IRMA-led Global Collaboration Supports Lubricant Advocacy Projects in Africa

Social marketing material developed by Centre for Popular Education and Human Rights, a 2014 GLAM grantee in Ghana

AVAC, amfar, COC Netherlands and International Rectal Microbicide Advocates (IRMA) are pleased to announce seven Global Lube Access Mobilisation (GLAM) awards to projects in Africa.

GLAM, an initiative of IRMA’s Project ARM (Africa for Rectal Microbicides) in collaboration with amfAR, AVAC, and COC Netherlands, promotes advocacy in support of increased access to safe, condom-compatible lubricants for all Africans who engage in anal and vaginal intercourse, including GMT (gay men and other men who have sex with men, and transgender individuals) and heterosexual men and women.

In response to a request for proposals widely disseminated in February 2014, GLAM partners received 36 proposals representing 17 African countries (Botswana, Cameroun, Côte d’Ivoire, Democratic Republic of Congo, Ghana, Kenya, Lesotho, Malawi, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Togo, Uganda, Zambia and Zimbabwe). A diverse team of 20 advocates and public health professionals with an interest in lubricant access in Africa (from Nigeria, Uganda, Kenya, Zambia, Liberia, South Africa, Rwanda, Benin, Canada, Netherlands and the United States) reviewed the proposals.

Seven projects were selected for funding. These projects began in early July 2014 and will complete their efforts in December 2014. Following is a list of these projects.

Alternatives Cameroun (Douala, Cameroun)
Working in collaboration with other organizations in Douala and Yaoundé, Alternatives Cameroun plans to organize meetings and workshops with health officials and other HIV stakeholders in the country. The meetings and workshops will underscore the importance of providing safe, condom-compatible lubricant as part of comprehensive HIV and STI prevention programming. These activities support the ultimate goal of developing and securing a channel for the distribution of safe, condom-compatible lubricant throughout Cameroun.

Centre for Popular Education and Human Rights (Accra, Ghana)
Centre for Popular Education and Human Rights (CEPEHRG) will campaign to increase access, availability, and use of safe, affordable, condom-compatible lubricant by all who engage in sexual intercourse in Ghana, with special attention given to the LGBT community. The group will call for the inclusion of condom-compatible lubricant in the national essential drug list. Educational and social marketing efforts will take place at the community outreach level and through CEPEHRG’s national advocacy work.

Centre Stage Media Arts Foundation (Bulawayo, Zimbabwe)
Centre Stage Media Arts Foundation (CSMA) will convene policy advisory seminars to engage stakeholders from the Ministry of Health, legislators and members of civil society in support of three goals. One, integrate access to safe, condom-compatible lubricant in the Zimbabwe National HIV/AIDS Strategic Plan. Two, advocate for inclusion of lube as a line item in the national HIV prevention budget. Three, campaign for policy and program changes to allow for the distribution of lube through the same public health distribution channels that condoms are distributed through. A policy brief on the integration of lube access into national HIV prevention policies and programs will be produced. Traditional and social media will be utilized.

Community Health Education Services & Advocacy (Dar es Salaam, Tanzania)Securing government leadership and commitment to amend the national condom policy and include the provision of safe, condom-compatible lubricant in public health facilities is the chief goal of Community Health Education Services & Advocacy (CHESA). The group will work to build multi-sectorial awareness of the importance of lubricant and will engage the Minister of Health and Social Welfare, health care practitioners, community based organizations, as well as members of the GMT community. The public health message will be “Condom Compatible Lubricant Reduces New HIV Infections.”

Men Against AIDS Youth Group (Kisumu, Kenya)
Men Against AIDS Youth Group (MAAYGO) seeks to increase access to safe, condom-compatible lubricants through several methods. The group will conduct a needs assessment and implement a targeted advocacy campaign in Kisumu County for the GMT community, health care workers, and policy makers. Educational workshops will be conducted with the goal of developing a cadre of lube access advocates who will work to improve government policies and programs. A print/social marketing campaign highlighting the importance of lubricant access in HIV/STI prevention programming will be launched.

