Perspectives from the MSM community in Asia on sexual pleasure and risk reduction 9th IAS Conference on HIV Science 25 July 2017 Paris, France Midnight, Executive Director midnightp@apcom.org

Regional Context/Epidemiological Situation 1 Source: www.aidsdatahub.org

PrEPARING Asia Consultation 2015 APCOM hosted PrEP summit for Asia in Bangkok, Thailand supported by UNAIDS, WHO, UNICEF, USAID, FHI 360, UNDP and the Global Fund. PrEParing Asia is attended by 150 HIV and community workers, national HIV/AIDS programme managers, development partners and donors across the region to discuss how to increase the pace of PrEP’s roll out in Asia. Based on consultation outcomes, APCOM produces road map to help partner organisations in Asia navigate the issues and challenges for increasing access to PrEP for MSM across the region. 1

Findings from the consultation PrEP community education Education efforts through advertising, social media and community engagement events Share up-to-date research Provide information about the availability of PrEP Peer support to help them overcome barriers to PrEP access Increasing awareness among health providers Need to create understanding and demand from health workers through education Need to develop and provide training programs and clinical guidelines for all relevant health workers

Vu - Vietnam “PrEP provides me with extra protection. With PrEP I feel more secure, more confident and not freak out every time something goes wrong…” 1

Setia - Indonesia “The main reason for me is to feel secure and comfortable in terms of sexual relations” 1

Jonas - Philippines “Motivation is both personal and related to advocacy. I want to make use of an option for prevention and give myself an opportunity to talk about this new approach ” 1

Gay Series 1

Current PrEP projects in Asia PrEP programmes for MSM available in: Thailand: 3000 participants Australia: 12500 participants Vietnam: 200 participants The Philippines: 200 participants Several other countries report significant progress towards establishing pilot programs Follow-up from the PrEPARING Asia consultation report Informal procurement of PrEP in, mostly black-market drugs off the internet.

Increase HIV testing: TestXXX Supported by the Elton John AIDS Foundation, LINKAGES TestBKK, Bangkok TestSGN, Ho Chi Minh City TestMNL, Manila TestJKT, Jakarta Other cities Targets young MSM in urban centres, using social media Consistent branding and messages across cities

On-line engagement: TestBKK.org

PrEP Campaign

gCircuit Regional Party Off-line activities gCircuit Regional Party 5 Parties | 3 days | 15,000 Gay Men

Thank you www.apcom.org midnightp@apcom.org