Showing posts with label MSM. Show all posts
Showing posts with label MSM. Show all posts

Monday, July 15, 2013

Adherence to rectal microbicide use among mainly ethnic minority young MSM: lessons from a 3-month placebo gel trial at three US sites [IAS 2013]

Oral paper presented by Alex Carballo-Diéguez at IAS 2013.

 

Abstract:

Background: Adherence to product use is the cornerstone of microbicide studies. This is the first study to assess how frequently mainly ethnic minority MSM, ages 18-30, with a history of unprotected receptive anal intercourse (RAI) in the prior year, would self-administer gel using a rectal-specific applicator prior to RAI in their everyday lives.

Methods: Recruitment took place in Boston, MA; Pittsburgh, PA, and San Juan, PR. Participants received 40 applicators prefilled with 4mL of hydroxyethylcellulose placebo gel that they could use over 12 weeks. They were asked to self-administer a dose within 90 minutes prior to RAI and report RAI and gel use at least weekly through an interactive voice response system (IVRS). At week 12, they responded to a Computer Assisted Self Interview (CASI) and underwent an in-depth interview. Participants were repeatedly counseled that the study focused on product adherence and that the gel would not protect against HIV.

Results: 124 MSM were enrolled (Mean age 23.1; 41% White, 40% Latino, 8% African American, 11% mixed/other). 95 participants completed the trial (18 were lost to follow up and 11 withdrew). Based on the IVRS, (n=94, 1 missing data), 88 participants had RAI (Median 10 occasions) using gel on 81.1% of occasions (SD 23.3, range 0-100). Based on CASI, (n=86, 9 refused to answer RAI question) 83 participants had RAI (Median 12 occasions) using gel on 81.7% of occasions (SD 26.7; 0-100). Based on CASI, 69% of men typically applied gel immediately before RAI; 40 inconsistent users gave as reasons not having gel with them (85%), forgetting to use it (48%), not wanting to use it (13%), partner refusal (10%) and gel messiness (10%).

Conclusions: Ethnically diverse young MSM with a history of unprotected RAI showed high adherence to gel use. Adherence to product use could potentially be enhanced by improving portability, facilitating the development of routines to counteract forgetfulness, and improving motivation and partner negotiation skills. Participant retention was challenging and needs further study. Two different self-report methods provided convergent results. Limitation: A product of known efficacy could have different uptake than the placebo used in this study.


Click for slides.

 
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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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Thursday, July 11, 2013

Meet Octavio Vallejo, A Friendly Rectal Microbicide Advocate

Check out this interesting mini-bio of  Octavio Vallejo, the latest in IRMA's "Meet a Friendly Rectal Microbicide Advocate" series on the IRMA website here.  Octavio is one of five new bios posted this week.


Octavio Vallejo
Los Angeles, California, USA

Octavio Vallejo has been working in the HIV prevention field for more than 22 years. As an HIV+ gay Latino man, Octavio has long recognized the need for additional methods of protection for young gay men and other men who have sex with men. His involvement with rectal microbicides came through his interactions with scientists such as Dr. Ian McGowan and Dr. Ross Cranston. Their passion for this issue was contagious and soon Octavio became involved with IRMA's active body of passionate researchers and advocates.


Octavio was drawn to IRMA by its spirit of inclusion and the resolve, resilience, and passion shown by the advocates connected with IRMA. He works for the Capacity Building Assistance program at AIDS Project Los Angeles as a Biomedical Prevention Specialist. This role have given Octavio more opportunities to share evidence-based information to all parties interested in changing the course of the HIV epidemic and educate them about the new generation of prevention tools and approaches.

Currently, Octavio and his fellow staff members are in the process of creating the platform to bring microbicide advocacy to the forefront of all their trainings, educational endeavors and prevention discussions.

Thank you Octavio for your continued dedication to HIV/AIDS prevention advocacy! 

------------------- *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. -------------------

Friday, August 24, 2012

Challenges for HIV Pre-Exposure Prophylaxis among Men Who Have Sex with Men in the United States

via PLoS Medicine, by Gordon Mansergh, Beryl A. Koblin, Patrick S. Sullivan


Summary Points:

Pre-exposure prophylaxis (PrEP) with anti-retroviral (ARV) medications is partially efficacious for preventing HIV infection among men who have sex with men (MSM) and heterosexuals.

As PrEP becomes available and prescribed for use among MSM a better understanding of willingness to use PrEP and avoidance of condom use are needed so that behavioral programs and counseling may be enhanced for maximum benefit.

Targeted messaging will be needed about ARV prophylaxis for various at risk populations, but the general message should be that condoms continue to be the most effective way to prevent HIV transmission through sex and that PrEP is an additional biomedical intervention.

As new effective biomedical intervention methods, such as PrEP, become available language about “protected” and “unprotected” sex, which used to exclusively mean condom use, will need to adapt.

Read the full article 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 1,100 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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Policy Implications of The Lancet MSM & HIV Series


In light of the need to address key populations in the HIV epidemic, the Center for Strategic and International Studies is convening several authors to discuss a special issue of The Lancet focused on the global HIV epidemic among men who have sex with men (MSM).




