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Using a mobile van to provide voluntary counseling and testing (VCT) to high-risk and closeted MSM

Using a mobile van to provide voluntary counseling and testing (VCT) to high-risk and closeted MSM. Edward S. Smith, MD Vía Libre Lima, Perú. OUTLINE. ISSUES DESCRIPTION RESULTS LESSONS LEARNED NEXT STEPS. ISSUES. Peru has a concentrated HIV epidemic in MSM

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Using a mobile van to provide voluntary counseling and testing (VCT) to high-risk and closeted MSM

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  1. Using a mobile van to provide voluntary counseling and testing (VCT) to high-risk and closeted MSM Edward S. Smith, MD Vía Libre Lima, Perú

  2. OUTLINE • ISSUES • DESCRIPTION • RESULTS • LESSONS LEARNED • NEXT STEPS

  3. ISSUES • Peru has a concentrated HIV epidemic in MSM • Lima: HIV prevalence in MSM is 22% • VCT: main strategy for preventing HIV • MSM reported lower percentage of condom use with women compared to men (17% vs. 25%) • Geographical barriers, cultural barriers Sánchez J, et al . HIV-1, sexually transmitted infections, and sexual behavior trends among men who have sex with men in Lima, Peru. J AcquirInmuneDeficSyndr. 2007 Apr 15; 44 (5): 578 - 85

  4. PROYECT SOMOS(Optimal Services to Improve Opportunities in Health) • Improve access of the gay, bisexual and trans (GBT) community to services of counseling, diagnosis and early treatment for HIV. • Improve the quality of services that the governmental referral centers for HIV and STI provide to the GBT community. EUROPEANUNION

  5. DESCRIPTION • VCT through a mobile van • Reach MSM who do not have access to health care services at: • Gay venues • Saunas, parks, discotheques, dark rooms, bars, night clubs • Poor areas where MSM live: immigrant indigenous communities • Peak times of activity / mostly at night

  6. DESCRIPTION • Multidisciplinary team • Results given within 20 minutes • Why give the result in the same place? • Managing a positive result • Engaging HIV+ people into the system that provides free HAART

  7. DESCRIPTION • Health services: Give the options • Advertisement of the places where the unit will be through our web site: http://somos.vialibre.org.pe • Individual Case Managers • Condoms / lubricants / brochures

  8. MOBILE UNIT

  9. RELEASE OF INFORMATION

  10. TESTING IN THE MOBILE OUTSIDE OF A DISCOTHEQUE

  11. CANTAGALLO (LIMA-PERU)Immigrant community

  12. RESULTS

  13. RESULTS

  14. RESULTS

  15. RESULTS

  16. LESSONS LEARNED • Accessible venue and accessible hours • Important number of non-gay identified MSM • Emotional management: key strategy • Coordination with local authorities (sustainability) • Participation in events (visibility) • Non advertise the mobile as a Gay unit

  17. NEXT STEPS • Transfer this model to local government • Assess whether other vulnerable groups can benefit it. • Synergies with other organizations

  18. ACKNOWLEDGEMENTS • Jorge Vásquez Del Águila, MD • Carlos Antón Talledo, RO • Silvana Santos Alegría, MD • Robinson Cabello Chávez, MD • Magaly Blas Blas, MD EUROPEANUNION

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