1. ORIENTATION FOR MSM -TARGETED HARM REDUCTION INTERVENTIONS Vietnam Administration For AIDS Control Ministry of Health

2. Presentation outlines 1. Overview of HIV transmission risks among MSM; 2. Harm Reduction interventions for MSM 3. Challenges and difficulties; 4. MSM targeted interventions in the future.

3. Part I Overview of HIV transmission risks among MSM

4. HIV TRANSMISSION RISKS AMONG MSM MSM had sex with male sex workers: 41% MSM had sex with male sex workers: 41% MSM had sex with female partners and female sex workers: 35% and 15% respectively; MSM had sex with female partners and female sex workers: 35% and 15% respectively; % MSM used condom in the last anal sexual intercourse with male partners: 61%; % MSM used condom in the last anal sexual intercourse with male partners: 61%; MSM used drugs and injected drug are not few : 23% and 9% in respectively; MSM used drugs and injected drug are not few : 23% and 9% in respectively; % MSM can identify HIV prevention of HIV transmission and deny wrong perceptions of HIV transmission: 54% % MSM can identify HIV prevention of HIV transmission and deny wrong perceptions of HIV transmission: 54%

5. EVIDENCE OF HIV TRANSMISSION AMONG MSM (Cont’) High STI prevalence of MSM: 22% High STI prevalence of MSM: 22% HIV prevalence MSM: 9% HIV prevalence MSM: 9% MSM got HIV testing and knew their testing results 16% MSM got HIV testing and knew their testing results 16% % MSM access to HIV prevention : 25% % MSM access to HIV prevention : 25%

6. Part II MSM TARGETED-HARM REDUCTION PROGRAMS

7. HARM REDUCTION ACTIVITIES FOR MSM MSM is one of the target groups at higher risk to HIV infection, which needs harm reduction interventions (Directive No 108/NĐ-CP). MSM is one of the target groups at higher risk to HIV infection, which needs harm reduction interventions (Directive No 108/NĐ-CP). MSM targeted interventions in Vietnam are currently being conducted at MSM clubs in cities like Hanoi, HCM city, Hai Phong, Nha Trang- Khanh Hoa, Can Tho, Da Nang under control by national and international organizations. MSM targeted interventions in Vietnam are currently being conducted at MSM clubs in cities like Hanoi, HCM city, Hai Phong, Nha Trang- Khanh Hoa, Can Tho, Da Nang under control by national and international organizations.

8. LOCAL AND NATIONAL ORGANIZATIONS TO BE INVOVLED IN MSM TARGETED HARM REDUCTIONS Hanoi PAC Hanoi PAC Hai Phong PAC; Hai Phong PAC; HCM AIDS committee; HCM AIDS committee; Can Tho PAC; Can Tho PAC; Khanh Hoa Health communication and education center; Khanh Hoa Health communication and education center; CIHP; CIHP; VICOMC VICOMC UNAIDS Việt Nam; UNAIDS Việt Nam; FHI; FHI; PACT Việt Nam; PACT Việt Nam;

9. NETWORK OF MSM CLUBS IN CITIES CLUBS EXECUTING AGENCY Hanoi Hai Dang club FHI (SHAPC) Thông xanh Club VICOMC VICOMC ( Trung tâm Huy động cộng đồng PC HIV/AIDS) Khát vọng sống ClubVICOMC Ho Chi Minh city Bau Troi xanh clubFHI Bang Huu club Self-help groups Nha Trang – Khánh Hòa Multi color clubFHI Can Tho Griend field clubFHI Da Nang Sao Dem clubFHI TP. Hải Phòng MSM PACT (CHP)

10. Community outreach; Community outreach; IEC: IEC: Direct communication, phone counseling reled harm reduction interventions and psychological and social matters; Direct communication, phone counseling reled harm reduction interventions and psychological and social matters; Group meetings, entertainment events, cultural exchange events in the clubs; Group meetings, entertainment events, cultural exchange events in the clubs; Free-of-charge distribution and social marketing of condom and lubricant; Free-of-charge distribution and social marketing of condom and lubricant; Referral to MSM friendly services including VCT, STI, are and support, ARV treatment. Referral to MSM friendly services including VCT, STI, are and support, ARV treatment. MSM TARGETED ACTIVITIES

11. Inconsistent direction for MSM targeted harm reduction programs; Inconsistent direction for MSM targeted harm reduction programs; No Large scaled research on MSM; No Large scaled research on MSM; MSM targeted interventions are so low in coverage and scattered that few can access the interventions; MSM targeted interventions are so low in coverage and scattered that few can access the interventions; Stigma and discrimination against MSM. Stigma and discrimination against MSM. Many MSM are in closet, which impedes a barrier to interventions. Many MSM are in closet, which impedes a barrier to interventions. CHALLENGES AND DIFFICULTIES

12. Develop a national guidelines on implementation of MSM targeted harm reduction programs; Develop a national guidelines on implementation of MSM targeted harm reduction programs; Comprehensive research on MSM will be conducted; Comprehensive research on MSM will be conducted; Promoting Information, education and communication: Promoting Information, education and communication: Promoting IEC on MSM and HIV issues, reducing stigma and discrimination against MSM and involving various agencies and mass organizations in MSM targeted harm reduction programs. Promoting IEC on MSM and HIV issues, reducing stigma and discrimination against MSM and involving various agencies and mass organizations in MSM targeted harm reduction programs. Diversification of IEC for MSM; Production of IEC materials for MSM group./. Diversification of IEC for MSM; Production of IEC materials for MSM group./. HARM REDUCTION ORIENTATION

13. HARM REDUCTION ORIENTATION (Cont’) Comprehensive MSM targeted harm reduction interventions will be expanded to: Comprehensive MSM targeted harm reduction interventions will be expanded to: Maintain, scale up the network of MSM clubs, especially in cities. Maintain, scale up the network of MSM clubs, especially in cities. Diversify types of services for MSM, especially increase availability of condom, lubricant, clean needle and syringes for MSM injecting drugs./.. Diversify types of services for MSM, especially increase availability of condom, lubricant, clean needle and syringes for MSM injecting drugs./..

14. Thank you very much