Thursday, September 6th
3:00pm—5:00pm (EST)
B1 Conference Room
Center for Strategic and International Studies
1800 K Street NW, Washington, D.C.

CSIS will host a dialogue focusing on the domestic and global policy implications of the new research and modeling presented in this special issue. Articles examine the subject from a variety of perspectives, including epidemiology, biological and behavioral factors in HIV transmission, the success of various interventions, costing a comprehensive response, and HIV among black MSM in the United States and elsewhere. Authors will discuss why current programs are failing and HIV epidemics among MSM are still increasing. Sharon Stash, CSIS Global Health Policy Center Senior Advisor, will moderate the discussion with authors Chris Beyrer, Kenneth H. Mayer, Greg A. Millett, and Patrick S. Sullivan, and discussant Chris Collins. The session will open with concise presentations of the key findings and policy recommendations, with the majority of the time reserved for questions and discussion.

Please RSVP at: http://SmartGlobalHealth.org/Lancet

Thank you,

J. Stephen Morrison
Senior Vice President and Director, Global Health Policy Center
Center for Strategic and International Studies

Access the webcast 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 1,100 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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Monday, August 13, 2012

Community engagement is key as rectal microbicides research progresses ahead


While interviewing a range of experts involved with research, development and advocacy of new HIV prevention tools at the recently concluded XIX International AIDS Conference (AIDS 2012), I was reminded of a transgender woman who had said to me in an interview four years back that: "There is no doubt that we need more HIV prevention options - current options don't work especially for people like us... and this is the only possible reason to motivate me to advocate for new prevention options."

This community expert further added: "...'perfect' technologies that disregard social realities don't necessarily deliver results..." The need to engage affected communities as research moves ahead, and engage them with dignity as equal partners is the key to ensure that finally we develop products that are efficient and also when they become available, are actually used by populations in need.



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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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What kind of prevention do gay men need?

 via aidsmap, by Gus Cairns

How do we stop the hyperepidemic in gay men?

A number of presentations at the 19th International AIDS Conference explored the 'hyperepidemic' of HIV amongst men who have sex with men, and especially black MSM.

A paper presented by Gregorio Millet (pictured above at a White House reception honoring people working in AIDS) showed that, at least in the USA, the extremely high incidence and prevalence of HIV in this group is not driven by higher levels of unsafe sex. Instead, very high prevalence, the ease with which HIV is transmitted during anal sex, and the fact that black men (and some other subpopulations of gay men) have sex within small and multiply-connected networks have created a situation in which HIV is hard to avoid.

Given this, what prevention methods would work in gay men? The one that has been talked about most keenly and which continued to generate a great deal of data and debate at Washington was pre-exposure prophylaxis (PrEP) - taking antiretrovirals (ARVs) to prevent, rather than treat, HIV.

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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Friday, August 10, 2012

Most young Thai MSM define as heterosexual, even if they mainly have sex with men

via aidsmap, by Gus Cairns

A large, randomised sample of 21-year-old Thai men, presented at the 19th International AIDS Conference in Washington recently, has found that by far the largest risk factor for HIV infection is gay identity. Contrary to the oft-quoted saying “it’s not who you are, but what you do,” actual male/male sexual behaviour, while still an important risk factor, was not as strongly associated with being HIV positive as gay identity.

The survey was conducted among over 35,000 army conscripts from all parts of Thailand. All 21-year old Thai men enter a lottery at the age of 21 for conscription into the Thai army and of these half a million young men, 60,00 to 100,000, in any year, are conscripted, twice a year in May and October.

This survey thus constituted a truly randomised, cross-sectional survey of the 21-year-old men who were inducted into the Thai army in May 2011. It was conducted no more than two weeks after induction and therefore serving in the army had no influence on the results. Men from all provinces in Thailand were included and from both urban and rural areas.

The survey found that 7% of respondents had had sex with another man (MSM) but that only 1.1% only had sex with men.

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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Thursday, August 9, 2012

Interim Guidance for Clinicians Considering the Use of Preexposure Prophylaxis for the Prevention of HIV Infection in Heterosexually Active Adults

via Morbidity and Mortality Weekly Report

In the United States, an estimated 48,100 new human immunodeficiency virus (HIV) infections occurred in 2009 (1). Of these, 27% were in heterosexual men and women who did not inject drugs, and 64% were in men who have sex with men (MSM), including 3% in MSM who inject drugs. In January 2011, following publication of evidence of safety and efficacy of daily oral tenofovir disoproxil fumarate 300 mg (TDF)/emtricitabine 200 mg (FTC) (Truvada, Gilead Sciences) as antiretroviral preexposure prophylaxis (PrEP) to reduce the risk for HIV acquisition among MSM in the iPrEx trial, CDC issued interim guidance to make available information and important initial cautions on the use of PrEP in this population.

Those recommendations remain valid for MSM, including MSM who also have sex with women (2). Since January 2011, data from studies of PrEP among heterosexual men and women have become available, and on July 16, 2012, the Food and Drug Administration (FDA) approved a label indication for reduction of risk for sexual acquisition of HIV infection among adults, including both heterosexuals and MSM.* This interim guidance includes consideration of the new information and addresses pregnancy and safety issues for heterosexually active adults at very high risk for sexual HIV acquisition that were not discussed in the previous interim guidance for the use of PrEP in MSM.

