Assessment of policy and access to HIV prevention, care, and treatment services for men who have sex with men and for sex workers in Burkina Faso and Togo

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Sandra DuvallRon MacInnis

Abstract

In Burkina Faso and Togo, key populations of men who have sex with men (MSM) and sex workers (SW) have a disproportionately higher HIV prevalence. This study analyzed the 2 countries' policies impacting MSM and SW; to what extent the policies and programs have been implemented; and the role of the enabling environment, country leadership, and donor support. The Health Policy Project's Policy Assessment and Advocacy Decision Model methodology was used to analyze policy and program documents related to key populations, conduct key informant interviews, and hold stakeholder meetings to validate the findings. Several policy barriers restrict MSM/SW from accessing services. Laws criminalizing MSM/SW, particularly anti-solicitation laws, result in harassment and arrests of even nonsoliciting MSM/SW. Policy gaps exist, including few MSM/SW-supportive policies and HIV prevention measures, e.g., lubricant not included in the essential medicines list. The needs of key populations are generally not met due to policy gaps around MSM/SW participation in decision-making and funding allocation for MSM/SW-specific programming. Misaligned policies, eg, contradictory informed consent laws and protocols, and uneven policy implementation, such as ...Continue Reading

References

Sep 8, 2010·Sexually Transmitted Infections·Mike MerriganChristoph Hamelmann
Jul 24, 2012·Lancet·Chris BeyrerRon Brookmeyer
Dec 19, 2013·Current Opinion in Infectious Diseases·Chris Beyrer

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Citations

Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tisha WheelerGina Dallabetta
Oct 2, 2020·Journal of the International AIDS Society·Trevor A CrowellEduard J Sanders
Feb 5, 2019·AIDS Research and Human Retroviruses·Horacio Ruiseñor-EscuderoStefan Baral
Sep 3, 2020·SSM - Population Health·Abdul-Aziz SeiduBright Opoku Ahinkorah

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