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Assessing Priorities for Combination HIV Prevention Research for Men Who have Sex with Men (MSM) in Africa

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Abstract

A consultation was hosted in South Africa (March 2011) to assess the combination HIV prevention research priorities of academics, implementers and MSM community leaders. Sixty-nine participants, representing 17 African countries, participated. Interactive strategies were used to present current data on HIV interventions and discussions on research possibilities were facilitated with research priorities identified using the nominal group technique. Data were analysed using directed content analysis. Health worker training, social mobilisation, and community engagement were prioritised as structural interventions. Comprehensive counselling was identified as the most important behavioural intervention, with adherence, mental health, and risk reduction counselling identified as key counselling topics. Rectal microbicides, oral pre-exposure prophylaxis and condom and lubricant distribution were the most important biomedical interventions. This consultation resulted in the first combination HIV prevention research agenda for MSM in Africa. Outcomes will inform future research and be used to advocate for combination approaches to HIV prevention for MSM.

Resumen

Una consulta se celebró en Sudáfrica en marzo de 2011 para evaluar las prioridades de investigación de prevención de VIH de combinación de académicos, entidades ejecutoras y líderes de la comunidad MSM. Los participantes de sesenta y nueve, que representan a 17 países africanos, participaron. Se utilizaron estrategias interactivas para presentar datos actuales sobre las intervenciones de VIH y discusiones sobre las posibilidades de investigación se vio facilitados con las prioridades de investigación identificadas mediante la técnica de grupo nominal. Los datos se analizaron mediante análisis de contenido dirigido. Formación de los trabajadores sanitarios, movilización social y participación de la Comunidad fueron priorizadas como las intervenciones estructurales. Asesoramiento integral fue identificada como la más importante intervención conductual, con adherencia, salud mental y reducción de riesgo asesoramiento identificado como clave de asesoramiento temas. Microbicidas rectales, profilaxis pre-exposición oral y preservativo y distribución de lubricante compatibles con preservativos fueron las más importantes intervenciones biomédicas. Esta consulta dio lugar a la primera combinación del programa de investigación de prevención de VIH para MSM en África. Resultados informarán a futuras investigaciones y utilizados para promover la enfoques de combinación para la prevención del VIH para MSM.

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Acknowledgment

The funding for this consultation was provided by a grant to the Johns Hopkins Fogarty AIDS International Training Research Program (Grant# 2 D 43 TW000010-23-AITRP). The funder played no role in the content of this manuscript or the decision to publish these results.

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Authors and Affiliations

  1. Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA

    Stefan Baral & Chris Beyrer

  2. Desmond Tutu HIV Foundation, Institute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory, Cape Town, 7705, South Africa

    Andrew Scheibe, Andrew Lambert & Linda-Gail Bekker

  3. Department of Epidemiology, Emory University, Atlanta, USA

    Patrick Sullivan

  4. Center for Development of People (CEDEP), Lilongwe, Malawi

    Gift Trapence

  5. Center for Public Health and Human Rights, Johns Hopkins School of Public Health, Baltimore, MD, USA

    Stefan Baral & Chris Beyrer

  6. Department of Medicine, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa

    Linda-Gail Bekker

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  1. Stefan Baral
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Correspondence to Andrew Scheibe.

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Baral, S., Scheibe, A., Sullivan, P. et al. Assessing Priorities for Combination HIV Prevention Research for Men Who have Sex with Men (MSM) in Africa. AIDS Behav 17 (Suppl 1), 60–69 (2013). https://doi.org/10.1007/s10461-012-0202-5

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