This tool is designed for use by public-health officials and managers of HIV and STI programmes; NGOs, including community and civil-society organizations; and health workers. It may also be of interest to international funding agencies, health policy-makers and advocates. It is meant to cover implementation of interventions across the full HIV services continuum, including prevention, treatment, care and support interventions. Each chapter explicitly or implicitly addresses one or more of the 2011 Recommendations or 2014 Key Populations Consolidated Guidelines.
Chapter 1: Community Empowerment is the foundation of the tool. This chapter describes how empowerment of men who have sex with men is both an intervention in itself, and also essential to effective planning, implementation and monitoring of all aspects of HIV and STI prevention, treatment and care.
Chapter 2: Addressing Violence focuses on one of the most urgent needs of men who have sex with men: to be protected from violence, discrimination and other forms of human-rights violation. The effectiveness of HIV and STI prevention interventions is often compromised when interventions to address violence are not implemented concurrently.
Chapter 3: Condom and Lubricant Programming presents a detailed description of how to plan and implement the provision of condoms and lubricants, using the approaches outlined in the previous chapters. The chapter covers planning for and managing adequate supplies, multi-level promotion of the commodities and creating an enabling environment.
Chapter 4: Health-Care Service Delivery presents detailed descriptions of fundamental prevention, care and treatment interventions, incorporating the approaches outlined in the previous chapters. The services described include sexual and risk minimization, anal health and STIs, voluntary HIV testing and counselling, pre- and post-exposure prophylaxis, antiretroviral therapy, and treatment of STIs and of co-infections such as tuberculosis and viral hepatitis, mental health, and substance use. The chapter also addresses community-led service delivery and safe spaces.
Chapter 5: Using Information and Communication Technology (ICT) describes the ways in which men who have sex with men currently use ICT, and how ICT can be used for outreach, support and advocacy for men who have sex with men.
Chapter 6 Programme Management and Organizational Capacity-Building provides practical guidance on planning, starting, scaling up, managing and monitoring an effective programme from two perspectives: (1) a large multi-site programme with centralized management and multiple implementing organizations, and (2) local community groups seeking to start or expand services.