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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Tuesday, July 31, 2012

Legal barriers and stereotypes block care services for same sex couples

[Citizen News Service and IRMA are collaborating to amplify rectal microbicide research and advocacy, as well as IRMA-led initiatives, throughout AIDS 2012, and after.]


Despite alarming HIV rates amongst the men who have sex with men (MSM) and transgender people, many countries, community leaders, media and society at large continue to hold discriminating stereotypes against them. "Punitive laws will drive MSM and transgender populations underground" rightly said Aradhana Johri of Department of AIDS Control, Government of India. In US alone, according to the Centers for Disease Control and Prevention (CDC) report, although Black American MSM people represent only 13 percent of the US population but they account for about 44 percent of the new HIV infections particularly among those aged 13 -19.

Unless we protect the rights of same sex couples to live a life of dignity, and discourage those who are judgemental about their same sex behaviour, not only we will fail to reduce stigma and discrimination associated with HIV and same sex behaviour, but also fuel homophobia and negative perceptions about HIV testing. People will continue to choose to hide their high-risk behaviour and not seek counseling and testing for HIV and other sexually transmitted infections (STIs).

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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Thursday, July 26, 2012

Lubes a Key Priority in Africa

[Citizen News Service and IRMA are collaborating to amplify rectal microbicide research and advocacy, as well as IRMA-led initiatives, throughout AIDS 2012.]


Condom-compatible lubes are a rarity in Africa forcing transgender women, gay men and other men who have sex with men (MSM) and heterosexual populations that engage in anal sex to utilize alternative methods that potentially exposes them to a range of sexually transmitted infections including HIV, the virus which causes AIDS. Following a meeting of Africa for Rectal Microbicides (Project ARM) held in Addis Ababa, Ethiopia, in December 2011, participants decided to create the Global Lube Access Mobilization (GLAM) initiative to support increased access and availability of condom-compatible lubes throughout the world, beginning with a focus on Africa, employing the tagline "And Lube!"

This tag-line "And Lube!" reminds people to distribute condoms 'and [condom compatible] lube' to make anal sex safer and more comfortable. At the two-day meet, held at the International Conference on AIDS and Sexually Transmitted Infections in Africa (ICASA), initiated by the International Rectal Microbicide Advocates (IRMA) in partnership with AVAC - Global Advocacy for HIV Prevention, participants acknowledge lubricants, or "lube" that can be used with condoms are a key priority for safer anal sex.

"There is a need for lube which is condom safe in many parts of Africa - when you're talking about HIV prevention among men who have sex with men (MSM), it's about condoms and lube," said Kent Klindera, Director, MSM Initiative at amfAR, in an exclusive interview with Citizen News Service.

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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Wednesday, July 25, 2012

Uganda AIDS Activist Sees Hope in Rectal Microbicides

[Citizen News Service and IRMA are collaborating to amplify rectal microbicide research and advocacy, as well as IRMA-led initiatives, throughout AIDS 2012.]

via Citizen News Service, by Chief K Masimba Biriwasha

UGANDAN AIDS activist and medical doctor, Paul Semugoma, 42, said that rectal microbicides have a potential to save the unnecessary loss of lives among men who have sex with men in Uganda and across Africa. According to a study titled, "HIV Infection among Men Who Have Sex with Men in Kampala, Uganda – A Respondent Driven Sampling Survey," it is estimated that the adult male HIV prevalence in Kampala is 4.5 per cent but the prevalence estimates among men who
have sex with men (MSM) is 13.7 per cent. Most MSM still have sex with women, many are married, co-habit with women, and have biological children. MSM in Kampala appear firmly embedded in the general population.

Semugoma, who recently opened up about his sexual orientation after living in a closet for the best part of his life said that rectal microbicides are intuitive and therefore conducive to anal sex.

“The best part is that lubrication is required anyway for anal sex, and having a lube which also serves as a microbicide will help to save the lives of men who have sex with men. A lube will be fantastic because lube is always associated with penile anal sex,” said Semugoma, who is also a medical doctor.

Semugoma said that putting a rectal microbicides on the market in Uganda will be an uphill task due to the hostility against gay men in the country.

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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Friday, July 20, 2012

Battling on Behalf of Gay, Lesbians and Other Sexual Minorities: A Frontline Experience from Uganda

by Anonymous (an IRMA member from Uganda)

Are you aware you are abetting “homosexuality” in Uganda?




Our grass-root takes us among “most at risk populations”-MARPs. The day dawned normally as a carry-over from the previous weekend spent visiting 7 scheduled gay men living with HIV.


Come 8th March 2012 and another anonymous phone call. This time a lady claiming she sells insurance policy calling to meet over a policy I need to have! This was the 17th anonymous phone call I had received since 1st March 2012. Others were of people calling from different parts of Uganda. One ominous one intimated on why am helping people who don’t deserve aiding. This one was at night. I dismissed it as a hoax.

But, on 8th March 2012 I get the call that changed the way I do my grass-root work. I was asked to report to CID (Criminal Investigation Directorate) headquarters for matters concerning our organisation.


