ACHAP implements a project focusing on Men who have sex with other men (MSM) and Transgender persons (TG) through the Botswana Network on Ethics, Law and HIV/AIDS (BONELA) (www.bonela.org) as a Sub recipient, with a few activities directly implemented by ACHAP. The project seeks to contribute to the reduction of the HIV incidence among MSM by strengthening access to HIV prevention, treatment, care and support services in 7 high HIV burden districts of Palapye, Francistown, Serowe, Selebi- Phikwe, Tutume, Boteti and Ngamiland.
The project is in line with the national HIV/AIDS priority of scaling up HIV/AIDS response through targeted interventions for key populations. The Method of Transmission (MOT) study in 2010, which determined distribution of new infections by mode of exposure among other variables concluded that Men who have sex with men and their partners will contribute 5.71% (5.41 among MSM and 0.30% among their partners) to the national prevalence.
The sub-group is, therefore, a priority for Botswana’s overall national HIV prevention strategy. There is a plethora of issues that continue to drive these groups away from the mainstream health services, including HIV and TB programs due to self-stigma and institutionalized stigma of TG and MSM.
The project, therefore, seeks to implement robust interventions involving the participation of MSM and MSM organisations as key partners in implementing targeted program with a potential to influence a reduction in HIV incidence among the target cohort in general and the national HIV landscape more broadly in the next 36 months.
Target Population: the project targets MSMs and TG aged 18-60 as follows:
The Key Activities implemented include: