Integrated Biological and Behavioural Surveillance IBBS Survey among MSM in South Sudan 24 July 2018 Presentation Outline Background Methodology Results Recommendations Background FSW and their clients account for ID: 771183
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Integrated Biological and Behavioural Surveillance (IBBS) Survey among MSM in South Sudan 24 July 2018
Presentation OutlineBackgroundMethodologyResultsRecommendations
BackgroundFSW and their clients account for at least 63% of new adult infections (MoT, 2014) FSW: Prevalence is at least 5x higher than the general population (SS GF CN, 2015) Other KPs: HIV and AIDS data is limited e.g. for MSM No previous data around MSM in SS KPs necessary in programming targets to achieve 90-90-90
Homosexuality and sodomy is illegal in South Sudan 2008 SS Penal Code criminalises sodomy and Section 248, ‘law of unnatural offences’, states that persons found to violate this law could be liable to a fine and face imprisonment of up to ten years. Socio-cultural conservatism: MSM sexual behaviour is viewed as culturally unacceptable, immoral and highly stigmatised Security situation: A ffects environment for conducting research, especially with KPs in the country Homosexuality in South Sudan
ObjectivesUnderstand the MSM community and factors that predispose the population to a greater risk for HIVObtain baseline prevalence data for HIV and Syphilis Provide recommendations to address gaps in access to critical HIV prevention, treatment, care and support services for MSM and their partners
MethodologyNon probability purposive sampling and snowball sampling to recruit respondents Standard behavioural questionnaire (N=165) HIV and Syphilis testing (N=152)FGDs (N=5) with MSM KIIs (N=19 ) with MSM network leaders, government Data collected from in 6 sites, during 3 weeks, in Nov/Dec 2017 Ethical approval granted by the ERC ( GoSS -MOH) Quality control measures were observed throughout the study
Respondents’ Nationalities (N=165)
Age of Respondents (N=165)Agepage 8
Sexual History in Past 18 Months page 9 Characteristic Frequency (n) Percentage (%) Types of Casual Partners Male only 152 92.1 Male and Female 13 7.9 Sex with type of Partners Sex with regular male partners 61 37.0 Sex with casual male partners 104 63.0
Condoms and Lubricants Access**Note: N=165 unless otherwise stated
Condom Use During Anal Sex (N=165)
Sexually Transmitted Infections (N=165)
GAM Indicators**Note: N=165 unless otherwise stated
ConclusionsDevelop and implement national MSM policy framework Strengthen advocacy and awareness sessions about MSM health issues among all stakeholdersImprove targeted BCC among MSM to reduce risk and promote safe sexual behavioursAddress observed stigma and discrimination against MSM among some health practitioners
This study was funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria through UNDP as the Principal Recipient of the project, Investing Towards Impact for HIV and AIDS in South SudanFor further information and enquiries, please contact Marian Solangon at msolangon@iom.int