I left Uganda and went to a next door country where I stayed up to end of April 2012. How I survived while there is another story too.

My argument is that we need to show the good in all. And this is the mission we pursue. I don’t deny being vocal and instrumental in bringing about visibility of issues of: MSM, Sexual minorities, Long Distance Truckers, substance users, Fisher folk, discordant couples, persons in long term relations and mobile populations. I have helped document this kind of work and it has been the basis of my presentations during consultative meetings on MARPs. This kind of work was first done privately and goes back to 2004. I took up positions with the Ministry of Health-Uganda and have been involved in planning programmes targeting MARPs. After applying and waiting for 4 years our NGO was finally registered in 2011 and have since mobilized grass-root groups to focus on vigilance/ resilience plans.

There has been so much talk on prevention but less on what works among/for MARPs. The Rights agenda has done so much to lay bear action points. With these groups it has been possible to show that MARPs face disproportionate treatment and access. We have improved on their competence and overall sensitivity to issues. They are trained to address issues and overcome them using small steps and participatory planning. It has been possible to disaggregate efforts according to various categories MARPs (MSM, other sexual minorities Sex-workers, Substance users, Fisher-folk, Truckers, PLHIV and couples).

 This is what I have written about consistently for past 3 years. And all this is shared on: www.marpsinuganda.org.

MEETING CID PEOPLE:


I wish to share with you my story as I gave it during the 2 sessions I had with the CID guys. I hope this case which is given as a narrative and retrospectively will help show what activists experience in Uganda. It is about my work and how much I endeavoured to posit the angle of health programming. It is not easy to provide services to those who need especially if they are labeled as undesirables. But, this is a calling that if unanswered may lead to further injustices. I fear for being outed as a “chief recruiter” as I go about my work of treating and doing anti-HIV programmes among at risk populations. There is this battle of egos. I see myself as a public health activist and yet my interrogators and officials from government see me as a “recruiter” climaxing into closure of meetings, denial of safe spaces, fear of de-licensing NGOs, arbitrary detentions and summons to police.

The experience of being hounded by security operatives is un-nerving, un-settling and demotivating. I was asked to go to the CID to report myself because am known to work with MARPs. I at first was scared and had to call two friends for advice: one is part of the high powered state security team and another is our organisation lawyer. These two told me to go and meet the CID but before doing that I first called the person who called me (a one Byakagaba). I told Byakagaba about the security person. This softened my landing immensely. I called him to ask to be given an orientation on what we had to meet about. We negotiated a safer neutral place and he obliged. We later met a bigger team of interrogators at 3 pm up to around 9.30 pm. I think I saw a face of one person we met in two meetings at Protea and during the Uganda Human Rights Commission public hearing on the Anti-Gay Bill.

I remember this person could be the face I recall of one who followed me to the Protea washrooms and asked me why I take time to “help” the homosexuals. I was asked so many questions and many of them repeatedly. I want to share them.

Below are some of the questions that were asked. I want to present to you the questions I recall being asked of me and perhaps that will also give you a perspective of things:

Are you aware you are abetting “homosexuality” in Uganda?


1. Why do you recruit?

2. Who do you recruit? ( In the car to check offices/ resource center)

3. Why do you help?

4. Is everything on these 2 desk tops?

5. Who provides money for all the equipments in your office?

6. Why is your office/resource center in a walled off perimeter?

7. Why did you pay rent, electricity, water bills for a full year? (After going through all filed reports in our filing cabinets)

8. Who else is helping you?

9. How come you have a website?

10. Why is there even any work done among the “homosexuals”?

11. How large are those networks?

12. Why do you help them organize?

13. How much commission do you get from facilitating them (actually said helping)?

14. Why do you treat them?

15. What age group is commonly seen?

16. Where do most meet for recreation?

17. Your neighbours complain of loud noise. Why?

18. Who pays for all the activities?

19. Who come to your resource center?

20. Are there some who spend nights?

21. How many weddings have you conducted here?

22. Why are your phone numbers always busy?

23. Who pays for your airtime?

24. Why do you make it a point to bring out issues of “homosexuals”?

25. Who are MARPs?

26. Why do you sacrifice so much for “them”? ( Towards end of first session at around 8.30 pm)

27. How many have you helped? ( This was another burly faced individual who was looking at me with a very mean and intimidating look).

28. Do you use your position to recruit?

I noticed the desire to label, I noticed the conclusions made around serving the marginalised and noticed the lackadaisical tendencies of the security personnel that already deny one due diligence and attendance even as one who is thought/perceived to be a ‘homosexual’.

In order to get out of this quandary, I asked to be let off with what I was told as we were in the car being driven back for interrogations from our organization offices. Our organisation has consistently been run using our own money. We have come so far and we do not want to stop this work. I did negotiate my temporary freedom and the next day had to leave Uganda. I still wonder at the fate of what they took from our offices. I believe they are now using our two new desk tops for their cafes or have sold them off. I did manage to talk to my captors. I was told to move somewhere for quite some time until issues cool off.

They had suggested 6 months and beyond as opposed to being exiled to a far away off place away from Kampala and my work. I left Uganda with only have a shirt, pair of trousers, a data USB with all sensitive information and my travel bag.

