MSM and HIV/AIDS Risk in Asia: What Is Fueling the Epidemic Among MSM and How Can It Be Stopped?

Published: August 1, 2006

MSM and HIV/AIDS Risk in Asia: What Is Fueling the Epidemic Among MSM and How Can It Be Stopped?

Table of Contents
 
Acknowledgments ……………………………….. i
Executive Summary………………………………..1
Background ……………………………………. 4 
     The Asian HIV/AIDS Epidemic Has Targeted Vulnerable Communities ………………………………………. 4    
     HIV/AIDS and MSM in Asia: A Smoldering Fire ……………………………………………………………………….. 4
What Is theTarget Population?………………………………………………………………………………………………5
     Diverse Populations; DiverseTerms…………………………………………………………………………………………5
     MSM as a Problematic Categorization …………………………………………………………………………………….5
     MSM in Asia Engage in a Wide Variety of Behaviors ……………………………………………………………….. 6
     MSM Exist in Both Dense and Loose Networks ………………………………………………………………………. 8      
     Lack of a Unified MSM Community………………………………………………………………………………………… 8
Key Findings …………………………………………………………………………………………………………………………. 10
     Asia Has Many MSM ……………………………………………………………………………………………………………. 10
     Many MSM in Asia Have HIV/AIDS ……………………………………………………………………………………….. 10
     MSM in Asia Have a High Prevalence of Risk Behaviors ………………………………………………………… 11
     Table 1: Population and HIV Seroprevalence Data by Country ……………………………………………….. 11
     HIV Infection Among MSM Can Spread Quickly…………………………………………………………………….. 15  
     Prevention Messages Fail if They Are not Specific to MSM………………………………………………15
     Interventions in Asia Have Worked ……………………………………………………………………………………….. 16
Why Have MSM Been Neglected?………………………………………………………………………………………..17
     Stigma and Violence Foster Invisibility ………………………………………………………………………………….. 17
     MSM Are Less Visible Than Other Vulnerable Groups …………………………………………………………….. 18
     Migration Further Complicates Interventions ………………………………………………………………………… 19
     MSM Prevention Is Conducted Almost Exclusively by NGOs …………………………………………………. 19
What Is Needed?……………………………………………………………………………………………………………………20
     1. Recognition of the Problem and of the Urgent Need for Political Leadership ……………………….20
     2. More Surveillance and Research to Understand Epidemics ………………………………………………..21
     3. Greater Access to Prevention and Treatment Services ………………………………………………………… 22
     4. Support  for Peer-Driven Initiatives …………………………………………………………………………………….. 23
Appendix 1: Methodology……………………………………………………………………………………………………25
Appendix 2: NGOs Leading the Way……………………………………………………………………………………27
Appendix 3: Country Profiles………………………………………………………………………………………………35
Appendix 4: Contributors…………………………………………………………………………………………………….55
Appendix 5: Directory of Organizations Working With MSM in Asia……………………………….56
Appendix 6: TREAT Asia and amfAR…………………………………………………………………………………..73
Appendix 7: Legality of Male-Male Sex………………………………………………………………………………75
Appendix 8: Bibliography/Endnotes…………………………………………………………………………………….76
 
-Full text of report can be found at link below-

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