- 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 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.
- Review plans of Government Departments, other identified sectors and Provincial Government for inclusion and start to build relationships.
- Audit of current MSM/LGBTI service delivery by Sector members. Costing thereof, funding sources current and on medium and long term.
- 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.
- 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.
- 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.
- 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
- 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
- Integrate with research TTT. Priorities are prevalence for lesbian/transgender/intersex people
- Develop comprehensive resource lists and link with current directories such as HIV 911
- Explore possibility of “health passport”” which clients can use between different service providers