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The need for better HIV data, funding and services for MSM and transgender persons


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The need for better HIV data, funding and services for MSM and transgender persons

  1. 1. Zeroing in on the Gaps The need for better HIV data, funding and services for MSM and transgender persons Presented by Clif Cortez Practice Leader HIV, Health and Development Practice UNDP Asia Pacific Regional Centre
  2. 2. 2011 Political Declaration First General Assembly resolution to specifically name men who have sex with men (Para 29). The declaration made a specific target of halving sexual transmissions by 2015 Other commitments relating to human rights, NSPs, prevention, treatment, advocacy. However, it left out transgender persons in the entire document.
  3. 3. Data Gaps To meaningfully develop a set of indicators to measure progress towards the Political Declaration, data is missing in many areas, including: •HIV incidence of MSM and transgender persons in many countries •% of MSM and transgender persons eligible for ARVs accessing ARVs •% of funding for MSM and transgender HIV services and for community services and advocacy •Availability of PEP or PrEP
  4. 4. Countries This presentation will focus on the UNAIDS priority countries supplemented by some additional countries: •Cambodia •China •India •Indonesia •Myanmar •Nepal •Philippines •Thailand •Vietnam
  5. 5. Sexual Transmission Cambodia, Nepal and Vietnam do not disaggregate data on sexual transmission of HIV. Furthermore, Myanmar and Thailand do not disaggregate MSM sexual transmission. None of the 9 countries disaggregates data for transgender sexual transmission. Surveillance methodologies need to be updated to include MSM and transgender sexual transmission of HIV and the data be disaggregated to be able to measure the target of reducing HIV transmissions.
  6. 6. % of HIV transmission that is sexual Source: AIDS Datahub
  7. 7. % of HIV transmission that is MSM Based on imperfect data from the 4 out of 9 countries that disaggregates for MSM Source: AIDS Datahub
  8. 8. Prevalence of HIV
  9. 9. % prevention funding on MSM
  10. 10. Prevention coverage among MSM
  11. 11. % of condom use at last anal intercourse
  12. 12. Testing (past 12 months) & know results
  13. 13. Towards Zero: current gaps • Gaps in data – All countries need to collect and disaggregate data for MSM and transgender persons, particularly incidence, prevalence, prevention, treatment and funding data • Gaps in resources and coverage – Adequate funding for universal coverage, appropriate services that are accessible and non-discriminatory, especially given increasing trends – Adequate funding for community led interventions, and community led advocacy • Gaps in law, policy and human rights – Already discussed previously at RITA, but issues surrounding criminalization, recognition of transgender status, non- discrimination, access to justice are also key.
  14. 14. Steps forward • Build accurate surveillance of HIV incidence among MSM and transgender to provide baseline • Increase funding for MSM and transgender HIV prevention, improve prevention and treatment coverage and increase the rates of consistent condom use. The funding need to be commensurate to the cost of reducing HIV incidence among MSM and transgender communities by 50% by 2015. • Increase funding for community organizations engaging in health service delivery, advocacy or community mobilization.