Promoting the health of men who have sex with men worldwide

2. Promoting the health of men who have sex with men worldwide A training curriculum forproviders

3. The MSMGF-JHU Curriculum for Providers • To arm local community groups with the ability to independently implement training programs to build cultural and clinical competency among healthcare providers

4. Guiding Framework • Sexual Health Framework • Move away from a disease model • Focus on strengths-based approaches and sexual harm reduction • Designed for easy adaptation • Modular facilitating use of specific modules; Offers flexible training options • Complements local training efforts and tools

5. KNOWLEDGE ATTITUDE SKILLS

6. What are the nine modules? Understanding Gay Men and Other MSM Sexuality and Health Barriers to Health Creating a Friendlier Environment Promoting Mental Health Taking a Sexual History Supporting Gay Men and other MSM Who Use Drugs and Alcohol Interventions for HIV and STI Prevention Clinical Care for HIV and other STIs

7. Are there any accompanying materials? • Participant’s guide and deck of PowerPoint slides to accompany each module are available for download from www.msmgf.org/promotinghealth • Instruments to evaluate the process and outcomes of the training are also provided. The evaluation tools are designed to assess: • Learning needs assessment. • Pre- and Post- Assessment • Process Evaluation (Overall Satisfaction) • Follow-up Surveys • Providers • Clients

8. Pilot Test with GALZ, Zimbabwe

9. Evaluation Results

10. Evaluation Results

11. Evaluation Results

12. Evaluation Results

18. Promoting the health of men who have sex with men worldwide A training curriculum for providers

19. Module 1:Understanding Gay Men and Other MSM

20. Learning Objectives 1 Define MSM and common sexual practices 2 Identify unique health issues faced by gay men and other MSM Discuss provider roles in addressing the health needs of gay men and other MSM 3

21. Who are MSM? MSM are men who have sex with other men • Not all MSM identify as ‘gay,’ or bisexual • There is great diversity within gay-identifying and non gay-identifying MSM, socially and culturally defined sub-groups and sub-cultures • MSM may be married, have children, and have sex with women • MSM are often hidden within their communities • MSM cannot be identified by clothing, mannerisms, or social roles

22. Evidence of Male-to-male Sex Same-sex behavior exists globally • In a recent study in the United States, 3.8% of Americans identified as lesbian, gay, bisexual, or transgender (LGBT), and 8.2% engaged in same-sex behavior • Other studies show varied prevalence of MSM in E Asia, S and SE Asia, E Europe, Latin America, and Africa • Most study findings are underestimates because of underreporting: • Fear of stigma and discrimination • Criminalization of same-sex behaviors (77 countries) • Subsequently, gay men and other MSM can remain invisible in the healthcare system, hindering their healthcare provision

23. www.msmgf.org/promotinghealth

25. Technical Advisory Board Eduard Sanders – Kenya (Kenya Medical Research Institute) Kevin Rebe – South Africa (Anova Institute) Paul Semugoma – Uganda (Frank and Candy, AMSHeR, MSMGF) VenkatesanChakrapani – India (Center for Sexual Health Research and Policy) Frits Van Griensven – Thailand (University of California, San Francisco) Martin Choo – Malaysia (University of Malaya) Igor Toskin – Switzerland (WHO) Carlos Caceres – Peru (Universidad Peruana) Rafael Mazin – USA (PAHO) Billy Pick – USA (USAID) Ken Mayer – USA (Fenway Institute) George Ayala – USA (MSMGF) Chris Beyrer – USA (Johns Hopkins) Rodney Vanderwarker – USA (Fenway Institute) James Robertson – India (Alliance India)

26. Conclusion Partnerships Technical Support Sustainability

27. Acknowledgements Technical Advisory Board Krystal Mason Ryan Zahn Liesl Messerschmidt Ivy Climacosa Clarence Low GALZ Stefan Baral George Ayala

28. www.msmgf.org/promotinghealth