1. www.aids2014.org Success of evidence-based combined HIV prevention among Siberian GMT comes up against the Russian anti-gay "propaganda law" Denis Efremov, Tsentr 'SIBALT', CBO, Omsk, Siberia 21.07.2014, Melbourne, Australia

2. www.aids2014.org Power of Evidence Awareness Norms Access

3. www.aids2014.org Omsk: First HIV case: 1996 HIV prevalence: 0,4% GMT population: 10,000 (estim.) HIV prevalence among GMT: 3,2% (2013) Siberian federal district

4. www.aids2014.org Main Beneficiaries GMT who visit LGBT social places at least once per month

5. www.aids2014.org Key interventions Education (community members and leaders) Outreaching Involving health care providers Male latex condoms and water-based lubricants HIV testing (direct) STI treatment (referral)

6. www.aids2014.org Coverage and intensity GMT reached: 755 per year (incl. 6 TG) Number of contacts: 5949 Average number of contacts: 7.4 per 1 person 182 group events 65 outreach visits 806 consultations 1331 informal conversations 200 rapid HIV tests 30 STI treatment referrals www.pulssystem.ru

7. www.aids2014.org Evaluation Base- and end-line study as part of the amfAR’s "Evidence in Action" program N = 139 (2012) N = 143 (2013)

8. www.aids2014.org Lessons learned Awareness ( HIV transmission routes, ways of prevention )

9. www.aids2014.org Lessons learned Level of condom use

10. www.aids2014.org Lessons learned Permanent partnership

11. www.aids2014.org Lessons learned Access to HIV testing and counseling 76,9%

12. www.aids2014.org Challenge Russian anti-gay “propaganda law“

13. www.aids2014.org Marginalization 33.1% (every third) keeps their sexuality as a top-secret

14. www.aids2014.org Conclusions Serosorting and monogamy strategies as a result of combination “education + broad testing/treatment access” The best way is to promote a complex of preventive strategies (not only condoms) The main hindrance is the Russian anti- gay legislation.

15. www.aids2014.org Acknowledgment

16. www.aids2014.org Thank you! Contacts: Denis Efremov E-mail: efremov@sibalt.org Skype: denisfrmv Tsentr SIBALT www.sibalt.org www.pulsarrussia.ru Welcome to Siberia!