HIV and gay rights activists say new guidelines released by the UN World Health Organization (WHO) [ http://whqlibdoc.who.int/publications/2011/9789241501750_eng.pdf ] on HIV programming for men who have sex with men (MSM) will not only improve health service provision for MSM, but will also act as an advocacy tool in the fight for the rights of this marginalized population.The report, Prevention and Treatment of HIV and Other Sexually Transmitted Infections Among Men Who Have Sex With Men and Transgender People: Recommendations for a public health approach 2011, has been added to African Activist's resource area under HIV/AIDS.
"The document provides well-researched and evidence-based recommendations for HIV prevention and treatment of MSM, which will be useful for clinicians," said Kevin Rebe, a doctor with Health4Men, [ http://www.health4men.co.za ] a South African health service provider which caters specifically for MSM. "The language of the paper is couched in human rights, and makes a strong call for decriminalization of same sex sexual activity, so it will also be useful for activists seeking to end discrimination."...
In countries like Uganda, where homophobia is deeply entrenched [ http://www.plusnews.org/report.aspx?ReportID=86620 ] both within society and the law, gay rights groups hope the new guidelines will serve as a wake-up call to the government about the need to include MSM in HIV programming.
"I hope the new guidelines will be an eye-opener to the government, who have so far ignored MSM within HIV prevention, treatment and support; it should show them that MSM exist in Uganda and are at high risk," said Frank Mugisha, executive director of NGO Sexual Minorities Uganda. [ http://www.sexualminoritiesuganda.org ] "They therefore cannot be ignored and urgently require HIV interventions."
Mugisha noted that the WHO document added to growing pressure from other international organizations calling for MSM to be included in HIV programmes - including UNAIDS and the Global Fund to fight AIDS, TB and Malaria - and would hopefully persuade the Ugandan government to change its policies.
According to WHO, criminalization of same-sex sexual activity plays a key role in the vulnerability of MSM and transgender people to HIV; more than 75 countries currently criminalize same-gender sexual activity.
Rebe noted that even in countries like South Africa, where MSM had their human rights enshrined in the law, widespread stigma and ignorance about their needs existed, even within the medical fraternity.
The US President's Emergency Plan for AIDS Relief (PEPFAR) recently issued new funding policy guidelines that call for measures to be put in place to address human rights, legal barriers and homophobia in HIV response. PEPFAR is a major contributor of funds to the fight against HIV in 15 countries in sub-Saharan Africa (Kenya receives $510 million).