African men who have sex with men are ostracised from HIV services

Jul 20, 2009
African men who have sex with men are ostracised from HIV services
African men who have sex with men have little or no access to services for HIV/AIDS prevention and care.

(PhysOrg.com) -- Men who have sex with men (MSM) in sub-Saharan Africa are a hidden, stigmatised group which suffers from a high burden of HIV infection without access to appropriate public health provision, say Oxford University researchers in a review paper published in the Lancet.

Although there are many challenges in addressing this problem, the researchers identify a number of steps that African countries and the international community need to take in controlling / in this marginalised but high-risk group.

Part of the problem is that there is little data on same-sex behaviour and HIV prevalence in sub-Saharan Africa. In reviewing the studies available on a large database of medical literature, the researchers found only 14 of 118 studies assessing HIV risks amongst sub-Saharan African between 1984 and 2007 had asked men about same-sex behaviour as a potential risk factor.

'There is surprisingly little known about men who have sex with men and their HIV risks in most parts of sub-Saharan Africa,’ says Dr Adrian Smith of the Department of Public Health at the University of Oxford, who led the review. ‘There is a big gap in the available evidence. But what little evidence we do have suggests that MSM are a vulnerable group that exists across sub-Saharan Africa’.

However, the situation is improving. In the past six years, studies have begun to look at levels of HIV infection among MSM groups in different African countries.

Dr. Smith says: ‘The research that has been done suggests that these men generally have much higher rates of than heterosexual men, but have little or no access to appropriate sexual health care, such as health education, preventive counselling and sexually transmitted disease testing, treatment and care.’

Attitudes to homosexuality in Africa compound the problem. MSM face political, religious and social hostility, and homosexuality is illegal in most African countries. Studies carried out across sub-Saharan Africa have reported MSM that have been isolated from their families and been harassed by authorities, including healthcare workers as well as police.

'The stigma keeps men who have sex with men at arms reach from HIV/AIDS prevention and care provision,’ adds Dr Smith.

Dr Smith and colleagues believe that health responses to HIV/AIDS everywhere need to understand more about the different groups they are dealing with. The gap in knowledge about high-risk groups in Africa, including MSM and drug users, needs to be filled. Ways of delivering interventions - condoms, lubricants, education and counselling, and access to testing and treatment services - to MSM also need to be developed which are appropriate for the local context in each area of sub-Saharan Africa. And finally, the rights of MSM need to be addressed. The more social and legal protection that is given to marginalised groups, the more access to services will improve.

‘Men who have sex with men, as all other Africans, have the right to access and take benefit from HIV prevention, treatment and care. Some African states have started to recognize the issue, and are beginning to tackle the social and legal barriers that have excluded MSM to date. Those that succeed will deliver stronger HIV/AIDS control for MSM and everyone else,’ says Dr Smith.

Provided by Oxford University (news : web)

Explore further: Condoms 'too small' for Uganda men

add to favorites email to friend print save as pdf

Related Stories

Studies suggest HIV subtype more deadly than others

Nov 27, 2007

Two studies led by researchers at the Johns Hopkins Bloomberg School of Public Health found that people infected with HIV in Thailand die from the disease significantly sooner than those with HIV living in other parts of ...

Recommended for you

Obese British man in court fight for surgery

Jul 11, 2011

A British man weighing 22 stone (139 kilograms, 306 pounds) launched a court appeal Monday against a decision to refuse him state-funded obesity surgery because he is not fat enough.

2008 crisis spurred rise in suicides in Europe

Jul 08, 2011

The financial crisis that began to hit Europe in mid-2008 reversed a steady, years-long fall in suicides among people of working age, according to a letter published on Friday by The Lancet.

New food labels dished up to keep Europe healthy

Jul 06, 2011

A groundbreaking deal on compulsory new food labels Wednesday is set to give Europeans clear information on the nutritional and energy content of products, as well as country of origin.

Overweight men have poorer sperm count

Jul 04, 2011

Overweight or obese men, like their female counterparts, have a lower chance of becoming a parent, according to a comparison of sperm quality presented at a European fertility meeting Monday.

User comments : 0