Brazilian national plan to combat the AIDS and STD epidemic among men who have sex with men and transvestites – strengthening intersectoriality and social networks
Issues: The Plan has been built based on the perspective that the response to the epidemic is not uniform throughout Brazil, that different contexts of vulnerability exist and that the ways sexuality is exercised impose new challenges to addressing health promotion. Outstanding among the contexts of vulnerability are the inclusion of young men in the epidemic, the dynamics of non-traditional spaces used for socializing (cruising areas, cinemas, saunas, parks, public toilets, etc.), intraconjugal prevention and all the situations involving disrespect for rights and diversity relating to sexual orientation and identity.
Description: The plan’s targets are planned to be met between 2008 and 2011. Actions include those relating to increased access to prevention commodities; the development of new technologies; strategies for combating stigma and discrimination; strengthening inter-institutional partnerships; and knowledge production.
Lessons learned: The Plan expresses the commitment of the three levels of government and civil society to implant and implement this public STD/AIDS prevention and control policy, recognizing that specific vulnerabilities exist which continue to contribute towards these groups being more susceptible to infection and having higher prevalence rates than those found in the general population.
Next steps: The fulfilment and the success of the commitments established in this Plan are associated with the involvement of the health sector, at all three levels of government, and, above all, with the involvement of health service managers, health professionals and social leaders. Alliances of this nature will ensure an increasingly effective, inclusive and sustainable response to the HIV epidemic.
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