In all this I learnt one big lesson and that is: we need to have the argument of HIV broken down as resilience activities.

These are what we need to document further and share with panels be they the CID! We need to document vigilance and how we, in our efforts actually mobilise, trace, follow up people and that way we are able to identify those with HIV! HIV at grass-root means: being in position to conduct anti-HIV activities; identifying those suffering; remedying the suffering by talking to them to know their needs; integrating psyche-social, sexual health, mental health; preventing abuses, violations, discrimination and stigma and; economic empowerment of those in need.

The individuals, clubs, groups and organisations are an asset and not a liability. I risked lecturing my interrogators but I cannot know where that courage came from and talking reason humbles even the gun-strapping-hand-cuff swinging arms! The use of the word “recruitment” is so common among criminal systems it is also used to relate to the Al-Shabbab issues. People are imagining penetrating “cells” of recruitment with all connotations attached. There should be a clear action point on bringing out health, human rights and development matters of marginalized based on evidence. This is possible.

Let us discourage actions or events that are lacking in integration of health, human rights and development.

 

I FLEE UGANDA:


I approached a human rights defenders’ support organisation and was extended USD 1,000 and a return air ticket to a country of temporary refuge. I had a government salaried job which I had to to leave, home and organization built out of sweat. While in refuge I tried the refuge and asylum seeking procedures. I went to organisations which in turn referred me to other organisations. We had to wait for outcomes. I understand there were so much back and forth consultations and in the long run no support was provided for my further stay during refuge.

I LOOK FOR WORK TO SURVIVE:


After two weeks I run out of money. I decided to do some work pro-bono around treating “marginalized” or training them in health/vigilance/resilience planning integration skills. A friend introduced me to another friend who runs a chronic care center and there I did some volunteer work. I would stay in a nurses’ station and use the washrooms. This place is near the capital city of the country I had taken refuge in. I enrolled for volunteer work during weekends and was fortunate that there were health camps scheduled in the various peoples’ spaces. I was given short contracts in health counselling at the various stations and other activities. I would in turn get a meal and continued social interactions. However, on 27th April 2012, I developed severe malaria which I treated and with some little money I had saved decided to leave for Uganda. I stayed around a border town up to 25th May 2012. I later left under the cover of darkness for our organisation address. I met with friends who lived nearby and managed to get first had intelligence about the affairs of our organisation and the fate awaiting us.

LANDLORD EVICTS US:


Our offices were in a double house turned office and our landlord had got wind of the CID house search in May 2012. He immediately asked us to leave his premises because we were promoting homosexuality according to word going around. In order to get safe passage, I went to police and got two escorts to guard us as we were moving property. We had to get another place where it was safer.

COMMENTS FROM THE NEIGBOURHOOD:


We located our offices in a suburb where most Kampala population has their homes. The various families and residents ganged together and complained to local leaders to have us evicted. There was so much pressure towards our landlord to have us out of the place. We even had graffiti written all over our perimeter wall. We left the premises at night and managed to avoid media.


WHAT WE ARE DOING NOW:


This is July 2012 and we have a smaller place, have managed to attach 170 people living with HIV to Uganda government ARV-accredited facilities. We have approached 112 CBOs and referred all our clients to them for chronic care support. We have managed to conduct a major training for the leaders of 52 groups under our society to take on more organisational roles to avoid so much exposure as people drop into our resource center. We have closed down the transitory home where we would give refuge to evicted marginalised persons. We have had this since 2008. We have joined the bigger networks and have paid membership dues. Such bigger networks include: Uganda National AIDS network; Uganda Health Sciences Association; Uganda National Academy of Science and; Microbicide Trial Network under the Makerere-Johns Hopkins Collaboration. The idea is to engage more with policy. Programmes have been left with the groups which we shall monitor progressively. Another crucial issue is to mobilise resources to enable our organisation move on. We have established a resource mobilisation desk which I head.

APPEAL:


Friends, allies and well-wishers should realize that Africa has a vast number of activists, many of whom have not been exposed through meetings at local or international levels. There are activists bound by professional ethics not to disclose so much information about their work especially if it concerns health conditions. There are activists using music, dance and drama to convey messages of tolerance and interventions. Many have not been thanked nor are they supported by funds from external sources. These activists deserve our appreciation.

It is my hope that the Global North will one day reach out to these un-sung activists who are using all resources to make the life of many marginalised bearable.

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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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Meet Toon - A Friendly Rectal Microbicide Advocate

Check out this interesting mini-bio of Wipas Wimonsate (Toon), the latest in IRMA's "Meet a Friendly Rectal Microbicide Advocate" series on the IRMA website here.  Toon is one of the six new bios just posted the other day, including individuals from Thailand, Kenya and the US.  Each will be featured on the blog, and you can read all of them here right now.


Wipas Wimonsate (Toon)
Bangkok, Thailand

"As nature is so diversified, why aren't HIV prevention technologies as well? People have different preferences, needs, and capabilities. If we are to be successful in HIV prevention, we have to understand and accept the nature of people, and that is diversity."