New HIV Vaccine and Microbicide Advocacy Society (Lagos, Nigeria)
The strategy New HIV Vaccine and Microbicide Advocacy Society (NHVMAS) will take to improve lubricant access in Nigeria will be to create public demand for these important products for both men and women. Advocacy will be conducted at the state and national levels to promote government investment in lube access. NHVMAS will utilize its listserv, engage the media, and conduct trainings to enhance community awareness of the importance of safe, condom-compatible lubricant in HIV/STI prevention programming.

Partners in Health Research and Development (Thika, Kenya)
The work of Partners in Health Research and Development (PHRD) will seek to improve knowledge of and access to condoms and safe, condom-compatible lubricant among key populations in Kenya. In addition, the group will undertake actions in support of the establishment of a sustainable condom and lubricant delivery system. Sensitisation sessions will be conducted for stakeholders including HIV prevention advocates, civil society coalitions, policy makers, government officials, donors, condom distributors and the media. The inclusion of safe, condom-compatible lubricant in the National Strategic Plan is one of the project’s key projected milestones.


Related materials:

Click here for the GLAM Toolkit in English in French.

The GLAM initiative supported three African projects in 2013. Click here for a GLAM PowerPoint presentation that includes information on these projects.

Click here to access the Project ARM report, "On the Map: Ensuring Africa's Place in Rectal Microbicide Research and Advocacy", published in 2012.

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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

  *Also, please note that shared news items from other sources posted on this blog, Facebook, and Twitter do not necessarily mean IRMA has taken any position on the article's content.

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Those Lube Stickers Aren’t Just For Show!

by Mike Wilson
(former IRMA intern, IRMA advocate forever)

 Hello IRMA! It feels like I have not said that greeting in ages. I may not be an intern with the AIDS Foundation of Chicago, but I have certainly not left behind my engagement with (and love of) IRMA and other HIV prevention organizations.

Since leaving the IRMA internship I have been working as a Youth Advocate for a teen center in the greater Chicago area. While I will honestly attest to the fact that working with the teens at the center and local community has been a rewarding experience, it has not come without its fair share of awkwardness - most notably the “pearl clutching” that occurs when people ask me what I did before working at the teen center.

And to be fair, it hasn’t all been “pearl clutching.” The community in this area is absolutely fantastic, I have been surprised time and time again at how committed this community is to its teens and families. And as my husband and I move to upstate New York, we can only hope that we find ourselves in a community as dedicated to the concept of community. Particularly among the teens there has been a surprising interest in discussing HIV prevention methods - so hopefully the seeds of future activism are being planted.

Along with this surprising interest, there has been confusion and silence as I get the feeling that many of the teens (and members of the community) are ignorant of the HIV/AIDS battle being fought not even a mile away in the city of Chicago. Though the mostly white, fairly wealthy families of this area are privileged enough to not be the face of the HIV/AIDS epidemic in Chicago, but within that privilege they often find themselves shut off from understanding how real and close this epidemic is. Perhaps the best way to explain this is by discussing what happened last weekend.

In an effort to get teens involved in volunteer work, our center leads monthly trips into Chicago to a soup kitchen to let the teens learn about experiences other than their own and to learn the importance of community engagement and volunteerism. These trips involve meeting at the center and then piling into the cars of various staff members.

However, this time, as I was closing up the center doors, teens had began to make their way into the parking lot. A group of four teens happened to notice a small blue Neon that has a few (too many) bumper stickers on the back. Interestingly enough, these teens didn’t know that this was my car. As I approached the group to let them in my car, I could hear them laughing and one of them saying “And Lube? And Lube? What the hell?” To which, the group continued to laugh more than I thought someone could at the concept of lubricant.

