
  2. Audit of current MSM/LGBTI service delivery by Sector members. Costing thereof, funding sources current and on medium and long term.
  3. Development of communication strategy. It will include external liaison as well as consistent internal messaging (for example PEP for sexual prevention). Build relationship with communication TTT with aim of on-going integration. Dissemination of various fact sheets on lesbian/transgender/intersex vulnerabilities, and patriarchal masculinities.
  4. On-going advocacy for the procurement of water based lubrication, PEP and PrEP, femidoms (also for anal sex). For inclusion in next Government budget and based on partner’s gap analysis.
  5. Integration of various trainings within the RTC. These are key population manual, NIMART and PEP. On-going advocacy within NDOH to achieve this for both health care workers and community outreach workers.
  6. Advocate with NDOH for the roll-out of the Service Guidelines to Key Populations. Advocate and institute with NDOH High Transmission Unit for a permanent Key Population Reference Group
  7. Develop M&E strategy and plan. To include monitoring within the mainstream sector from a ward level and up. Also to develop Sector M& E framework to collate client stats on quarterly basis which will include services used, hate incidents, and experiences with mainstream health
  8. Integrate with research TTT. Priorities are prevalence for lesbian/transgender/intersex people
  9. Develop comprehensive resource lists and link with current directories such as HIV 911
  10. Explore possibility of “health passport”” which clients can use between different service providers

The leadership of the sector:

Mr Dawie Nel (chairperson)
Ms Nonhlanhla Mkhize
Mr Brian Kanyemba

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