Toon is a medical and social researcher and community associate working with the Silom Community Clinic in Bangkok. The Silom Clinic will be a site for the Phase II rectal microbicide expanded safety and acceptability trial called MTN-017, which will be investigating a reduced-glycerin formulation of tenofovir gel applied rectally compared with oral Truvada among HIV-negative gay men, other men who have sex with men (MSM), and transgender women. His site is expected to begin enrolling volunteers in early 2013.

Outside of work, he enjoys playing badminton, reading, and watching television.

He first got involved with IRMA when he was asked to translate some materials on lubricant safety. "Safety of lubricants for rectal use: A fact sheet for HIV educators and advocates" is available in Thai thanks to Toon, as is the document Safety of lubricants for rectal use: "Questions and Answers for HIV educators and advocates."

Toon believes that rectal microbicides provide a protective option for those who choose not to utilize a condom. He also recognizes that rectal microbicides offer a different manner in which to encourage sexual health, and that the endeavor to develop safe, effective, acceptable and accessibile rectal microbicides will be a major contribution to humankind.

Toon has worked closely on the soon-to-be-released IRMA video ("The Rectal Revolution is Here: An Introduction to Rectal Microbicide Clinical Trials") being developed in partnership with the Microbicide Trials Network and Population Council. He is part of the team's Video Advisory Committee and has provided invaluable feedback on content, messaging and language. Translating from English into Thai is rather complicated, and Toon's guidance has been critical to ensure the team "gets it right." He also facilitated the video segments that were recorded in Thailand, and worked closely on the Thai focus groups which were designed and implemented to test the "rough cut" of the video.

Toon was greatly influenced by Dr. Frits van Griensven, the pioneer of HIV studies among Thai gay men, other MSM and transgender individuals. He is very excited for the upcoming studies in Thailand, and is eager to work towards zero new HIV infections rate gay men, other MSM and transgender individuals, locally and internationally.

Thank you, Toon, for all that you do!



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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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Thursday, July 19, 2012

Meet Rig Rush - A Friendly Rectal Microbicide Advocate

Check out this interesting mini-bio of Rig Rush, the latest in IRMA's "Meet a Friendly Rectal Microbicide Advocate" series on the IRMA website here.  Rig is one of the six new bios just posted the other day, including individuals from Thailand, Kenya and the US.  Each will be featured on the blog, and you can read all of them here right now.


Rig Rush
Los Angeles, California

"By promoting affirming messages that reinforce normalizing overall sexual health and awareness, you can inspire individuals who engage in anal sex to take ownership and accountability of their own behaviors; making confident and informed decisions. In my fierce opinion, that is the basis for HIV and STD prevention."

Originally from Pittsburgh, Rig just moved across country to Los Angeles to become the new Community Mobilization Coordinator at the Black AIDS Institute. He has several interests including going to movies, amusement parks, and taking extremely long walks. He loves meeting different types of people and creating pleasant memories. He also happens to be one of the stars of the soon-to-be-released IRMA video called "The Rectal Revolution is Here: An Introduction to Rectal Microbicide Clinical Trials" being produced in collaboration with the Microbicide Trials Network and Population Council. In the video, Rig relates his experiences as a participant in a rectal microbicide trial with wit, warmth, and passion.

He believes that STD information, brochures and presentations focus on "drips, itches and stenches". Based on the available information, Rig felt he was the only individual who passionately enjoyed receptive anal sex. He also found the small amounts of health-related information regarding anal health/enjoyment highly offensive. Given his frustration, Rig was overjoyed when he heard about the research study that "celebrated the bottom perspective" - the study he talks about in the video.

He acknowledges that "men love sex, and they love unprotected sex, but most men do not think about risk when the moment arises." Condoms protect only when used consistently and correctly. However the concept of rectal microbicides "truly takes prevention and puts it where the rubber meets the road." He finds microbicides in general (both rectal and vaginal) to be the best modern step to fighting the HIV/AIDS epidemic that isn't gay specific. Rectal microbicides have the potential to have a vast and appealing impact on the community collectively.

Rig's advice for IRMA is to remain consistent and committed to promoting awareness and education about rectal microbicides and health. He feels that "the information one obtains from IRMA is very beneficial for the collective gay community."

He will soon be a featured speaker in the satellite session "Rectal Microbicides: Making HIV Prevention Gel" at the International AIDS Conference in Washington, DC with other members of IRMA and allies. The session is taking place in the afternoon on Sunday, July 22, 2012. More info on this event can be found here.

He works to motivate, inspire and unite gay black men and other men who have sex with men around a variety of issues, and continues to support and celebrate black gay men regardless of their HIV status. He strives to help others live productive, informed and authentic lives filled with healthy connections and relationships.

Rig's mother has had the deepest impact on his life. She is his symbol of strength, compassion and authenticity, which shaped Rig into the man he is today. His mother's fearless, positive and audacious appreciation for life ignited a fire that continuously resonates.

Thank you Rig for all that you do!



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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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Wednesday, July 18, 2012

Meet Amber - A Friendly Rectal Microbicide Advocate

Check out this interesting mini-bio of Amber Rucker, the latest in IRMA's "Meet a Friendly Rectal Microbicide Advocate" series on the IRMA website here.  Amber is one of six new bios just posted the other day, including individuals from Thailand, Kenya and the US.  Each will be featured on the blog, and you can read all of them here right now.