Not sure how to proceed I walked through the group and unlocked the car. There was this awkward pause as the teens looked at me, in shock that they were making fun of bumper stickers on a car that they didn’t know was mine. I opened my door to get in and the teens still stood, seeming hesitant. To which I just said, “well lube matters” and quickly followed that with “ok, now come on. We’re going to be late”. And they hurried into the car.

Even with the radio on, there was an awkward silence in the car. The teens were clearly worried that I may have been upset and I was attempting to figure out how to best explain that I wasn’t upset with them, but still reinforce some message about GLAM (Global Lube Access Mobilization) and the “And Lube” campaign.

Suddenly, the silence was broken. “So, uh, Mike... yeah... we weren’t making fun of your car. It’s just, having a sticker about lube isn’t something you see everyday”.

To which I laughed a bit. “Oh please, I wouldn’t care if you made fun of this car. I’m a grad student, of course my car isn’t wonderful.”

To which a teen perked up in his seat. “So what? Do the stickers hold the car together?” The teens laughed, I couldn’t help but join in a bit.

“More or less,” I responded. “And really guys, don’t worry about it.”

“So I have to ask, what does ‘And Lube’ mean?”

“Well, the ‘And Lube’ campaign is exactly what it sounds like. It’s about advocating for proper lubricant along with condoms in the fight against HIV/AIDS.”

“Why would you need that?”

“Well, as I’m sure you’ve discussed in health classes. Condoms can break, or slip, or tear. And that can make them problematic for HIV/AIDS prevention. Having proper lubricant along with condoms helps prevent those issues and thus helps to prevent new HIV infections.”

And then the most wonderful reply came: “makes sense.”

There were many ways that I could have handled this situation. My first instinct, honestly, was to just say something along the lines of “lube access isn’t funny,” but I didn’t want to come across as overly judgmental. And in all honesty, before I worked with IRMA, I don’t think I would have thought any differently than this group of teens that I already know are well-engaged.

Yes, this situation may have been awkward at first. But it was a great opportunity to explore that awkwardness and get in some activism. It is surprising how much a sticker can get someone talking and it is even more surprising to see someone engage with that humor and to then be reminded that activism is about education and engagement after all.



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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,200 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.

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Soooooooo..... Are Lubes Safe?

via Positive Lite, by Marc-André LeBlanc

"This situation is unacceptable. We’re in 2013, for the love of all that is wet and wild! How can we not know the answer to such a fundamental question—are lubes safe?" 

 Here I am again, standing in front of a giant wall of lube options at a local store.

• Water-based, silicone-based, oil-based, hybrid.
• Bottles, tubs, tubes, vats, vials, sachets, packets, pouches, pillows, mix-it-at-home kits.
• Pumpable, flippable, squeezable, scoopable, squirtable, spritzable, speadable.
• Regular, warming, cooling, tingling, numbing.
• Thick, thin, goopy, watery, greasy, sticky, slippery, silky, slick.
• Long lists of unpronounceable chemicals, claims of being organic or all-natural.
• Scents. Flavours. Colours.
• Formulated to look like cum!
• And of course, wildly varying prices.

I’m glad I’m not meeting that guy for another three hours. 

So which lube should I get? Which ones are safe? Which ones should I avoid? 

Who knows!

No, seriously. Who knows? If I don’t, I can only assume nobody else does. After all, I coordinate the global Lube Safety Working Group for IRMA—International Rectal microbicide Advocates. 

This is the shocking reality: more than 30 years into the HIV pandemic, we still have no clear answers on whether sexual lubricants (lubes) increase, decrease, or have no impact on the risk of acquiring HIV and other STIs sexually transmitted infections (STIs). 

Many men, women and transgender individuals all across the globe use sexual lubricants for both vaginal and anal intercourse. We have long promoted the use of male or female condoms with condom-compatible water-based or silicone-based lubes to prevent HIV and other STIs. Lubricants help ensure that condoms don’t break, and that condoms stay on during sex. So, it’s pretty critical we understand if any of these condom-compatible lubes could actually be putting people in harm’s way. 

