‘Towards Peer-led HIV and Sexual & Reproductive Health (SRH) Services for Sex Workers and Men Having Sex with Men
Experience from Médecins sans Frontières in Malawi and Mozambique

Globally HIV prevalence among female Sex Workers (SW) and Men having Sex with Men (MSM) is 12 and 19 times higher respectively than in the general population. 80% of new HIV infections outside of sub-Saharan Africa occur among these key populations and their sexual partners. In high prevalence countries in sub-Saharan Africa, 25% of new infections occur amongst this group. 

This briefing document aims to share the experience of MSF programmes in adapting their services to the needs of SW and MSM groups in Malawi and Mozambique.

Over 9000 SW since 2013 and 330 MSM since 2016 have been enrolled in these projects. The development of services has been guided by WHO recommendations on KP. In addition to adapting how HIV testing and treatment is delivered, an adapted comprehensive medical package including PrEP has been integrated into these services. The case studies described in this document illustrate the options available for the delivery of peer-led, patient centred HIV and SRH services for SW and MSM.

Drawing on these experiences, the briefer makes key recommendations regarding international and domestic funding, the inclusion of KP representation at all levels and greater investment in research and advocacy.

Acknowledgements go to the SW and MSM communities and peer educators who made this programme possible, and the Ministries of Health in Malawi and Mozambique and many international and local organisations (WHO, UNAIDS, SWEAT, SISONKE, ANOVA Health for Men, Pathfinder International, and our local partners;  Banja La Mtsogolo (BLM), ICRH, Kupulumussama, LAMBDA, Liga Mocambicana dos Direitos Humanos, Organizacao da Mulher Mocambicana, Malawian Sex Workers Alliance, Muleide, Pakachere and Partners in Health) whose partnership and willingness to share experiences has made these programmes possible.

Briefer Key Pops
Title
Towards Peer-led HIV and Sexual & Reproductive Health Services for Sex Workers and Men Having Sex with Men
Version
July 2018
fr
Titre
Vers des Services VIH et de Santé Reproductive pour les professionnelles du sexe (PS) et les hommes ayant des rapports sexuels avec des hommes (HSH)
Version
July 2018
Portuguese
Title
Em Direcção a Serviços de HIV e Saúde Sexual e Reprodutiva Conduzida por Pares para Trabalhadores do Sexo e Homens que Fazem Sexo com Homens
Version
2018