1. Challenges of increasing coverage of MSM Challenges and strategies

2. Challenges Faced Hidden population o Incorrect or no size estimations to start up projects o Considered illegal activity / Police harassment on cruising sites o Attitudes of mainstream society o Reaching out to non cruising MSM o Reaching out to married and bisexual MSM o Reaching out to MSM In sex work o Motivating positive MSM to access treatment o Addressing multiple stigma’s

3. Strategies Community based approach Strengthen capacities of community based organisations MSM and TG specific IEC materials Promote consistent condom usage. Health services should focus on same sex behaviour rather than identities. Setting up of safe spaces In house clinical services Community based care and support services Advocacy and sensitization with stake holders on sexual health and sexuality issues