Amber Rucker
Boston, Massachusetts

"I truly respect an organization like IRMA that does not shy away from talking about sex and pushing for more research in the rectal microbicide field. This is really important work."

Amber is the Senior Research Associate at Fenway Health. Outside of work, she loves cooking and baking new and exciting recipes.

Amber became involved in IRMA through her current position and was intrigued by IRMA's ability to talk about sex and push for more research into the rectal microbicide field. She also believes that rectal microbicides are important because "receptive anal intercourse carries the highest risk of sexual HIV transmission. Providing individuals with other methods of protection against HIV and other STIs is vital for community safety."

She hopes that in time, the stigma associated with receptive anal intercourse will diminish, and men and women will feel more comfortable this very common behavior with health care providers.

Currently, Amber is working on a vaginal ring study called MTN-013/IPM 026. She is very excited about her studies, and is eager to see her research and work evolve.

With the upcoming MTN-017 trial, Amber will be involved in site activation activities, and will be conducting study visits. MTN-017 is the very first Phase II rectal microbicide expanded safety and acceptability study in the field and will recruit gay men, other men who have sex with men, and transgender women who are HIV negative. U.S. sites will launch later in 2012, and international sites are expected to begin enrolling in early 2013. The study will be investigating a reduced-glycerin formulation of tenofovir gel applied rectally compared with oral Truvada.

Amber's mother has been her greatest influence. Her mother has demonstrated leadership, strength, and compassion, and encourages Amber to pursue all her passions and goals fearlessly.

Thank you, Amber, for all that you do!


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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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Meet Ben - A Friendly Rectal Microbicide Advocate

Check out this interesting mini-bio of Ben Perkins, the latest in IRMA's "Meet a Friendly Rectal Microbicide Advocate" series on the IRMA website here.  Ben is one of the six new bios just posted the other day, including individuals from Thailand, Kenya and the US.  Each will be featured on the blog, and you can read all of them here right now.


Ben Perkins
Boston, Massachusetts

"Always remember that prevention takes place within a socioecological context, and that no matter how effective the biomedical intervention, if we don't respect this context, the prevention modality is doomed to fail."

Ben is the Associate Director for Community Engagement at the Fenway Institute at Fenway Health in Boston. Outside of work, Ben enjoys running, cooking, and reading non-fiction.

Ben first got involved with IRMA through IRMA chair Jim Pickett. He asserts that rectal microbicides are important among new HIV prevent technologies because men and women require a variety of tools when engaging in their sexual lives.

Ben advises IRMA to "remember that rectal health discussions should be far more comprehensive than HIV prevention—HPV, for example, is an increasing cause for concern. Thus, IRMA needs to insist that rectal health should be part of a holistic approach to health and wellness."

He has played an important role on the soon-to-be-released IRMA video ("The Rectal Revolution is Here: An Introduction to Rectal Microbicide Clinical Trials") being developed in partnership with the Microbicide Trials Network and Population Council. He is part of the team's Video Advisory Committee and has provided invaluable feedback on content and messaging. He also worked closely on the focus groups (especially those conducted in Boston) which were designed and implemented to test the "rough cut" of the video with different populations to help ensure the proper messages are coming through.

Currently, Ben is investigating the role of racial discrimination in medication adherence for HIV-positive black gay men and other men who have sex with men. and is working with a community coalition on a structural intervention for at-risk adolescents called Connect to Protect.

Ben is also part of the Fenway team working on the MTN-017 trial, the very first Phase II expanded safety and acceptability trial in the rectal microbicide field which will have sites in the U.S. (Boston, San Francisco and Pittsburgh) as well as international sites in Lima, Peru; Cape Town, South Africa; and two Thai sites - Bangkok and Chiang Mai. The U.S. sites will begin enrolling later in 2012, and the international sites will start up in early 2013. HIV-negative gay men, other men who have sex with men, and transgender women will be asked to volunteer.

Coming out as a gay man had the biggest influence on Ben's life. It continues to be a process, and still challenges him in every area of life.

Thank you, Ben, for all you do!


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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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Monday, July 16, 2012

Meet Pedro - A Friendly Rectal Microbicide Advocate

Check out this interesting mini-bio of Pedro Goicochea, the latest in IRMA's "Meet a Friendly Rectal Microbicide Advocate" series on the IRMA website here.  Pedro is one of six new bios just posted today, including individuals from Kenya,Thailand and the US.  Each will be featured on the blog, and you can read all of them here right now.




Pedro Goicochea
San Francisco, California

"It took us more than 30 years to realize that there is not one unique strategy to prevent HIV acquisition, and that combination prevention is key, and rectal microbicides must be part of the prevention toolbox."

Originally from Lima, Peru, Pedro is in charge of communications and community relations for the iPrEx OLE study, the open-label continuation of the iPrEx trial. iPrEx is the study that showed daily oral use of the ARV drug Truvada among gay men, other men who have sex with men (MSM), and transgender women worked to prevent HIV.

He enjoys his work because of the invaluable opportunities it provides for him to meet interesting people who are working really hard on finding ways to stop this epidemic. He takes pride in the sensitivity his team shows to community members and for highlighting their needs with scientists and stakeholders. Besides iPrEx OLE, Pedro also just finished a couple of other projects related to the feasibility of voluntary circumcision for HIV prevention in gay men and other MSM, and neonatal male circumcision for HIV prevention, in the jungles of Peru.

In his spare time Pedro loves to ride his bike. He enjoys "having destinations that I reach through the effort of pedaling." Pedro's biggest life influence was his mother, but he is also blessed to be surrounded by excellent people that have been an inspiration. In addition, he has lost several friends to HIV and this motivated him to do something about it.

He was introduced to rectal microbicides and IRMA when he met IRMA chair Jim Pickett through IRMA steering committee member and IRMA-ALC co-founder Jerome Galea. He believes that any strategy to help end the epidemic is useful and thinks that rectal microbicides are an important prevention technology because anal sex is the primary mode of HIV transmission among gay men and other MSM, and that women practice anal sex more than is reported or fully understood.

Pedro has played an important role on the soon-to-be-released IRMA video ("The Rectal Revolution is Here: An Introduction to Rectal Microbicide Clinical Trials") being developed in partnership with the Microbicide Trials Network and Population Council. He is part of the team's Video Advisory Committee and has provided invaluable feedback on content and messaging. He also worked closely on the focus groups (especially those conducted in Lima, Peru) which were designed and implemented to test the "rough cut" of the video with different populations to help ensure the proper messages are coming through. He says it has been a very inspirational expereince and he is really looking forward to see the final release. IRMA plans to release the final version of the video in early September, 2012.

Thanks Pedro, for all that you do!


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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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Thursday, July 12, 2012

HIV and the Law

via the Commission on HIV and the Law


The end of the global AIDS epidemic is within our reach. This will only be possible if science and action are accompanied by a tangible commitment to respecting human dignity and ending injustice.

Law prohibits or permits specific behaviours, and in so doing, it shapes politics, economics and society. The law can be a human good that makes a material diff erence in people’s lives. It is therefore not surprising that law has the power to bridge the gap between vulnerability and resilience to HIV.

We came together as a group of individuals from diverse backgrounds, experiences and continents to examine the role of the law in effective HIV responses. What we share is our abiding commitment to public health and social justice. We have listened with humility to hundreds of accounts describing the eff ects of law on HIV. In many instances, we have been overwhelmed by how archaic, insensitive laws are violating human rights, challenging rational public health responses and eroding social fabric. At other times, we have been moved by those who demonstrate courage and conviction to protect those most vulnerable in
our societies.

Many would say that the law can be complex and challenging and is best left alone. Our experience during this Commission has shown us a very diff erent perspective. We have been encouraged by how frank and constructive dialogue on controversial issues can sometimes quickly lead to progressive law reform, the eff ective defence of legislation or better enforcement of existing laws. Even in environments where formal legal change is a slow and arduous process, we have witnessed countries taking action to strengthen access to justice and challenge stigma and discrimination.

Click here for the full report.


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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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Wednesday, July 11, 2012

Married 'Heterosexual' Kenyan Men Who Have Sex With Other Men Form Support Group

via Identity Kenya


A new group of otherwise heterosexual men who engage in sexual activity with other men has been formed to create awareness on HIV and also fight blackmail that most of their members have fallen prey to.

The group, Married Men Initiative (MMI), so far, boasts of fifty to sixty married men who meet regularly in social places to talk and interact.

‘Over 90% of the members are married to women; some have children from their marriages and the other 10% consists of men with girlfriends or are live-in marriages,’ said Samuel Kabuga*, one of the members to Identity Kenya.

Most of the members are deeply closeted out of fear of being outed and to avoid blackmailing by those who take advantage of their marital status. Apart from the risk of contracting HIV through unprotected anal sex, most married men face also face extortion from some of their boyfriends.

‘One of the main reasons we formed the group was to offer support and aid to those members who had fallen prey to blackmailers. These are people, who after sex, demand for money and knowing that we are married or in the closet, take advantage of that,’ said Otieno*, a member said.

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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South Africa: Aids Response Must Be Guided By Human Rights and Justice

via allAfrica, by Festus Mogae and Stephen Lewis


In South Africa and across Africa, HIV continues to prey on women, sex workers and men who have sex with men. It is clear that to end the HIV epidemic, we must protect and support these groups.

Archaic laws and customs make women and girls more vulnerable to HIV. Legally condoned violence and oppression-including genital mutilation, sexual violence, denial of property rights and early marriage- undermine the ability of women to protect themselves. Laws urgently need to protect women, who are often the ones left to care for the sick, tend to the family and till the fields.

Laws across the continent also criminalize homosexuality. Yet, punishing men who have sex with men force them into secrecy. They are unable to access counseling and testing, making it almost impossible for HIV prevention and treatment interventions to reach them. In 2008, when the Senegalese government jailed nine gay HIV outreach workers under a law prohibiting "acts against nature," health workers went into hiding, advocacy groups disbanded and HIV treatment sites were shut down.

The time has come for African leaders to take action against bad laws that stifle our HIV response. We must challenge societal values rooted in fear and prejudice and implement laws based on human rights and sound public health.

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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