1. Reaching out to hidden population in Malaysia
Malaysian AIDS Council
Reaching out to hidden population in Malaysia
MSMs, Transgenders and Sex Workers in
Muslim Majority Setting Where Sex is a Crime

2. Malaysian Population 2018 = 31.2 Million
Religion
Percentage
Muslim
61.3%
Buddhist
19.8%
Christian
9.2%
Hindu
6.3%
Ethnic group
Percentage
Malay
50.1%
Chinese
22.6%
indigenous
11.8%
Indian
6.7%

3. Overview of HIV Epidemic in Malaysia 2016
Source: HIV/STI Sector, Division of Disease Control, Ministry of Health Malaysia

4. Estimated Population Size
HIV Prevalence*
(2012)
HIV Prevalence* (2014)
Injecting Drug Users (IDU)
170,0001
18.9%
16.3%
Female Sex Workers
40,0002
4.2%
7.3 %
Transgender
20,0002
4.8%
5.6 %
Men who have Sex with Men (MSM)
173,0003
7.1%
8.9 %
1 Reid G, Kamarulzaman A, Sran SK. (2007). Malaysia and harm reduction: the challenges and responses. International Journal of Drug Policy. 18, Population Size Estimates, 2007
2 Lim HE, Ang CL, Teh YK Size Estimation for Local Responses in Malaysia For HIV Prevention in Sex Work,
3 Based on 1.9% reported through the NHMM III survey
* Results from the Integrated Bio-Behavioural Surveillance (IBBS) 2012 , 2014 in NSPEA

5. Sexual transmission is on the rise

6. What is pushing people away?
Shariah Law
Section 60. Illicit intercourse Section 61. An act preparatory to illicit intercourse Section 62. Muabbad or ghairu muabbad relation Section 63. Liwat (sodomy) Section 64. Musahaqah (lesbianism) Section 65. Sexual intercourse against the order of nature Section 66. Male person posing as a woman Section 67. Indecent acts Section 68. Qazaf (prosecution without witness) Section 69. Prostitution Section 70. Muncikari (pimping) Section 71. Persons living on or trading in prostitution
Section 377. Carnal intercourse against the order of nature – A British Colonial Rules
Stigma and discrimination
Public shaming and dehumanizing
Hatred and violence
Fear mongering
Social injustice

7. What is pushing people away?

8. Maneuvering around Challenges GOVERNMENT – NGO PARTNERSHIP
Country Coordinating Mechanism
Other Agencies and Stakeholders – Religious Department, Public Security, Research Centers, other Ministries, SCO, Private Sectors, WHO, Academe
MOH -HIV Sector
MAC
AIDS Department – State and District
46 NGOs/CBOs all over Malaysia
Government Clinics
Community Members
Creating an enabling environment

9. NegSocial Networkative Result
An innovative and sustainable approach
Case Management Program
PrEP
Social Network
Online Outreach
Venue Based Outreach
HIV Screening/Community Based Testing
Non reactive Result
Reactive Result
NegSocial Networkative Result
Positive Result
Confirmatory Testing
Treatment & Care
Empowerment/Treatment Adherence
Client centered Care
85 Case Workers
One of the GF Best Practices
52 Government Clinics – Community Friendly Clinics

10. 57% from Sexual Transmission Group

11. A step towards “New Malaysia”
Creating an enabling environment
Eliminating Stigma and Discrimination
Collaboration and Partnership
Community empowerment
Human Rights and Social Justice
Acceptance
Political will and commitment

12. Terima Kasih
Thank You
Dank je