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Cross-Sectional Evaluation of the Prevalence of HIV among Men who Have Sex with Men in Southern Africa

The evaluation serves as an epidemiologic probe of HIV prevalence among men who have sex with men (MSM) in four sites throughout Southern Africa—the Republic of Lesotho, Botswana, Namibia and Malawi. The study encompasses 200 men per site and is led by South African researchers with local LGBT/human rights advocacy groups responsible for study recruitment and advocacy efforts. HIV testing is completed using oral fluid-based rapid HIV testing kits.Dr. Baral and Lesotho team (2008)

The serologic and behavioral data collected will be used by African NGOs as an instrument to advocate for more ownership, interest and support by African governments and civil society for MSM needs. In addition, these data will form the basis of a public health argument which, in conjunction with a human rights argument, aims to show how HIV prevention, treatment and care needs of MSM have been ignored and how repressive laws/policies and societal stigma have led to human rights abuses and poor health outcomes for this population.

Supported by: Open Society Institute in Southern Africa (OSISA) and OSI’s Sexual Health and Rights Project (SHARP)

View Dr. Beyrer's presentation at USAID, July 2008.

Presentations and Interviews:

AIDS 2010 Conference: Know Your Epidemic, Know Your Response: MSM and Their Needs in Low and Middle-income Countries
July 22, 2010
Panel discussion with Dr. Baral, Andy Seale, Joeal Nana, Nyambura Njoroge, Zoran Kis, and Shivananda Khan
Watch Listen Presentation

Bisexual concurrency in Southern Africa
July 27, 2010
BMJ Podcast interview with Dr. Baral
Listen

Dramatic Rise in HIV Infection Reported Among Men who have Sex with Men
August 8, 2008
Voice of America
Listen

Related Publications:

Beyrer C, Baral SD, Walker D, Wirtz AL, Johns B, Sifakis F.The Expanding Epidemics of HIV Type 1 Among Men Who Have Sex With Men in Low- and Middle-Income Countries: Diversity and Consistency. Epidemiol Rev. 2010 Jun 23. [Epub ahead of print]

Beyrer C. Global prevention of HIV infection for neglected populations: men who have sex with men. Clinical Infectious Disease. 2010 May 15; 50 Suppl 3:S108-13.

Beyrer C, Trapence G, Motimedi F, Umar E, Iipinge S, Dausab F, Baral S: Bisexual concurrency, bisexual partnerships, and HIV among Southern African men who have sex with men (MSM). STI; April 2010.

Baral S, Trapence G, Motimedi F, Umar E, LIpinge S, Dausab F, Beyrer C. HIV prevalence, risks for HIV infection, and human rights among men who have sex with men (MSM) in Malawi, Namibia, and Botswana. PLoS One Mar 2009: 4(3).

Beyrer, C. Hidden yet happening: the epidemics of sexually transmitted infections and HIV among men who have sex with men in developing countries. STI 2008 Nov:84(6).

Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000-2006: Results of a meta-analysis. PLoS Med 2007 Dec; 4(12):e339.

Beyrer C, Baral SD, Walker D, Wirtz AL, Johns B, Sifakis F.The Expanding Epidemics of HIV Type 1 Among Men Who Have Sex With Men in Low- and Middle-Income Countries: Diversity and Consistency. Epidemiol Rev. 2010 Jun 23. [Epub ahead of print]

Beyrer C. Global prevention of HIV infection for neglected populations: men who have sex with men. Clinical Infectious Disease. 2010 May 15; 50 Suppl 3:S108-13.

Beyrer C, Trapence G, Motimedi F, Umar E, Iipinge S, Dausab F, Baral S: Bisexual concurrency, bisexual partnerships, and HIV among Southern African men who have sex with men (MSM). STI; April 2010.

Baral S, Trapence G, Motimedi F, Umar E, LIpinge S, Dausab F, Beyrer C. HIV prevalence, risks for HIV infection, and human rights among men who have sex with men (MSM) in Malawi, Namibia, and Botswana. PLoS One Mar 2009: 4(3).

Beyrer, C. Hidden yet happening: the epidemics of sexually transmitted infections and HIV among men who have sex with men in developing countries. STI 2008 Nov:84(6).

Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000-2006: Results of a meta-analysis. PLoS Med 2007 Dec; 4(12):e339.

In the News...

Save the Date! On Friday, April 20th from 12:15-1:15pm the CPHHR will be hosting the event "The Cost for Service: A Case Study on HIV/AIDS in Iran" with Dr. Arash Alaei and Dr. Kamiar Alaei in room W3008. This event is open to the public and lunch will be served.
Just Released! A new study by the CPHHR, lead by Associate Director Stefan Baral, has been published by The Lancet Infectious Diseases. The study shows that female sex workers in low-income and middle-income countries (LMIC) are around 14 times more likely to be infected by HIV. Read. 
Read! Russia's Retrograde Stand on Drug Abuse, an op-ed published in the International Herald Tribune, written by CPHHR Director Chris Beyrer and IAS Executive Director Bertrand Audoin.
Watch!  The CSIS Global Health Policy Center is pleased to present a video featuring the perspectives of participants in the Friends of AIDS 2012 group, as well as the insights of other long-time conference participants.
New Report: Protection of Health Care in Armed and Civil Conflict: Opportunities for Breakthroughs. Written by CPHHR faculty member Len Rubenstein. Read.
Just Released! "Injection drug use, sexual risk, violence and STI/HIV among Moscow female sex workers" has been published online. Congratulations to Michele Decker and entrie the team! Read.
Breaking News! WHO Executive Board passes resolution to increase protection of health workers and facilities in armed conflict. Read More.
Just Released! CPHHR's World Bank report on men who have sex with men made The Global Forum on MSM & HIV's 2011 top ten Key Global Policy Developments Concerning MSM and HIV! Read.
Congratuations! CPHHR Director Chris Beyrer was awarded an honorary doctorate from Chiang Mai University in northern Thailand on January 19, 2012. Her Royal Highness Princess Maha Chakri Sirindhorn presented the award during the commencement ceremonies. Read. Photos.
Just Released! “Time to Act: A Call for Comprehensive Responses to HIV in People Who Use Drugs” is now available in Chinese, Farsi, French, Japanese, Polish, Russian and Spanish. Click here for the documents.
Report:  Myanmar National Strategic Plan on HIV and AIDS 2011-2015. Click here for more information and access to the full report.
New employment opportunity: The Center is growing and in need of a Biostatistician. Please follow links for details and the application.

Just released! Against the Odds: Helping Mothers and Babies Survive in Eastern Burma. In 2005, 4 ethnic health organizations in eastern Burma launched the Moblie Obstetric Maternal Health Workers (MOM) Project to address high maternal mortality and morbidity. Click here for informatrion on the unique approach and its impact in health services in eastern Burma. 


Breaking News! Secretary of State Hillary Clinton will visit Burma on Thursday, December 1st. Sign petition here to show your support for change. With your help, this could be the greatest opportunity in a generation to bring about geniune democracy and human rights in Burma!

Congratulations! The Center's Leonard Rubenstein to be awarded APHA's Levy-Sidel Award for Peace, presented November 2011.

Just released! The CPHHR collaborative report with the World Bank and UNDP, The Global HIV Epidemics among Men Who Have Sex With Men, has been released for the UN General Assembly's High Level Meeting on AIDS.  Read more: Full Report Research Brief Press Release The Lancet's Review


A requiem for the fallen from the early days of AIDS: a review of the documentary film "We Were Here" by David Weissman, written by CPHHR Director Chris Beyrer and published in The Lancet. Read

Meet the Challenge: Thanks to a generous gift from the Ludwig family, the Center has received a $100,000 matching grant for the Center's faculty and research development.  Help us meet this challenge and support international work for health and human rights.  Donate 
CPHHR report makes the Top 10! The CPHHR's report for the World Bank, the Global HIV Epidemic among MSM, is listed among Top 10 Key Global Policy Developments Concerning MSM & HIV Read
Profile Chris Beyrer: advocate for social justice and health as a human right Profile
Lancet Series HIV and People who Use DrugsSee contributions from CPHHR and other JHSPH faculty Press Release Series 

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