One thing is clear: we will not get an answer to the lube safety question without advocacy.

Read the rest.

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  *Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.

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Announcing Version 2.0 of the GLAM Toolkit for lube access advocacy in Africa– now in French and English

Today IRMA, in collaboration with amfAR and AVAC, is excited to release a re-designed Version 2.0  of the GLAM Toolkit: Advocacy to improve access to safe, condom-compatible lubricant in Africa. The Toolkit is now available in French in addition to English – making it more useful for Francophone speakers in Africa – and the new design makes it easier for advocates to use.

And it looks great!

The Toolkit provides background on the status of lubricant (lube) access in Africa and suggests potential strategies for civil society and government partners to secure and distribute sustainable supplies of safe, condom-compatible lube. Global Lube Access Mobilisation (GLAM) is a campaign of IRMA’s Project ARM (Africa for Rectal Microbicides) initiative.

They are available on the IRMA blog here where you can also learn more about GLAM and Project ARM. And the Toolkits can be downloaded as PDFs in French and English from the IRMA website.

In April, IRMA, amfAR and AVAC announced three grants to organizations in Liberia, Zambia and Nigeria to campaign for access to safe, condom-compatible lubricants in their communities. Learn more about these grants here.

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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,200 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

 *Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content. -------------------

Three Organisations Receive Support to Improve Lubricant Access in Africa

IRMA*, amfAR*, and AVAC* are delighted to announce that IRMA Nigeria (in partnership with International Center on Advocacy for the Right to Health), Stop AIDS in Liberia (SAIL), and an organisation in Zambia** have been awarded Global Lube Access Mobilisation (GLAM) funding to campaign for access to safe, condom-compatible lubricants in their communities.

Throughout the world, and especially in Africa, safe, condom-compatible lubricant (water- and silicone-based) is inaccessible for most people who engage in anal intercourse.  It is also inaccessible for women who engage in vaginal intercourse.  A number of analyses in various settings indicate that the use of oil-based products is the most common form of lubrication - and is known to significantly reduce condom effectiveness.  Faced with the lack of condom-compatible lubricants, people often resort to such products as body lotion, soap, cooking oil, spit, pre-cum, antibiotic creams, and even motor oil to provide lubrication during anal intercourse. This lack of appropriate lubricant products for people who practice anal and vaginal intercourse is unacceptable, when we know that they can keep condoms from breaking and slipping.

In December 2012, IRMA, amfAR, and AVAC launched "The GLAM Toolkit - Advocacy to improve access to safe, condom-compatible lubricant in Africa, Version 1.0".  The Toolkit is available here and offers tools and ideas for civil society and government partners to secure affordable and sustainable condom-compatible lubricant.  Tools include a fact sheet, case studies, the results of a review of African National and Strategic Plans on HIV/AIDS, and a list of proposed advocacy activities.

After the Toolkit launch, the group released a request for proposals targeted to community advocates and organisations in Africa interested in improving lube access.  Eighteen proposals were submitted from 11 African countries.

IRMA Nigeria, SAIL, and a Zambian organisation received the highest scores in a thorough evaluation process and began their lube access advocacy projects in April.  We wish them the best, and will keep you apprised of their efforts.  It is the hope the other groups will be able to learn from their work, and that one day all Africans who need safe, condom-compatible lubricants have easy, unfettered access to these critical commodities.

In the meantime, download a copy of the GLAM Toolkit to see what activities you can implement now in your own community.  Charting a course now for condom-compatible lube will assist in reducing the spread of HIV and other STIs, as well as pave the way for the eventuality of rectal microbicide access.

Learn more about GLAM here.

*IRMA - International Rectal Microbicide Advocates
*amfAR - The Foundation for AIDS Research
*AVAC - Global Advocacy for HIV Prevention

**At the request of the grantee, the organisation wishes to remain anonymous.

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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.

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